What doctor can treat migraines? A few different ones can, but it depends on each individual and their experience. In some cases a primary care doctor treats them. Moreover, a neurologist or pain management may be reccommened.
Mayo Clinic offers some helpful tips to prepare for a doctors appointment:
- Write down symptoms you’re experiencing, even if they seem unrelated to your migraines.
- Write down key personal information, including any major stresses or recent life changes.
- Make a list of all medications, vitamins or supplements that you’re taking. It’s particularly important to list all medications, as well as the dosages you have used to treat your headaches.
- Take a family member or friend along, if possible. Sometimes it can be difficult to remember all the information provided to you during an appointment. Someone who accompanies you may remember something that you missed or forgot.
- Write down questions to ask your doctor.
Treating migraines is a complex task. Many factors must be considered when considering a treatment plan. There are a wide variety of options ranging from avoiding triggers, to medications, to lifestyle changes. The best outcomes usually come from constructing a well-balanced treatment plan and sticking to it.
There are two additional groups of medications pain-relieving and preventives. Over the counter medications are used first. These include Motion, Tylenol, or Excedrin.
Ergotamines according to WebMD, “narrow (constrict) blood vessels in the brain. It is not clear how they work to stop a migraine. ”
Triptans, assist people within two hours if a person takes it at the first sign of a migraine.
Anti-nausea medications such as Zofran to prevent vomiting and ease nausea.
Opioid medications are carefully used to treat migraines. For example, Codeine, Hydrocodone, often combined with acetaminophen in Lortab and Vicodin, Meperdine, Oxycodone with acetaminophen in Percocet, Dilaudid, Butorphanol Tartrate (very addictive), Hydromorphone, under the brand name Actiq and Tramadol – Ultram. Mirgaine.com reports, narcotics work to relieve pain by preventing the release of the neurotransmitter Substance P in the nerves. This helps reduce the way migraine sufferers perceive pain in the brain. It is also sedating and cuts down how emotionally upset the migraine sufferer feels as a result of the pain.
Glucocorticoids prednisone or dexamethasone usually used in an emergency room or for a migraine that is out of control.
Medications for migraine prevention include Cardiovascular drugs, Antidepressants, Anti-seizure drugs and Onabotulinumtoxin A (Botox).
Clinical trials are another option which may be for relievers or preventive medications. Almost all need a doctors approval.
Natural remedies are usually best when paired with western medicine. Gluten-free diets are helpful in some cases. Depending on the person tea such as Pu-erh, Green, or Black tea. Furthermore, caffeine can either help immensly or make it worse. Some people find relief with peppermint and lavender Essential Oil.
Chiropractic care, acupuncture, biofeedback, massage therapy, cognitive behavioral therapy, and reflexology are additional avenues of natural treatment. A few vitamins that may be helpful include magnesium, riboflavin, feverfew, coenzyme Q10, and melatonin.
Some individuals find ice packs helpful during a migraine while others find relief with heat.
As with any chronic illness lifestyle changes are essential to preventing and treating migraines. It is vital to eat a balanced diet without skipping meals, to remain hydrated, get adequate sleep, excerise, and manage stress. Additionally, it is important to keep track of migraines to have the best treatment plan possible.