Drug-Free Migraine Solutions

If you suffer from a chronic migraine, you have probably tried to avoid migraine triggers, modified your lifestyle with healthy food and sleep choices, and used medication to prevent and treat the pain.  However, you may find that even this regimen has not stopped frequent, debilitating migraines from impacting your life.  In this case, you may want to look into a medical procedure that can stop chronic migraine pain and reduce the need to use medication.

In 1999, Elliot Krames, M.D., published a recommended sequence of pain treatment that progresses from the most conservative treatment to increasingly strong treatments.  Using the same methodology, we have detailed a migraine treatment continuum which starts with physical therapy and trigger avoidance, over-the-counter medication and prescription medication.  If those are not sufficient, your physician may recommend:

  • Narcotic injections such as demoral, which are injected into the muscle to control pain
  • Nerve blocks such as Botox, to paralyze the nerves associated with the pain
  • Surgical removal of the nerves that are associated with the pain
  • Implantation of a neurostimulator, to provide gentle stimulation under the skin to nerves associated with the pain

The benefit of a drug-free migraine solution is that many patients are able to stop most or all of their migraine pain and the effects associated with it, such as aura, tingling or numbness – while also reducing the side-effects associated with medication.  Another benefit is the long-lasting effect.  Plastic surgery to remove nerves associated with migraine pain is potentially a life-long solution.    Neurostimulation can also potentially provide life-long relief (the rechargeable battery is designed to last up to ten years and can be replaced) and additionally provides the option for you to turn the stimulation on and off, and to adjust the amount.

Ready to get rid of your migraines once and for all?  The first step is to talk to your primary care physician or interventional pain management specialist to see what the right treatment is for you.  You can aid your discussion by keeping a diary of your migraine pain, and evaluating the severity of your migraines through a questionnaire.   If you would like to contact an interventional pain management specialist, please fill out the contact form on this page and we can assist you in evaluating your migraine pain.