Migraines every day for 30 years?

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    Have either of you ever heard of someone have migraines every day over a span of 30 years?  They started in my mid teens but got vicious around my mid thirties, I'm now 65.  My small town doctor has given up on me, and quite frankly the medical community is at a loss.  How unusual is it to have this kind of frequency, and this kind of lack of medical attention? Steve.





    Dear Steve;


    Daily Migraines aren't the norm, but unfortunately, they do happen in some cases.


    It's difficult to speak to "this kind of lack of medical attention" since we don't know what doctors you've seen other than your family doctor. Most Migraineurs have the occasional Migraine that's easily treated. They usually receive adequate care from their family doctors. Migraineurs with more difficult cases usually find that their family doctors and even general neurologists can't help them much. Little is taught about Migraine in medical school, and doctors seldom have the opportunity to learn much more about Migraine during residency. Your best option is to seek care with an actual Migraine and headache specialist.

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    Take a look at the article Migraine and Headache Specialists - What's So Special? If you need help finding a Migraine specialist, check our listing of Patient Recommended Migraine and Headache Specialists.


    Do you know what triggers any of your Migraines? Trigger identification and management is a vital component of managing Migraine disease. One of the best tools for identifying triggers is a good Migraine diary. You can download a free diary workbook from our article Your Migraine and Headache Diary. Some of us have food triggers; some of us don't. It's advisable to determine if your daughter does, and an elimination diet is the best way to do that. For more information and a workbook on this, see Managing Migraine - Migraine Trigger Foods.


    When Migraines are daily, one thing to rule out is medication overuse headache. Taking Migraine abortive meds such as the triptans or ergotamines or any kind of pain med more than two or three days a week can make matters worse by causing medication overuse headache (MOH), aka rebound. See Medication Overuse Headache - When the Remedy Backfires for more information on this.


    Good luck,
    John Claude Krusz and Teri Robert



    To review other questions from our Ask the Clinician Column,
     browse the Ask the Clinician archives.


    If you need help finding a Migraine and headache specialist,
     visit our listing of Patient Recommended Specialists.



    About Ask the Clinician:

    Dr. Krusz is a recognized expert in the fields of headache and Migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and Migraines. You can read more about Dr. Krusz or more about Teri Robert.


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    Last updated February 12, 2010.

Published On: February 12, 2010