2/18/08 #1 - Radio freqyency of the occipital nerve for Migraine?

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  • Full Question:
    My migraines have become more frequent (2-3 a week) and severe (9-10 on the 10 scale) over the last 5 years. I have tried multiple preventives and treatment: Botox, nerve blocks, drugs, etc. At the most a new treatment gives a month of relief. Most preventatives affect the liver and thus I cannot take them. I am using Migranal spray for an abortive. I know that 3 times a week for Migranal is not acceptable for a person over 50. Is Radio Frequency of the occipital nerve an accepted procedure for permanent migraine treatment? Where can I locate information regarding side affects, long term prognosis, dangers, etc for this type of treatment? Thank you for your help, Nea.

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    Dear Nea;


    It’s not true that most preventive medications affect the liver, as you mentioned. I have no experience with radiofrequency lesions of the occipital nerve, although I’m aware that they had been tried for migraines. One of our local resources is at the Texas Tech medical Center in Lubbock, whether there are pain physicians who have experience with occipital nerve stimulation. Perhaps giving them a call might yield more information otherwise, I would look it up on the Internet and also on http://www.pubmed.gov to query any research on this matter.


    Good luck,
    John Claude Krusz and Teri Robert


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    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 17, 2008.



Published On: February 17, 2008