Migraineurs ask a multitude of excellent questions on quite a range of topics from the cause of Migraine disease to triggers, medications, new treatments, comorbid conditions, and much more.
There is one question, however, that stands out as the all-time most freuqently asked question. In the four years that we've been doing this column, not a week has gone by that this question hasn't been submitted for Ask the Clinician and asked on our forum, usually multiple times. Here it is as most recently submitted:
- I have been on every kind of prevention medication available and am still having bad and frequent migraines. My doctors said they have tried everything and they don't know what else to do with me. I'm feeling very helpless and need to know if there is anything else out there or if there is anything coming out that may be able to help me and give me a normal life?
Although you may have tried the medications with which your doctor is familiar, it is literally impossible for you to have tried every preventive medication. There are now over 100 medications and supplements that can be used for the prevention of headaches and migraine attacks and virtually endless combinations of them. Effective preventive regimens can be found for at least 95% of migraineurs, so the odds are on your side. See:
For those of us with frequent headaches or migraine attacks, preventive medications, dietary supplements, and even medical devices are often a good option. There are over 100 medications and supplements that can be used and nearly endless combinations of them. The list is ever-evolving, and will this one will be updated regularly.
- Identifying and Managing Migraine Food Triggers
Not everyone has food triggers, but it's well worth checking into. Some migraineurs will identify food triggers fairly easily by noticing that every time they eat something, they have a migraine. Other migraineurs employ an elimination diet to investigate food triggers.
- Quiz: Is Your Doctor Right for You?
- Questions To Ask a New Doctor
- Directory of Patient-Recommended Migraine Specialists