15-year-old daughter with Migraine since October, 2007?

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    Our 15 year old daughter has been having migraines since October of 2007.  This last migraine has been none stop for the last year. We have been in and out of the hospital with her several times. Her veins can't handle needles any more so when we go to the hospital she has to get a pic line. She has been stuck over 200 times (she has counted).  We tried DHE & magnesium. It worked for the first 11 months. We've tried birth control, migraine medications, pain relievers, Botox, beta blockers, depression meds and sleeping medications. We've had her spinal fluid checked, her hormones, they've given her caffeine, changed her diet, put her on oxygen, and even went to the chiropractor and even tried scenar.  We don't know what to do anymore. She has missed so much school and is in constant pain.  We need help so bad!!! Her body is not absorbing the medications. Not asking for you to diagnose her, just want some guidance as to what we need to do next. Bobbie.

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    Dear Bobbie;

    Are you saying she's had one continuous Migraine all that time, or is it a new one each day?

    One of the most reliable solutions we've found to both long single Migraines and breaking the cycle of daily Migraines is IV infusion therapy. There are many different choices of medications to use in this way. You can read more about this in IV Treatment of Refractory Migraines.

    How frequently does your daughter take Migraine abortive medications (triptans, DHE, Migranal) or pain medications (over-the-counter or prescription)? All too often, overuse of medications plays a huge role in problems with Migraines. Taking any of those medications 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.

    The IV infusions as well as whether part of the problem is medication overuse are two primary issues to discuss with her doctor. If her doctor isn’t able to help, it's time to consult a Migraine and headache specialist. It’s important to note that neurologists aren’t necessarily Migraine and headache specialists. 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.

    Good luck,
    John Claude Krusz and Teri Robert

    To review other questions from our Ask the Clinician Column,
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    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 November 24, 2009.

Published On: November 24, 2009