05/28/07 #4 - Chronic headaches & Migraines - NOT rebound?

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  • Full Question:
    I am a 30 year old female suffering from daily chronic migraines.  My doc suspected rebound headaches, so I've been off ALL pain meds for over 6 full MONTHS.  I'm still experiencing migraines and headaches every day and am at my wits end.  I've tried nearly all anti-depressants, anticonvulsants, some blood pressure meds, calcium channel blockers, beta blockers, Botox and triptans with no relief. I've also tried feverfew, juice plus and Sinol, biofeedback and followed the headache diet for 5 months.  Any advice on where to turn from here?  All tests (MRI, MRA, MRV, CT scan, blood tests) have come up negative for problems, except for my EEG which came back abnormal. PLEASE help. Amber.

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    Dear Amber;

    It was logical for your doctor to suspect rebound as it is an factor in 80% of chronic headache and Migraine cases.

    You didn’t specify what “headache diet” you’ve been following, but five months is long enough for a traditional elimination diet to have identified any food triggers you may have. Since we don’t know what diet you were following, a look at Managing Migraine – Migraine Trigger Foods and the accompanying work book could still be helpful.

    You don’t mention if you’ve investigated and identified other triggers. If not, certainly keeping a headache and Migraine diary could help. Sleep issues should also be investigated as they’re a very common trigger. Going to bed and getting up at the same time every day, being sure you don’t get too much or too little sleep, and making sure you get good quality sleep is essential.

    At this point, the best recommendation we can offer is to find a good headache and Migraine specialist to consult.

    Good luck,
    John Claude Krusz and Teri Robert

    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. If you have a question for this section of our site, please click HERE. Accepted questions will be answered by publishing the answers here. No questions will be answered privately.


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Published On: May 28, 2007