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Millions of Americans in pursuit of a remedy for stuffy nose and sinus pressure turn to over the counter (OTC) nasal sprays because of their quick action, availability and presumed safety. But did you know prolonged use of topical nasal decongestants (TNDs) often leads to addiction? Case in Point: A 32-year-old male was referred to me because of complaints of chronic nasal blockage. The patient suspected his problem was hay fever (allergic rhinitis). During the interview, he revealed that a year ago he began to have trouble sleeping because of a stuffy nose. He felt considerably better after using a TND before going to bed. Within 2 weeks he began to awaken in the middle of the night requiring another dose of his nasal spray for relief. One month later he required doses 4 times daily in order to avoid severe nasal congestion. By the time I saw him, he was going through almost a bottle of nasal spray daily. His diagnosis was Rhinitis Medicamentosa (RM) which means nasal inflammation (rhi...
Although most people immediately think "headache" when they think of a Migraine, there are many times when some of the accompanying symptoms are as severe and debilitating as the headache, if not more so.
One of those symptoms can be neck pain. Until fairly recently, neck pain was often overlooked as a Migraine symptom. In 2010, a study showed that it's more common in Migraine than nausea. You can find more information about this in Neck Pain as a Migraine Symptom .
Beyond the obvious pain, when neck pain occurs during a Migraine, it impacts Migraineurs in other ways:
Its presence on the day preceding Migraine is associated with treatments not working as well.
Neck pain is predictive of Migraine-related disability, regardless of Migraine frequency and severity.
Presence of neck pain during a Migraine is associated with delayed treatment of Migraine attacks.
You can read more about this in Migraine Treatment Delayed by Neck Pain .
I just recently moved to New Orleans from Kentucky and the severity of my migraines has increased 10 fold. Could the changes in sunlight/climate change have something to do with it? Amy.
Yes, the changes in sunlight, climate, weather, etc. could definitely have something to do with the increased severity of your Migraines. This is something that can subside over time as your body becomes accustomed to the changes.
All of that said, it's would be best to see your doctor for a check up to be sure that nothing else is causing this increase.
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 tr...
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