**Full Question:**Can you recommend a remedy for when I exercise I get migraines even though I am fully hydrated. Usually after about 2-3 hours my headache starts. I am also considering nerve block and if that does not work, Botox. Can you help? Steven.
Have you checked your blood pressure after exercising? That can be a factor in exercise triggered Migraines.
There are various options for preventing these Migraines. Depending on how frequently you exercise, it could be a simple as taking an NSAID or triptan before exercising, but that kind of treatment must be utilized no more than two or three days a week. If your Migraines are more frequent than that, never blocks and Botox are options, but not your only options. Other Migraine preventives are an option too, and there are many of them to try (see Migraine preventive medications: too many options to give up!). The only way to know which preventive option is best for you is to discuss this with your doctor and try some of the medications to see what will work best for you.
John Claude Krusz and Teri Robert
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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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