Full Question: I have struggled for years with migraine, and also with back problems stemming from severe scoliosis. A recent MRI showed that I have marked dural ectasia in my lower spine. I guess the good news is that the orthopedist told me that I don’t have to worry about any impingement on my spinal cord and nerves because my spinal canal is so wide, however, I am concerned about the dural ectasia, and believe it may be the root of much of my back pain. I have never been able to tolerate trigger point injections, epidurals, etc., as pain management techniques, because they trigger horrible migraines for about 2 weeks straight. In addition, one of the worst symptoms I experience during a migraine is horrible aching pain in my lower back and legs. I am wondering if there could be a connection between the migraines and the dural ectasia. Any thoughts? Thanks!
Yes, there certainly can be a connection. This speaks more to pain management issues than to Migraine per se, although both overlap in your case. Have you tried tramadol (Ultram)? It a good choice to discuss with your doctor.
John Claude Krusz and Teri Robert
If you need to find a headache and Migraine specialist, please see our listing of patient recommended specialists.
Another good source of information and support is our forum. To post to the forum, you’ll need to register, even if you’re already registered on the main section of our site. You can use the same email address and password for both registrations.
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, please click** HERE. Accepted questions will be answered by publishing the answers here. Due to the number of questions submitted, no questions will be answered privately, and questions will be accepted only when submitted via THIS FORM**. Please do not submit questions via email, private message, or SharePost comments. Thank you.
Please note: We cannot handle emergencies or diagnose via the Internet. Please do not ask us to diagnose; see your physician for diagnosis.
We hope you find this general medical and health information useful, but this Q & A is meant to support not replace the professional medical advice you receive from your doctor. For all personal medical and health matters, including decisions about diagnoses, medications and other treatment options, you should always consult your doctor. See full Disclaimer.
Do you have questions about Migraine? Reader questions are answered by UCNS certified Migraine and headache specialist Dr. David Watson, and award-winning patient educator and advocate Teri Robert. Questions may be submitted via our submission form. Accepted questions will be answered by publishing the answers in our Ask the Clinician column. For an overview of how we can help and questions we can and can’t answer, please see Seeking Migraine and Headache Diagnoses and Medical Advice.