After 40 years of being treated for migraines my pain management specialist has reclassified my headaches trigeminal neuralgia, although I do not have any of the symptoms of this disorder.
Imitrex has always helped but I get about 15-20 per month. He can relieve a migraine by giving me a shot of lidocaine and steroids in the occipital nerve and it will last for a few hours and because of this, he says they can’t be migraines.
He has limited me to 9 tablets per mo. and I’m scared I will end up in the ER again like before I had plenty of Imitrex. Is this a possibility that I do have trigeminal neuralgia since Imitrex does relieve the pain? HELP!! Pam.
For many reasons, I would disagree with your physician’s thoughts. Imitrex would not be expected to help a real Trigeminal Neuralgia disorder.
If your doctor isn’t able to help you, it may well be 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.
Are you sure it’s your doctor who’s limiting your Imitrex to nine doses per month? Insurance companies often impose such limits
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, 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.