1. About.com
  2. Health
  3. Headaches & Migraines

Ask the Clinician: 11/24/03, Answer #13

From , former About.com Guide

Updated: November 24, 2003

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Ask the Clinician
Question: Hello, I am an 18-year-old female and have had chronic daily headaches for six years along with the occasional migraine every few days. I’ve had an MRI, CAT scan, seen my eye doctor, gotten a jaw guard, and been on all the triptans, antidepressants and many more along with physical therapy to get rid of the tension in my back and neck. Nothing has helped in the slightest. I've seen 3 neurologists already and my most recent one told me the other day that she can no longer help me . . .
Answer:

Dear Michelle,

There's no way possible that you've tried everything. There are different medications coming into use as Migraine preventives quite frequently. Additionally, there are so many combinations of preventive meds that can be tried that it would literally take many years to have tried everything.

You may be getting plenty of sleep, but still may want to investigate a sleep study to be sure that it's good quality sleep. As for stress, stress isn't exactly a Migraine trigger; it's an exacerbating factor in Migraine. What that means is that you have other triggers that aren't generally strong enough to trigger a Migraine, but when your body is stressed, your threshold to triggers is reduced and those triggers can bring on a Migraine. So, you need to be keeping a diary and investigating other triggers.

The best thing you can do for yourself is get to a good specialist. Some of the best are right there in Stamford, Connecticut, at the New England Center for Headache.

Please let us know yow you're doing,
Teri Robert



Dear Michelle:

I would strongly agree with Teri. Look to the New England Center for Headache run by my old friends Drs Alan Rapoport, Fred Sheftell and Stuart Tepper. Tell then we sent ya! They are in Stamford. They are worth it.

Good luck,
John Claude Krusz

____________
To visit our directory of recommended specialists and clinics, click HERE.

©2012 About.com. All rights reserved. 

A part of The New York Times Company.

We comply with the HONcode standard
for trustworthy health
information: verify here.