New York Headache blog

by Dr. Alexander Mauskop
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September 11, 2013
Antibiotics for back (and neck?) pain
September 11, 2013
It is hard to believe the report of a group of Danish doctors who found 28 out of 61 (46%) patients undergoing surgery for a herniated lumbar disc to have a bacterial infection in those discs. Just like the idea that stomach ulcers are caused...
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September 6, 2013
Migraine with aura increases the size of a stroke
September 6, 2013
Migraine aura seems to indicate a different underlying brain condition than that of migraine without aura. We know that the risk of strokes is higher in patients who suffer from migraines with aura. The increase in this risk is very slight...
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September 2, 2013
Depakote (sodium valproate) shrinks the brain in epilepsy patients.
September 2, 2013
At the New York Headache Center we always try to avoid using medications and use alternative (i.e. non-drug) therapies first. We often succeed, but unfortunately, many of our patients do end up taking some drugs. However, when choosing among...
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August 29, 2013
Alternating electric current does not help headaches
August 29, 2013
A variety of electrical devices have been tried for the treatment of headaches and have been mentioned in several of my previous blogs. One study showed that passing direct current through the head may help migraines and depression. Another study...
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August 26, 2013
Fish oil helps cope with stress, possibly headaches
August 26, 2013
Fish oil supplements may protect the heart in stressful situations, according to a study conducted in Michigan with 67 healthy volunteers. The researchers, led by Jason Carter, looked at the effect of fish oil on body’s stress response. The volunteers...
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August 21, 2013
Trigeminal nerve in trigeminal neuralgia, trigeminal neuropathy and TMJ disorders
August 21, 2013
Advances in MRI imaging have allowed visualizing the trigeminal nerve and a group of Australian researchers reported on their findings in three conditions which cause facial pain. Trigeminal nerve supplies sensation to the face and facial pain...
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August 17, 2013
An update on butterbur (Petadolex) – we still don’t recommend it
August 17, 2013
The manufacturer of Petadolex brand of butterbur sent me an email saying that the FDA conducted an inspection of their manufacturing plant in Germany. However, my concerns about butterbur, which I mentioned in a previous blog post, has...
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August 13, 2013
Mental illness, migraine, and doctors’ attitudes
August 13, 2013
Bipolar disorder and other psychiatric problems are 2-3 times more common in those who suffer from migraine headaches and migraines are 2-3 times more common in patients with mental illness. Those who suffer from migraines are very familiar with...
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August 8, 2013
Botox relieves hemiplegic migraine
August 8, 2013
Surprisingly, Botox appears to relieve hemiplegic migraines, according to a report by two neurologists from the Mayo Clinic. They describe 5 female patients who suffered from very frequent and severe migraine headaches with four of them having...
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August 6, 2013
Auditory hallucinations in migraine
August 6, 2013
Auditory hallucinations can be associated with chronic headaches, according to a report by our own Dr. Sara Crystal and three other neurologists from the Bronx. These four doctors reported on 7 of their own patients and also described 8 patients...
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August 4, 2013
Blood vessels may be responsible for migraines after all
August 4, 2013
The vascular theory of migraine suggested that changes in the blood vessel size and blood flow were responsible for the development of migraine attacks. This theory went out of fashion and for the past 20 years most headache experts thought that...
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July 30, 2013
Spinal tap may detect increased pressure in the head as a cause of headaches
July 30, 2013
Increased intracranial pressure is an under-diagnosed cause of difficult to treat headaches. Persistent chronic headaches that do not respond to treatment may be due to increased pressure inside the head. These headaches may resemble...
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July 28, 2013
Acute care of chronic and episodic migraines is suboptimal
July 28, 2013
Acute treatment of episodic and chronic migraine headaches in the US leaves a lot to be desired. Results of the American Migraine Prevalence and Prevention Study lead by Dr. Richard Lipton indicates that the acute treatment of migraine headaches in...
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July 23, 2013
Electrical stimulator for cluster headaches
July 23, 2013
Stimulation of the sphenopalatine ganglion seems to relieve cluster headaches according to a study by European neurologists. The study examined the efficacy of the on-demand sphenopalatine(SPG) stimulation in chronic cluster headache patients...
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July 22, 2013
Blood pressure drugs for the prevention of migraine
July 22, 2013
Candesartan (Atacand) is a relatively new blood pressure medication in the family of ACE receptor blockers (ARBs), which is also effective in the preventive treatment of migraine headaches. Another ARB, Benicar, or olmesartan has also been...
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July 7, 2013
In kids,cognitive therapy with medicine is better than medicine alone and is possibly better than Botox and other drugs
July 7, 2013
Half of the kids seen by pediatric headache specialists suffer from chronic migraines. Dr. Hershey and his colleagues at the Cincinnati Children’s Hospital presented results of a study that compared cognitive behavioral treatment combined with...
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July 5, 2013
Surprisingly, naproxen may be better than naproxen with sumatriptan
July 5, 2013
A non-steroidal anti-inflammatory (NSAID) drug naproxen (Aleve) alone seems to be more effective than naproxen combined with sumatriptan (Treximet), according to a study by Dr. Roger Cady and his colleagues from Missouri, which was presented...
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July 3, 2013
Sea Bands work for nausea of migraine
July 3, 2013
Nausea of migraines responds to an acupressure device, according to two German doctors who presented their findings last week at the International Headache Congress in Boston. I spoke to one of the authors, Dr. Zoltan Medgyessy about his study...
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June 25, 2013
Oxygen for cluster headaches through a demand valve
June 25, 2013
Oxygen inhalation is a proven method of treating cluster headaches. The patient usually rents a large oxygen tank and breathes in pure oxygen through a mask whenever he gets an attack (it is usually a he since 5 times as many men suffer from...
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June 22, 2013
Infantile colic and pediatric migraine
June 22, 2013
Infantile colic seems to be a precursor or an early manifestation of migraine headaches in children. A new European study published in the journal JAMA supports an earlier American study mentioned in one of my previous blogs. This European study...
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June 19, 2013
Frequent migraines are not different from chronic migraines
June 19, 2013
Botox is approved by the FDA for the prophylactic treatment of chronic migraine headaches. Chronic migraine was arbitrarily defined by headache researchers as headache occurring on more than 14 days each month. Epidemiological research by Dr...
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June 16, 2013
Calcium promotes chronic pain
June 16, 2013
Calcium inside the nerve cells (neurons) seems to be crucial in making pain chronic, according to a publication in the journal Neuron by researchers in Heidelberg, Germany. They discovered that in patients with persistent pain, calcium in the...
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June 10, 2013
Chronic headaches and sexual pain
June 10, 2013
Female pelvic/genital pain is more common in women with chronic Headache, according to a study presented by Canadian neurologists.The study was carried out by researchers and clinicians at the Wasser Pain Management Centre, Mount Sinai Hospital...
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June 3, 2013
Leeches are definitely revolting, but can they help migraines?
June 3, 2013
Leeches are not pleasant to look at, but they have been used for medicinal purposes for hundreds of years. Growing up in the Ukraine in the 1960s I remember (this is hard to forget) seeing big jars with leeches in a corner pharmacy. Patients would...
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June 1, 2013
Getting medicine straight from the nose to the brain
June 1, 2013
Many migraine sufferers suffer from nausea and vomiting and cannot swallow pills or even if they can swallow them, it takes too long for them to work. Injections is one way to overcome this problem, but nasal spray is a much more pleasant...
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May 28, 2013
TENS unit Cefaly is no longer available in the US
May 28, 2013
In my previous post I mentioned a TENS unit spcifically designed for the treatment of migraine headaches. It was available for a short time on Amazon.com, but no longer is. It is sold at COSTCO stores in Canada and in Europe. Howere, regular...
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May 22, 2013
Intravenous medications for trigeminal neuralgia
May 22, 2013
Trigeminal neuralgia is an extremely painful condition that causes electric-like pain in the face. It is often misdiagnosed as a dental problem, sinus headache or another condition. The pain is very brief, just like an electric shock, but it can...
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May 17, 2013
Another triptan is going generic
May 17, 2013
Zomig (zolmitriptan) is the fourth triptan (out of seven) to become available in a generic form. This spells big relief for migraine sufferers who rely on this drug. Only tablets and orally disintegrating tablets (ZMT) will become available, not...
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May 15, 2013
Triptans are the first line migraine drugs in pregnant women
May 15, 2013
Pregnant women are admonished not to take any medications while pregnant. Fortunately, two out of three women stop having migraines during pregnancy, especially during the second and third trimester. Unfortunately, one third of women continue...
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May 13, 2013
Botox helps post-traumatic headaches in soldiers
May 13, 2013
Botox appears to be effective for the treatment of chronic post-traumatic headaches in service Members with a history of mild traumatic brain injury according to a recent report by Dr. Juanita Yerry and her colleagues at Ft. Bragg, NC...
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