New York Headache blog

by Dr. Alexander Mauskop
April 5, 2012
Headaches are common in patients with HIV/AIDS
April 5, 2012
Headache is one of the most common complaints reported by patients suffering from AIDS, according to a new study by researchers from the University of Alabama. They evaluated 200 patients with HIV/AIDS and discovered that 107 or 54% of them...
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April 4, 2012
Smoking during pregnancy causes headaches in offspring
April 4, 2012
Smoking by the mother during pregnancy increases the risk that the child will suffer from headaches. Brazilian researchers published results of their study in the journal Cephalalgia. They collected information on over 1,600 children aged 10 – 11...
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April 3, 2012
Omega-3 fatty acids (fish oil)
April 3, 2012
Omega-3 fatty acids, found in fish oil, have been reported to relieve migraine headaches, although the only such study was relatively small. The dose of omega-3 fatty acids was 6 grams taken daily as a preventive treatment for migraines. A recent...
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April 2, 2012
Depression and migraine
April 2, 2012
Depression is more likely to occur in people with migraines, but migraines are also more likely to develop in those who suffer from depression first. A new Canadian study reexamined this link in 15,254 people. They confirmed this association...
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April 1, 2012
Another study confirming genetic link in migraine
April 1, 2012
Genetic analysis of 594 members of 134 families by Spanish researchers confirmed the results of a previous study that discovered a genetic abnormality on the sixth chromosome that seems to be associated with migraines. This genetic marker is present...
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March 23, 2012
Women with migraine are at a higher risk of widespread chronic pain
March 23, 2012
Women who suffer from both episodic and chronic migraines are more likely to have widespread chronic pain, which is often diagnosed as fibromyalgia. Brazilian researchers evaluated 179 women with episodic and chronic migraine. They discovered...
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March 10, 2012
More serious risks of Prilosec and similar drugs
March 10, 2012
New risks of Prilosec (omeprazole), Nexium, and other similar drugs (so-called proton-pump inhibitors, or PPIs) are being highlighted by the FDA. They can increase the risk of Clostridium difficile-associated diarrhea, a serious infection. This...
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March 4, 2012
Daily use of triptans
March 4, 2012
A small number of my patients take triptan medications daily. Many doctors, including neurologists and headache specialists think that taking these drugs daily makes headaches worse, resulting in rebound, or medication overuse headaches (MOH)...
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February 23, 2012
Sinus infection usually does not require antibiotics
February 23, 2012
Migraines are often mistaken for sinus infections, and are treated with antibiotics. The reson for this confusion is that migraines can cause pain in the area of sinuses and some people will even have a clear discharge from their nose during a...
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February 21, 2012
A new way to stop migraines
February 21, 2012
We are conducting a trial of a very novel treatment for migraine headaches. ElectroCore is a company that developed a small hand-held device which is placed at the front of the neck during a migraine and which painlessly stimulates the vagus nerve...
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February 15, 2012
How does Botox relieves migraine headaches?
February 15, 2012
Botox, or onabotulinumtoxinA was recently approved by the FDA for treatment of chronic migraine based on the results of two large studies. Botox is the only prophylactic therapy specifically approved for chronic migraine. Many patients and...
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January 25, 2012
Emergency treatment of headaches with intravenous magnesium
January 25, 2012
Intravenous infusion of magnesium for the treatment of an acute migraine is receiving more attention and is mentioned in the recent issue of journal Headache. In the first of three articles Drs. Nancy Kelley and Deborah Tepper of the Cleveland...
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January 11, 2012
Acupuncture is again shown to relieve migraine headaches
January 11, 2012
Acupuncture has been widely used for the treatment of migraine headaches and it has been subjected to many clinical trials. A new study published in the Canadian Medical Association Journal confirms what previous research has shown – that...
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January 1, 2012
How much sumatritpan (or another triptan) is too much?
January 1, 2012
How much sumatriptan (or another triptan) is too much is not clear. The initial FDA-approved daily dose of oral sumatriptan (Imitrex) for the treatment of an acute migraine was up to three 100 mg tablets. Several years later the maximum daily dose...
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December 24, 2011
Swearing helps pain, to a point
December 24, 2011
Swearing is a common response to pain. A study just published in The Journal of Pain examines whether swearing can actually help pain. Oxford English Dictionary defines swearing as the use of offensive or obscene language. Prior studies by the same...
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December 10, 2011
Likeable patients may recieve better pain treatment
December 10, 2011
Likeable patients may receive better care for their pain, according to a study by Belgian researchers. The researchers asked 40 doctors to look at photos of six different patients. Each photo was accompanied by a description such as friendly...
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December 9, 2011
NSAID use increases the risk of miscarriage
December 9, 2011
Pregnant women who take NSAIDs such as naproxen (Aleve), ibuprofen (Advil), diclofenac (Volaren, Cambia), celecoxib (Celebrex), and other are two and a half times more likely to have a miscarriage. This is a finding of Canadian researchers who...
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November 8, 2011
Botox improves quality of life
November 8, 2011
The FDA approved Botox for the treatment of chronic migraine because of the two large double-blind and placebo controlled trials which involved close to 1,400 patients (in which we, at the NYHC also participated). These studies showed that Botox...
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November 8, 2011
High blood pressure increases the risk of trigeminal neuralgia
November 8, 2011
Hypertension appears to increase the risk of trigeminal neuralgia, according to a new study published in Neurology by Taiwanese researchers. They looked at 138,492 people with hypertension and compared them to 276,984 people of similar age and...
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November 8, 2011
Cyclic vomiting in children is not always migraine
November 8, 2011
Cyclic vomiting in childhood is often a precursor of migraines in adulthood. Usually a child has attacks of vomiting with or without a headache that can occur 10 – 20 times in a 24-hour period. Most children have family history of migraines and...
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October 23, 2011
When is blood pressure too high?
October 23, 2011
High blood pressure is not a common cause of chronic headaches. The pressure has to suddenly increase (from say 100/70 to 150/90) or to be very high (like 170/110, or higher) to cause a headache. Mild hypertension is called a silent killer because...
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October 21, 2011
Cluster headaches are relieved by steroid block of the occipital nerve
October 21, 2011
Cluster headaches are relieved by steroid injections in the back of the head, according to a study by French doctors, published in The Lancet. 43 patients with chronic and episodic cluster headaches were recruited into this blinded study where some...
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October 10, 2011
High cholesterol is more common in those with migraine with aura
October 10, 2011
Having migraines with aura increases the risk of having increased total cholesterol and triglycerides. This was found to be the case in a population-based study of 1,155 older people (average age 69) presented by Dr. Tobias Kurth at the International...
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October 4, 2011
Brain dysfunction in migraine
October 4, 2011
Difficulty thinking and speaking is not unusual at the onset of a migraine attack. It is not always severe as with the reporter Serene Branson who jumbled words and appeared confused on camera. Many patients report that they have difficulty finding...
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October 2, 2011
NSAIDs, but not aspirin, can cause dangerous irregular heart beat
October 2, 2011
Risk of irregular heart beat, heart attacks, and death increases in people taking NSAIDs, such as ibuprofen (Advil), naproxen (Aleve), diclofenac (Cambia, Voltaren, Cataflam), and celecoxib (Celebrex). The risk with these drugs in people who suffer...
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September 26, 2011
Exercise is as good as drugs for migraine
September 26, 2011
Yet another study finds that exercise is as good for the prevention of migraines as drugs. The research report in journal Cephalalgia by Swedish doctors shows that 40 minutes of exercise three times a week was as effective as taking topiramate...
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August 30, 2011
Aspirin is First-Line Treatment for Migraine and Episodic Tension-Type Headache Regardless of Headache Intensity
August 30, 2011
Aspirin is the first-line treatment for migraine and tension-type headaches regardless of headache intensity, according to a report published by three leading headache experts (from Austria, Germany, and Norway) in the journal Headache. Some...
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August 15, 2011
A promising new migraine drug from Merck is shelved
August 15, 2011
Merck discontinued the development of telcagepant, a promising new drug which represents a new class of migraine drugs, so-called CGRP antagonists. These drugs appear to be as effective as sumatriptan (Imitrex) and other triptans in aborting...
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August 14, 2011
Showing up is half the battle – predictor of improvement of headache disability
August 14, 2011
At the NYHC, just like at all headache clinics, we see many patients with severe disability. A very interesting study just published in the journal Pain seems to tell us how to predict which of these disabled patients will respond to treatment...
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August 9, 2011
New drug for cluster headaches
August 9, 2011
Chronic cluster sufferers may benefit from sodium oxybate (Xyrem), according to a report in the leading neurology journal,Neurology. Xyrem is a drug approved for the treatment of narcolepsy but it is also being evaluated for the treatment of pain...
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