I was suffering with severe neck pain since last 7years , hav all type of physiotherapy and massages and chiropractor but no relief then I met Dr Sudheer and Dr minal at this center…
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Meghana Reddy
By far the best pain management specialists in town. After consulting several places with no effect, Epione made sure that they treated my mother’s delicate pain condition with patience…
Deepthi K
I am very thankful to doctors in Epione pain management center. My neck pain has gone which I was fighting since last 4 years . Dr sudhir Dara and dr minal have helped me come out…
Sanjana Tirkey
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I finally got relief from my back pain thanks to Epione
Mrs. Aswathi Subramanyan
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Migraine Headache Treatment
in Chennai
Almost everyone on the earth might have had an epiode of headache atleast once in their lifespan. More than 90 % would have never gone to the doctor a specialist for treatment. Either rest or over the counter medications might have solved their problem . Migraine headaches can be be literally jeopardizing the lifestyle of people for extended length of time.
What is Migraine?
A migraine headache is characterised by sharp, throbbing pain on one side of the brain. It is frequently associated with nausea, vomiting, and light and sound sensitivity. Migraine attacks can stay for hours or days, and the pain can be severe enough to interfere with routine tasks.
A warning sensation known as an aura develops before or with the headache in some people. Auras can involve visuals like flashes of light or blind spots and physical symptoms, including a tingling sensation on one side of the face, arm, or leg, and difficulties speaking.
Some migraine medications can help prevent migraines and make them less uncomfortable. The correct medications, in conjunction with self-help, can help.
What Causes Migraine?
Though the exact origins of migraines are unknown, heredity and environmental factors appear to play a role.
It is primarily due to an imbalance in neurotransmitters.
There are several migraine triggers, such as:
- When the oestrogen levels fluctuate, such as before or during menstruation, pregnancy, and menopause.
- Hormonal drugs, such as oral contraceptives
- Drinks like alcohol, particularly wine, and excessive caffeine consumption
- Stress
- Bright lights, as well as loud sounds
- Strong odours, such as perfume and paint thinner
- Sleeping patterns shift
- A change in weather or barometric pressure
- Food supplements like sweetener aspartame.
What are the Symptoms of Migraine?
Migraine symptoms can appear 1 to 2 days before the headache. One may experience the following symptoms:
- Heightened light and sound sensitivity
- Nausea
- Feeling dizzy or faint
- Pain on one side of the head, either left or right, front or back, or in the temples
- Throbbing and pulsing headache
- Tiredness or a lack of energy
- Having problems speaking clearly
- Tingling or prickling sensations in the face, arms, or legs
How to Diagnose Migraine?
A headache specialist (neurologist) will most likely diagnose migraines based on the medical history, symptoms, and a physical and neurological examination.
If your disease is rare, complex, or worsens rapidly, tests to rule out alternative reasons for your pain may include:
- Magnetic resonance imaging (MRI): An MRI scan produces detailed images of the brain and blood arteries using magnetic fields and radio waves.
- CT scan: A CT scan creates comprehensive cross-sectional images of the brain by using a sequence of X-rays. This aids clinicians in diagnosing cancers, infections, and other diseases.
What are the Complications of Migraine?
Taking pain relievers often can result in medication-overuse headaches. Medication-overuse headaches develop when drugs stop treating pain and start causing headaches. Combinations of aspirin, acetaminophen, and caffeine can result in overuse headaches when taken for more than 14 days per month.
How is Migraine Treated?
Migraine treatment aims to reduce symptoms and prevent future episodes.
Migraine medications are classified into two categories:
- Medication for pain relief
- Medication for prevention
The treatment aims to avoid the triggers and reduce symptoms. There is no definitive treatment to get over with migraine yet.
Interventional Pain Management
Treatments for Interventional Pain Management;
- Sphenopalatine Ganglion block — The sphenopalatine ganglion is a small organ buried inside the skull about the size of a grain of corn. It is responsible for transmitting pain from the face to the brain, among other things. One can successfully halt pain signals from reaching the brain by applying a modest quantity of local anaesthetic to it. If the block works, your doctor may suggest radiofrequency ablation to provide long-term pain relief. This therapy is helpful for several sorts of facial pain; thus, it can function even if the particular diagnosis is uncertain or ambiguous.
- Stellate Ganglion Block – Stellate ganglion is a well-known element of the sympathetic nervous system for its function in pain transmission. To prevent pain signals from reaching the brain, a small dose of Bupivacaine, a long-acting local anaesthetic, is injected near the ganglion using ultrasound guidance.
- Spinal Cord Stimulation– It is a treatment used to treat several pain disorders. Small electrodes are inserted in the epidural area near the spinal cord, similar to the technology used in cardiac pacemakers. These electrodes will provide a modest electrical current that will interfere with pain signals as they pass through the spinal cord. The leads are put in the neck to stimulate nerves in the back of the head and the face in the case of facial pain.