- Migraine is a condition, characterized by repeated episodes of headache.
- Headache can be on one side or both sides of head.
- Headache typically lasts for more than four hours, but usually resolves in less than 72 hours.
- Nausea (a sensation to vomit) or vomiting may be present during headache episodes.
- There may be photophobia (headache becomes more in bright light or sunlight) or phonophobia (headache becomes more in noise).
What is chronic migraine?
- Recurrent headache interferes with job or studies, leading to poor performance at work or in studies.
- It leads to frequent absenteeism at workplace or in college.
- People suffering from chronic migraine can not enjoy social functions, as slight triggers such as music can trigger the headaches.
- They need to avoid road travel, as it can trigger headaches.
- Patients are frequently forced to take multiple analgesics (pain-killers) every month, leading to significant adverse effects.
3. Need to take them on a daily basis
- I see about 15-20 new cases of migraine per month, and have seen thousands of patients in the past 18 years of my medical practice.
- About 20-30% of them either do not improve with oral preventive tablets or they have side effects with them. Some people find it difficult to take tablets on a daily basis for a long period of time.
- For this group of patients, botox injection therapy is the most ideal. I see 2-3 patients per month, who are eligible to receive botox therapy in chronic migraine. About 1-2 per month receive them. In the past two years, I have given botox to about 40 patients with chronic migraine.
- About 95% patients report benefit after botox therapy and in most cases, oral tablets are not required after botox.
- None of them reported any adverse or side effects with botox.