Chronic Migraine Treatment is designed to treat the underlying condition of your headaches and often will stop frequent headaches. If you do not have any underlying conditions, then your chronic migraine treatment will focus on minimizing or preventing pain.
Your chronic migraine treatment Prevention strategies will vary, depending on the nature and type of headache you have and whether possible medication overuse is contributing to your headaches. If you're taking pain medication for more than three days a week, you may want to start by weaning yourself off these drugs with your doctor's supervision.
Your chronic migraine treatment designed by your doctor or healthcare professional may include:
- 1Antidepressants. Tricyclic antidepressants like nortriptyline (Pamelor) — can be used for chronic migraine treatment. These medications may also be useful in treating anxiety, depression, and sleep deprivation that often accompany chronic migraine daily headaches.
- 2Beta blockers. This group drugs, commonly used for treating high blood pressure, are also very effective in preventing episodic migraines and for chronic migraine treatment. They may include metoprolol (Lopressor, Toprol-XL), atenolol (Tenormin), and propranolol (Inderal, Innopran XL).
- 3Anti-seizure medications. Some anti-seizure medication show promise in preventing migraines and might also be used to prevent chronic daily headaches, as well. Popular choices include topiramate (Qudexy XR, Topamax etc.), divalproex sodium (Depakote) and gabapentin (Neurontin, Gralise).
- 4NSAIDs. Medically Prescribed nonsteroidal anti-inflammatory drugs — such as naproxen sodium (Naprelan, Anaprox etc.) — may be helpful, especially if you are in the midst of withdrawing from other pain medication. They can also be used from time to time, especially when your headache is more severe.
- 5Botulinum toxin. Onabotulinumtoxina (Botox) injections may provide relief for some people and may also be an excellent choice for people who don't or can’t tolerate daily medication. Your doctor will recommend Botox for chronic migraine relief if your headaches display all the features of chronic migraines.
Alternative Medicine for Chronic Migraine Treatment
For some people, complementary or alternative therapies is an excellent choice for their chronic migraine treatment. We stress caution since not all alternative therapies have been proven as headache treatments, and others need much more research.
- 1Acupuncture. This ancient Chinese technique uses very-thin needles inserted into various areas of your skin at defined points. While the jury is still out, some studies have shown that acupuncture helps to reduce the frequency and intensity of chronic headaches.
- 2Biofeedback. This is a relatively new concept that allows you to control headaches by becoming more acutely aware of and then altering certain bodily responses, such as heart rate and skin temperature and muscle tension.
- 3Massage. Massage address chronic migraine treatment by reducing stress, relieving pain and promoting relaxation. Although its value as a headache solution is yet to be determined, massage may be particularly helpful if you have tense muscles in the back of your head, shoulders and neck.
- 4Herbs, vitamins and minerals. We have evidence that both feverfew and butterbur help prevent migraines and/or reduce their severity. A high dose of vitamin B-2 (riboflavin) may also reduce migraines.
Coenzyme Q10 supplements may be helpful to some individual. In addition, oral magnesium sulfate supplements might reduce the frequency of headaches in some people, although not all studies agree with this outcome.
Its recommended that you do not use feverfew, riboflavin, or butterbur if you're pregnant.
- 5Electrical stimulation of the occipital nerve. This involves surgically implanted a small battery-powered electrode near the occipital nerve at the base of the neck. The electrode then sends continuous energy pulses to the nerve to ease pain. This approach is relatively new, and more research is needed.