Claim: Gone With A Shot? Hopeful New Signs Of Relief For Migraine Sufferers
Verdict: SUPPORTS

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title: Migraine treatment
text: effective for both pain and nausea in up to 75% of migraineurs. They are the initially recommended treatments for those with moderate to severe pain or those with milder symptoms who do not respond to simple analgesics. The different forms available include oral, injectable, nasal spray, and oral dissolving tablets. In general, all the triptans appear equally effective, with similar side effects. However, individuals may respond better to specific ones. Most side effects are mild, such as flushing; however, rare cases of myocardial ischemia have occurred. They are thus not recommended for people with cardiovascular disease. They are not addictive,

title: 2015 Goody's Headache Relief Shot 500
text: wow, we’re going to Homestead! I can’t believe it. What an incredible battle that was.” He also added that he thought "the thing that's probably been more of an impact on me is just when we haven't performed the way that we want to, the way that I feel like we should, you just feel like you're disappointing people. That's tough. That weighs on you," he said. "You sit there, I don't even know how to describe it, but you just constantly have that over you. Not pressure as much as I don't know how to describe it. ... It's

title: Migraine treatment
text: but they are an exceedingly potent cause of medication overuse headaches if used more than 10 days per month. Ergotamine and dihydroergotamine (DHE) are older medications still prescribed for migraines, the latter in nasal spray and injectable forms. They appear equally effective to the triptans, are less expensive, and experience adverse effects that typically are benign. In the most debilitating cases, such as those with status migrainosus, they appear to be the most effective treatment option. The most common adverse effects are nausea, vomiting, abdominal pain, generalized weakness, tiredness, malaise, paresthesia, coldness, muscle pains, diarrhea, and chest tightness. These are

title: Migraine
text: to standard treatment of a migraine attack, is associated with a 26% decrease in headache recurrence in the following 72 hours. Spinal manipulation for treating an ongoing migraine headache is not supported by evidence. It is recommended that opioids and barbiturates not be used due to questionable efficacy, addictive potential, and the risk of rebound headache. Ibuprofen helps decrease pain in children with migraines. Paracetamol does not appear to be effective in providing pain relief. Triptans are effective, though there is a risk of causing minor side effects like taste disturbance, nasal symptoms, dizziness, fatigue, low energy, nausea, or vomiting.

title: Prevention of migraines
text: in a day facility. Migraine surgery which involves decompression of certain nerves around the head and neck may be an option in certain people who do not improve with medications. It is only effective in those who respond well to Botox injections in specific areas. Botulinum neurotoxin (Botox) injections have been approved in the US and UK for prevention of chronic migraines, but do not appear to work for episodic migraines. Several invasive surgical procedures are currently under investigation. One involves the surgical removal of specific muscles or the transection of specific cranial nerve branches in the area of one

title: Migraine
text: Topiramate and botulinum toxin (Botox) are the only medications with evidence in treating chronic migraine. Botulinum toxin has been found to be useful in those with chronic migraines but not those with episodic ones. Long-term prognosis in people with migraines is variable. Most people with migraines have periods of lost productivity due to their disease; however typically the condition is fairly benign and is not associated with an increased risk of death. There are four main patterns to the disease: symptoms can resolve completely, symptoms can continue but become gradually less with time, symptoms may continue at the same frequency

title: Migraine treatment
text: less common with DHE than with ergotamine tartrate. Intravenous metoclopramide or intranasal lidocaine are other potential options. Metoclopramide is the recommended treatment for those who present to the emergency department. A single dose of intravenous dexamethasone, when added to standard treatment of a migraine attack, is associated with a 26% decrease in headache recurrence in the following 72 hours. Spinal manipulation for treating an ongoing migraine headache is not supported by evidence. It is recommended that opioids and barbiturates not be used. Migraine treatment Migraine treatment may be either prophylactic (preventive) or abortive (rescue). Prevention is better than cure, so

title: Migraine
text: most. Recommended initial treatment for those with mild to moderate symptoms are simple analgesics such as nonsteroidal anti-inflammatory drugs (NSAIDs) or the combination of paracetamol (also known as acetaminophen), aspirin, and caffeine. Several NSAIDs, including diclofenac and ibuprofen have evidence to support their use. Aspirin can relieve moderate to severe migraine pain, with an effectiveness similar to sumatriptan. Ketorolac is available in an intravenous formulation. Paracetamol, either alone or in combination with metoclopramide, is another effective treatment with a low risk of adverse effects. Intravenous metoclopramide is also effective by itself. In pregnancy, paracetamol and metoclopramide are deemed safe as

title: Migraine treatment
text: become more severe and more frequent. This may occur with triptans, ergotamines, and analgesics, especially narcotic analgesics. Recommended initial treatment for those with mild to moderate symptoms are simple analgesics such as non-steroidal anti-inflammatory drugs (NSAIDs) or the combination of acetaminophen (paracetamol), acetylsalicylic acid, and caffeine. A number of NSAIDs have been shown to be effective. Ibuprofen provides effective pain relief in about 50%. Diclofenac has been found effective. A number of NSAIDs have evidence to support their use. Ibuprofen has been found to provide effective pain relief in about 50% of migraine attacks. The widespread use of NSAIDs has

title: Migraine treatment
text: perception. Biofeedback to induce muscle relaxation is widely used in migraine prevention. OnabotulinumtoxinA (trade name Botox) received FDA approval for treatment of chronic migraines (occurring more than 15 days per month) in 2010. The toxin is injected into the muscles of head and neck. Approval followed evidence presented to the agency from two studies funded by Allergan, Inc. showing a very slight improvement in incidence of chronic migraines for migraine sufferers undergoing the Botox treatment. Since then, several randomized control trials have shown Botulinum Toxin Type A to improve headache symptoms and quality of life when used prophylactically for patients

title: Headache
text: They can, however, simply be the first presentation of a chronic headache syndrome, like migraine or tension-type headaches. One recommended diagnostic approach is as follows. If any urgent red flags are present such as visual loss, new seizures, new weakness, new confusion, further workup with imaging and possibly a lumbar puncture should be done (see red flags section for more details). If the headache is sudden onset (thunderclap headache), a computed tomography test to look for a brain bleed (subarachnoid hemorrhage) should be done. If the CT scan does not show a bleed, a lumbar puncture should be done to

title: Migraine treatment
text: to use drug therapy because they experience unacceptable side effects, 3) patients who have to make too frequent use of abortive drugs such as the triptans or ergots, and 4) patients who would prefer not to be on permanent medication. Included in this category are those with Chronic Daily Headache (headache on more than 15 days per month) and patients with what is known as "refractory headache" - headache that has not benefited from any other form of treatment. Elliot Shevel, a South African surgeon, showed that patients with chronic migraine experienced a significant reduction in pain levels and significant

title: Migraine treatment
text: high incidence of unpleasant or debilitating side-effects that occur with migraine preventive drugs. Because of the complexity of migraine, no preventive treatment modality is effective for all migraine sufferers. However in FDA trials the Nociceptive Trigeminal Inhibition Tension Suppression System (NTI-tss) had been proven to provide a 77% reduction of Migrain events in 82% of subjects tested. Practical Neurology Oct. 2005 The origin of the pain must be determined in each individual, and each contributory factor must be addressed. Most migraine sufferers have a combination of two or more of the following: a) vascular pain (pain originating in the arteries

title: Prevention of migraines
text: appear to be at least similarly effective as treatment with preventative medications, with fewer adverse effects. Native butterbur contains some carcinogenic compounds, but a purified version, Petadolex, does not. A systematic review of two trials totalling 293 patients (60 and 233 patients) showed "moderate evidence of effectiveness ... for a higher than the recommended dose of the proprietary Petasites root extract Petadolex in the prophylaxis of migraine." Cannabis was a standard treatment for migraines from 1874 to 1942. It has been reported to help people through an attack by relieving the nausea and dulling the head pain, as well as

title: Migraine treatment
text: pass through the glabellar muscle group (the corrugator supercilii, depressor supercilii, and procerus muscles). Several large series of studies have been conducted to evaluate the efficacy of surgical obliteration of trigger points. Almost all demonstrated more than 90% response in a carefully selected group of patients who have a positive response to Botox therapy, with at least 50% improvement to complete resolution of migraine pain. Patients have to be screened preoperatively with a full neurological examination, and subsequent Botox injection. A positive response to Botox has been an accurate predictor of a successful outcome. Single or multiple TSs may be

title: Headache
text: many different possible treatments. In those with chronic headaches the long term use of opioids appears to result in greater harm than benefit. Migraine can be somewhat improved by lifestyle changes, but most people require medicines to control their symptoms. Medications are either to prevent getting migraines, or to reduce symptoms once a migraine starts. Preventive medications are generally recommended when people have more than four attacks of migraine per month, headaches last longer than 12 hours or the headaches are very disabling. Possible therapies include beta blockers, antidepressants, anticonvulsants and NSAIDs. The type of preventive medicine is usually chosen

title: Migraine surgery
text: include the supra-orbital and supra-trochlear nerves in the forehead, the zygomaticotemporal nerve and auriculotemporal nerves in the temple region, and the greater occipital, lesser occipital, and third occipital nerves in the back of the neck. Nerve impingement in the nasal cavity has additionally been shown to be a trigger of migraine symptoms. Migraine surgery is usually reserved for migraine patients who fail more conservative therapy or who cannot tolerate the side effects of drugs used to treat their migraines. Appropriate patients are screened using injections of local anesthesia to provide a temporary nerve block. In some cases, Botox may be

title: Migraine
text: Prevention is recommended in those who have headaches more than two days a week, cannot tolerate the medications used to treat acute attacks, or those with severe attacks that are not easily controlled. The goal is to reduce the frequency, painfulness, and/or duration of migraines, and to increase the effectiveness of abortive therapy. Another reason for prevention is to avoid medication overuse headache. This is a common problem and can result in chronic daily headache. Preventive migraine medications are considered effective if they reduce the frequency or severity of the migraine attacks by at least 50%. Guidelines are fairly consistent

title: Migraine treatment
text: significant reductions in the frequency of migraine episodes in patients with 3-12 headaches a month Adverse reactions related to topiramate treatment occurred in 82.5% of 328 subjects who took part in an extensive trial covering 46 different centres. Most commonly reported were paresthesia (28.8%), upper respiratory tract infection (13.8%, and fatigue (11.9%) The two main methods of rescue treatment are trigger avoidance, and acute symptomatic control with medication. Medications are more effective if used earlier in an attack. A serious potential problem with the frequent use of medications is the possible development of medication overuse headache, in which the headaches

title: Migraine surgery
text: un-noticed. The nerves of the nasal lining may be impinged by structures in the nose such as the nasal septum and turbinates. Nasal surgery to decompress these regions may include septoplasty, turbinectomy, or other rhinoplasty procedures. Though initially thought to be experimental surgery, the benefits of migraine surgery have now been well documented. Followup data has shown that 88% of migraine surgery patients experienced a positive response to the procedure after 5 years. 29% of patients have been shown to achieve complete elimination of their migraine disease, while an additional 59% of patients reported a significant decrease in their pain