Discusses the overview of the latest in migraine treatment, including Botox and surgery. Also discusses how many sinus headaches are actually migraines.

1. M i g r a i n e Tr e a t m e n t :
T h e C u t t i n g E d g e

2. SinusMigraine Tension Cluster
Major Headache Classes

3. Migraine
Major Headache Classes

4. • Moderate-to-severe pain
• On one side (usually)
• Throbbing (usually)
• Lasts several hours up to 3 days
• Varying frequency
• Auras & prodromes (usually)
• Nausea, photophobia and phonophobia
What is a migraine?

5. • 38 million Americans, 1 billion worldwide (3rd most prevalent disease)
• By age 35, 28% of all females will suffer from migraines
• By age 30, 10% of all males will suffer from migraines
• Over 10% have chronic daily migraines (>15 month)
• 90% are unable to work or function with migraine
Why Migraines?

6. • Only 48% of migraine sufferers get diagnosed and treated
• Of those, 29% are satisfied with treatment
Why Migraines?

7. How are nerves involved?
Nerve Irritation
MIGRAINE

8. Migraine “Hierarchy of Care”
SURGERY
BOTOX
MEDICATION
ALTERNATIVE THERAPY
LIFESTYLE CHANGES

9. Migraine Trigger Theory
Forehead
Temple
Nose/Sinus
Neck

10. • FDA-approved from migraine in 2010
Botox
• Relaxes muscle compressing trigger nerves
>95% decrease in frequency, duration and/or intensity

11. • Performed since 1999
Surgery
• Release trigger nerve from muscle, fascia, bone or blood vessel
DOUBLE-BLINDED DATA:
45% COMPLETE relief
50% SIGNIFICANT decrease in frequency, duration or intensity

12. Migraine Trigger Theory
Nerve Irritation
MIGRAINE
BOTOX
(Muscle relaxation)
SURGERY
(Nerve release)

13. Migraine “Hierarchy of Care”
SURGERY
BOTOX
MEDICATION
ALTERNATIVE THERAPY
LIFESTYLE CHANGES

14. Customized Treatment
BOTOX MEDICATION LIFESTYLE CHANGES

15. Customized Treatment
SURGERY BOTOX ALTERNATIVE TREATMENTS

16. Sinus
NO TREATMENT WORKS FOR “SINUS” HEADACHES?

17. Migraine Sinus
NO TREATMENT WORKS FOR “SINUS” HEADACHES?
CONSIDER MIGRAINES

18. 1) Repear ”sinus” headaches that last only a few hours or days
2) Environmental triggers
3) Prodrome or aura
4) Your Cat Scan is clear
5) Stuffy or runny nose can also occur in migraine
When should migraine be considered?

19. HAPPY TO ANSWER QUESTIONS!