Treatments

Many treatment options are available for migraine headache patients.

Strategies include medications to help prevent the headaches form starting. These are considered “prophylactic” drugs.

Another group of medications are intended to treat the headache once it begins.

  • Some medications are intended to be taken at the first sign of the headache and these are considered “abortive” strategies.
  • Other medications are intended to relieve the pain of a migraine and are called “palliative”.

Strategic injections of botulinum toxin are also used on some people to treat migraine headaches.

Some physicians use nerve blocks such as sphenopalatine ganglion block.

Surgery, nutritional, herbal supplements, nerve blocks, medications, external devices, chiropractic manipulation, botulinum toxin, alternative holistic approaches all exist to help manage migraine headaches. For the vast majority of patients multimodality approaches provide the best control to take action over your migraines.


It’s important for patients to understand that there are more medical treatments out there other than just taking medications. Medications are often necessary and are at the core of managing migraines. But other options should be considered. The medical options which tend not to be explored as readily are the uses of botulinum toxin and nerve blocks. Because of the significant crossover in a aesthetic medicine and plastic surgery, much of the literature on surgical or botulinum toxin treatment comes from this medical literature specialty area. The other important understanding regarding nerve blocks is that these can be achieved with local anesthetic. If the block is successful, it can be periodically updated. This can be as simple as using the local numbing medicine to numb a nerve. If this proves to be successful a more permanent ¬†ablation (or deadening) of the nerve trigger point may be achieved with radiofrequency nerve ablation or nerve transaction.

Often times as a migraine sufferer continues with her migraine because of the symptoms of nausea and vomiting and or they are exhausted and in pain and where they are not getting up and keeping himself hydrated and the common complication of dehydration may develop. This is oftentimes why doctors place an intravenous line (IV) and hydrate patient with IV fluids. Often this is a secondary problem that has developed because of the migraine requiring rehydration of the patient. When the patient is in a properly hydrated status the medication the doctors give will have a better chance of working.