Migraines at Q Dermatology + Aesthetics Centre

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What are Migraines?

Migraines are a type of headache that are often intense and debilitating. They are typically characterized by severe throbbing or pulsing pain, usually on one side of the head. Migraines can last for hours or even days and are often accompanied by symptoms like nausea, vomiting, and extreme sensitivity to light and sound. Unlike typical headaches, migraines are a neurological condition that involves changes in the brain's chemistry and blood flow.

Types of Migraines

Migraines come in various forms, each with its own set of symptoms and triggers:

Migraine With Aura (Classic Migraine):

Description: This type of migraine is preceded by sensory disturbances (aura), which may include visual disturbances such as flashing lights, zigzag lines, or blind spots. The migraine headache follows the aura.

Symptoms: Visual disturbances, numbness or tingling, difficulty speaking, followed by intense headache pain.

Hemiplegic Migraine:

Description: A rare and severe form of migraine that is associated with temporary paralysis or weakness on one side of the body (hemiplegia) during a migraine attack.

Symptoms: Migraine headache, weakness or numbness in the face or limbs, speech difficulties, and visual disturbances.

Migraine Without Aura (Common Migraine):

Description: The most common type of migraine, characterized by intense headache pain without any sensory warning signs (aura). The pain is often one-sided and can be accompanied by nausea, vomiting, and light sensitivity.

Symptoms: Severe throbbing or pulsing pain, nausea, vomiting, and heightened sensitivity to light, sound, and smell.


Chronic Migraine:

Description: Chronic migraine is defined as having more than 15 headache days per month for at least three months, with at least eight of those days being migraine days. Chronic migraine is a long-term condition that requires ongoing management.

Symptoms: Recurring migraine attacks, frequent headaches, nausea, and light sensitivity.

Retinal Migraine:

Description: A rare form of migraine that causes temporary vision loss or visual disturbances in one eye, along with a headache.

Symptoms: Vision loss or disturbances in one eye, followed by a migraine headache.

Causes and Triggers of Migraines

The exact cause of migraines is not fully understood, but several factors are believed to contribute to the development of migraines:

  1. Genetics: Migraines tend to run in families, suggesting a genetic component.

  2. Chemical Imbalance: Changes in brain chemicals, particularly serotonin, are believed to play a role in the development of migraines.

  3. Nerve Irritation: Overactivity of certain nerve pathways in the brain may contribute to migraine attacks.

  4. Environmental and Lifestyle Triggers:

    • Stress: Emotional or physical stress is a common trigger for migraine attacks.

    • Hormonal Changes: Hormonal fluctuations, particularly in women during menstruation, pregnancy, or menopause, can trigger migraines.

    • Certain Foods: Foods such as chocolate, caffeine, alcohol, and aged cheeses may trigger migraines in some individuals.

    • Sleep Disturbances: Irregular sleep patterns or lack of sleep can trigger migraines.

    • Weather Changes: Barometric pressure changes and extreme temperatures may cause migraines.

    • Bright Lights or Loud Noises: Sensitivity to light (photophobia) or sound (phonophobia) is common during a migraine.

Symptoms of Migraines

Symptoms of a migraine can vary from person to person but commonly include:

  • Severe, throbbing or pulsing headache, often on one side of the head.

  • Aura: Visual disturbances such as flashing lights, zigzag lines, or blind spots.

  • Nausea and vomiting.

  • Sensitivity to light (photophobia) and sound (phonophobia).

  • Neck pain or stiffness.

  • Fatigue or a feeling of being drained after the attack.

  • Blurred vision or difficulty focusing.

Migraines can last anywhere from 4 hours to 72 hours, depending on the individual.

How are Migraines Diagnosed?

Migraines are typically diagnosed based on your medical history and the symptoms you describe. Your healthcare provider may ask about the frequency, duration, and intensity of your headaches and any associated symptoms such as nausea, vomiting, and sensitivity to light.

In some cases, additional tests may be recommended to rule out other conditions:

  • Neurological Examination: To assess any signs of neurological deficits or abnormalities.

  • Imaging Tests: A CT scan or MRI may be used if your doctor suspects another underlying condition, such as a brain tumor or structural abnormalities.

  • Blood Tests: To check for other health issues that might be causing or exacerbating your symptoms.

Treatment Options for Migraines

While there is no cure for migraines, there are several treatments available to help manage and reduce the frequency of migraine attacks. Treatment options include medications, lifestyle changes, and therapies:

  1. Medications for Acute Migraine Attacks:

    • Pain Relievers (NSAIDs): Over-the-counter pain medications, such as ibuprofen or aspirin, can help reduce mild to moderate migraine pain.

    • Triptans (Sumatriptan, Rizatriptan): These prescription medications are designed to target the serotonin receptors in the brain, reducing the severity of migraines.

    • Anti-nausea Medications: If nausea or vomiting occurs during a migraine, medications like metoclopramide can help relieve symptoms.

    • Ergotamines: These medications help constrict blood vessels and are effective for some people in relieving acute migraine pain.

  2. Preventive (Prophylactic) Medications:

    • Beta-blockers (Propranolol): These are commonly prescribed for preventing migraines, especially when they occur frequently.

    • Antidepressants (Amitriptyline): Certain antidepressants can be effective in reducing migraine frequency, even in individuals without depression.

    • Anticonvulsants (Topiramate): These medications are often used to prevent migraines and reduce their intensity.

    • CGRP Inhibitors (Aimovig, Emgality): A newer class of medications that block a protein involved in migraine attacks and are designed to reduce the frequency and severity of migraines.

  3. Botox Injections:

    • Description: Botox injections have been shown to reduce the frequency of chronic migraines when administered every 12 weeks.

    • Benefit: Effective for individuals with chronic migraines (15 or more days per month).

  4. Behavioral Therapy:

    • Cognitive Behavioral Therapy (CBT): CBT can help individuals manage stress and change behaviors that trigger migraines. Relaxation techniques, such as biofeedback or mindfulness meditation, may also be helpful.

  5. Lifestyle Modifications:

    • Avoid Triggers: Identifying and avoiding triggers (e.g., certain foods, stress, lack of sleep) can help reduce the frequency of migraines.

    • Regular Sleep Schedule: Maintaining a consistent sleep routine can prevent sleep disturbances that may lead to migraines.

    • Dietary Adjustments: Avoiding foods that commonly trigger migraines, such as caffeine, chocolate, alcohol, and processed foods.

    • Exercise: Regular physical activity can reduce the frequency of migraines and improve overall health.

  6. Alternative Therapies:

    • Acupuncture: Some studies suggest that acupuncture may help reduce the frequency of migraines in some individuals.

    • Herbal Supplements: Certain supplements, like magnesium, riboflavin (vitamin B2), and coenzyme Q10, may help prevent migraines.

Why Choose Q Dermatology + Aesthetics Centre?

At Q Dermatology + Aesthetics Centre, we offer comprehensive care for individuals suffering from migraines. Our experienced team will work with you to develop a personalized treatment plan tailored to your specific needs. Whether you need medication, lifestyle adjustments, or complementary therapies, we are here to help you manage your migraines and improve your quality of life.

Schedule a Consultation Today

If you are struggling with migraines or would like to explore treatment options, don't hesitate to reach out. Early intervention and proper treatment can help reduce the frequency and severity of your migraine attacks. Call us today at +1 604 359 9632 or click below to request an appointment with one of our experienced healthcare providers.