We define Chronic Migraine as suffering from 15 headache days each month, with headaches with migraine features for at least 8 days for more than 3 months. Chronic migraines are different than episodic migraines and require different management. Similarly, it is easy to mistake new daily persistent headaches or medication over use headaches as chronic migraines. Elucidating specific headache patterns, frequencies, intensities, duration of headache days, association of autonomics symptoms, association of aura, and presence of nausea/vomiting are the key to making the correct diagnoses.
Three to Five percent of the United States Population suffers from Chronic Migraines. Transformation of episodic migraine to chronic migraine each year is found in approximately three percent of people.
What causes chronic migraine?
In chronic migraine, number of episodic headaches steadily increases over time due to a number of factors:
- Snoring, sleep apnea
- Mood disorders, especially anxiety and depression
- Ongoing disrupted sleep pattern
- History of severe emotional (stressful life events) or physical trauma
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Episodic Migraine and Chronic Migraine have almost the same symptoms. The major difference is in frequency of the headaches.
Typical migraine symptoms include:
- Moderate to Severe in intensity pain in head, worsened by physical activity or movement.
- Pain in one side of the head, can be both sides as well
- Pressure-like pain or Throbbing pain
- Sensitivity to sound, light & smells
- Vomiting or Nausea
Signs showing episodic migraine transforming to a chronic migraine:
- Growth in the number of migraine attacks
- Increase in the intake of medication due to growth in number of attacks
Dr. Malhotra, a top neurologist in NYC (Source: America’s Best Doctors 2021)
He can help you with chronic migraine treatment. You can book an appointment today by filling up the form below we’ll call you to book an appointment with Dr. Malhotra as per your convenience.
Chronic Migraine Treatment
Chronic Migraine Treatment includes lifestyle management. It also includes managing headache triggers, migraine attacks and working for preventive treatments to reduce migraine attacks.