Category: Questions-Answers

Canadian Migraine Tracker – Questions and Answers

Hello to all the Migraine Canada followers!  Recently, the Canadian Headache Society launched an App for migraine monitoring: the Canadian Migraine Tracker. Using a headache diary is a good way to keep track of the situation and observe the results of treatments. Many options are…

Cannabinoid Chemistry Update

Author: Alexander Melinyshin, MD, FRCPC On October 17, 2018, recreational marijuana was legalised Canada-wide, however modern medical use of marijuana and its derivatives has been ongoing since 1999. With more and more Canadians wanting to try it for an ever-expanding array of applications, cannabis has…

What causes migraine? Scientific answers.

People with migraine often wonder what’s the cause of their disabling symptoms. The science of migraine has been progressing, thanks to the hard work of researchers all around the world. Dr Elizabeth Leroux recently gave a talk in Calgary about the last discoveries on migraine….

CGRP antibodies for migraine

CGRP antibodies are coming to Canada and are stirring a lot of interest from the medical community. Patients also have many questions about these new treatments. Migraine Canada has created a handout to provide basic information. Have a look, and if you are a health care…

I heard that migraine disappears after menopause….is it true?

Author: Dr Vanessa Doyle and Dr Suzanne Christie Menopause marks the time when your periods actually stop and on average occurs between age 50-52 years, but may occur between age 40-60. During the peri-menopausal years leading up to menopause, when a woman’s periods are often…

Which medication can I take during pregnancy?

Dr Vanessa Doyle and Dr Suzanne Christie Many different medications are used to treat migraines, both acute and preventive, and thus it is important to talk to your doctor about which medications are safe to take during pregnancy, especially since many migraine medications are considered…

What will happen to my migraines during pregnancy?

Author: Dr Vanessa Doyle and Dr Suzanne Christie Hormonal changes during pregnancy can have an impact on your migraines with fluctuations in the levels of hormones, causing your migraines to improve, worsen or even stabilize. The levels of estrogen and progesterone, the two main types…

I have migraine with aura. Can I use an intra-uterine device?

Dr Vanessa Doyle and Dr Suzanne Christie Some studies show that low-dose estrogen may be prescribed in women who have simple visual aura. Many other studies recommend using progestin-only pills, an intrauterine device (IUD) or barrier contraception, like condoms.   This remains a controversial topic…

How will a migraine diary help?

Author: Dr Vanessa Doyle and Dr Suzanne Christie It is important to keep a detailed headache diary each day that the headaches occur.  It is not easy to recall what happened 3 to 4 months ago and diaries make it easier for your doctor to…

Why are my migraines worse during my period?

Migraines that are associated with a woman’s menstrual cycle but also occur at other times of the month are called menstrually related migraines. This occurs in 60% of women. Studies show that migraine is most common during the 2 days before the start of your…

What is pacing for migraines?

Pacing is an effective strategy that allows people with migraine the ability to maintain functional independence without causing an increase in headache intensity.  Many people with migraines report that stress and overexertion can be consistent triggers.   With pacing, people can keep reasonable schedules and workloads…

What is biofeedback and should I try it?

Biofeedback is an accepted technique for headache control. Studies have demonstrated that biofeedback can help to reduce headache frequency and severity. It is a learned method of relaxation, that uses an instrument to monitor bodily responses. There are a variety of methods that may be…

Is physiotherapy useful for migraines?

There are a variety of physiotherapy treatments that may be of some benefit in migraine patients, especially when the neck seems to be involved in triggering the attacks. Gentle cervical manipulation and traction can be considered and be beneficial when there is neck tension and…

What is a prophylactic treatment?

Prophylactic or preventive medications are not the same as acute migraine medications. The acute medications are used to treat individual migraine attacks, and are only taken when the migraine attacks occur. Preventive medications are taken every day to prevent some of the migraine attacks from…

How can I determine if I need a prophylactic treatment?

Preventive medication is not necessary for every migraine sufferer. There are certain situations where your doctor would consider recommending a preventive medication, such situations are: You are having headaches that have a significant impact on your life at home or at work despite appropriate use…