Category: The Migraine Tree

Cefaly: transcutaneous stimulation for migraine

What is the Cefaly device?  Cefaly is a device that sends electrical signals to stimulate the sensory nerves of the face. The stimulus passes through trigeminal nerve to the trigeminal nucleus in the brainstem. This area is involved in initiating migraines. It is thought that…

Migraine in School

What is the effect of migraine on school activities? Migraine is common in children and adolescents as well as university students. Before puberty, 10% of children, boys and girls equally, have migraine.  Disabling and frequent migraine attacks can have an impact on the quality of…

Botox for migraines: how does it work and how effective is it?

What is Botox? Botox is a protein called Onabotulinum toxin A. In nature, this protein is produced by a bacteria, Clostridium Botulinum. The protein used for medical therapy is a purified form.  Botox has been used for many years for wrinkles or to treat strabismus,…

Botox side effects and risks

Is Botox dangerous? «toxin» sounds scary  Botox is a protein, purified from a bacteria called Clostridium Botulinum. It blocks neurotransmission, which means it stops the nerves talking to their targets (muscles, sweat glands, skin receptors). See more on how Botox works here LINKIN 1202 Botox…

Botox : coverage and access in Canada

What is Botox? Botox has been used for many years for wrinkles or to treat spasticity, excessive sweating, hyperactive bladder, hemifacial hemispasm, and dystonia. Botox is a protein, a purified botulinum toxin called Onabotulinum toxin A.  To read more on Botox mechanism and effectiveness (LINKIN…

Nerve Blocks anatomy: they put a needle where and why?

The head and the neck are closely related, even more than we might think. Look at the image below, describing the nerve networks of the face and neck. A nerve is like an electric wire. When they bundle together, they form roots (equivalent of a…

Injections and blocks for headaches: practical details

There are different types of injections that can be made to improve neck-influenced headache (cervicogenic headache). The link between neck pain and headaches can be complex. LINKIN 401 The injections can be made with local anesthetics (similar to the freezing product used by dentists), lidocaine…

Hydration and Migraine

Dehydration is a common trigger for migraines, but how does it happen, and what can we do to prevent it? Dehydration occurs when the body loses more liquid than it takes in. We have to consider what gets in, what gets out and the body…

Migraine Triggers

Understanding migraine triggers is a helpful tool for managing migraine. While triggers can be different for everyone and there is no single trigger that all migraine sufferers experience, there are some triggers that are common, especially when it comes to diet. How many people report…

Checklist : Healthy nutrition for migraine

Here is an easy checklist of healthy changes you can make to your diet that could help your migraine. Do this before you engage in any more complicated diet.  • Drink more water, herbal tea •  Drink less juice, caffeine, alcohol  •  Stop drinking sodas…

The ketogenic diet for migraine

What is the history of the ketogenic diet? Is it true it works for epilepsy? The ketogenic diet was designed in the 1920s to help control seizures in epileptic children. The traditional treatment for epilepsy was fasting (going for an extended period of time without…

Vestibular physiotherapy : what is it, and what to expect

What is vestibular physiotherapy? Vestibular rehabilitation is an exercise-based therapy targeting vestibular symptoms that do not go back to normal between episodes of vestibular migraine. For example, if vertigo or imbalance is still an issue after a crisis, exercises could improve steadiness and get rid…

Other headaches associated with migraine

People with migraine have particular brains that may be prone to develop other types of headaches. Here are a few examples.  Post-traumatic headache A person with migraine who has a concussion has more risk of developing persistent headaches. Migraines may also deteriorate after a trauma….

New Daily Persistent Headache

What is New Daily Persistent Headache? According to the International Classification of Headache Disorder (the reference book for headache diagnosis), a diagnosis of NDPH can be made if:  A. Persistent headache fulfilling criteria B and C B. Distinct and clearly remembered onset, with pain becoming…

Intracranial hypertension or pseudotumor cerebri: basics

What is idiopathic intracranial hypertension? The pressure inside the head should be stable. Imagine a car tire: if the pressure’s too low, it gets flat (in the head that causes the intracranial hypotension syndromes), and if it’s to high it can damage the tire.  IMAGE:…

Cluster headache : basics

MAIN IMAGE: cluster headache art  What are the typical characteristics of a cluster headache attack? Location of pain: eye, temple, forehead. The pain may also go to the cheek, jaw, teeth and neck.  Type of pain: very severe, excruciating. Sometimes described as a poker crushing…

Neck Pain and migraine….is this cervicogenic headache?

Mandy, 27, has migraines since she’s 15. She has more migraines during her period. Her usual frequency is 10 days per month. She’s tall, lean, and has hyperextensible joints. She used to practice yoga and light weights, but now she’s working full time as a…