Category: Branches

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…

Acupuncture: is it a good option for migraine?

Acupuncture involves the use of small needles inserted through the skin. According to the Asian theory of meridians, this may influence energetic networks in the body and have positive effects on health. For the treatment of pain, more recent theories propose that acupuncture needles may…

Weather and migraine: is it really a trigger and why?

Weather is increasingly reported as a trigger for migraine. 50% of people with migraine mention weather as a trigger. But what is the weather about? Heat? Cold? Barometric pressure? Pollution surges? The world of migraine triggers is a jungle. The list is endless. Triggers vary…

CGRP monoclonal antibodies : summary and effectiveness

Dr Elizabeth Leroux, MD, FRCPC  October 2019  Disclaimer: this information is based on published data but may not be applicable to your specific medical situation. This information does not replace a medical opinion provided  in person after a full evaluation and examination. Discuss ALL medical…

CGRP Monoclonal Antibodies: cost, access and coverage

Disclaimer: this information is provided as a general overview of a complex topic. It can be hard to know which medicines you would have to pay for yourself. There might also be changes in Patient Support Programs and this information may become outdated. Ask your…

CGRP monoclonal antibodies (MABs): risks and side effects

Disclaimer: this information is based on published data but may not be applicable to your specific medical situation. This information does not replace a medical opinion performed in person after a full evaluation and examination. Discuss ALL medical decisions with your health care provider. As…

Cannabis for migraine: science, effectiveness and risks

How can the cannabis plant influence our brains? Our brains have a cannabinoid system. This system is present also in animals. It plays an important role in the regulation of other brain systems. It regulates emotions, hunger, movement, cognition and pain. The cannabinoid system has…