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There is relief for migraines

Gritman’s Interventional Pain clinic, Palouse Neurology offer treatments

Migraines affect millions of Americans with debilitating headaches, nausea, vomiting, extreme sensitivity to sound, light, touch and smell, and other symptoms. While there is no cure to the disease, we have experts in our Interventional Pain clinic and at Palouse Neurology who can help provide relief.

Gritman is the only hospital on the Palouse to have a team of full-time Certified Registered Nurse Anesthetists (CRNAs) certified in Non-Surgical Pain Management. Our CRNAs staff our Interventional Pain clinic and can work with you to provide a proper diagnosis and explain treatment options, like Botox, occipital nerve blocks and medicine management. Contact the Interventional Pain clinic at 208-883-6700 for more information or to schedule an appointment. Learn more.

Full-time neurology services are available at Palouse Neurology thanks to a regional partnership between Gritman Medical Center and Pullman Regional Hospital. The clinic is staffed by Dr. Sarita Said-Said and operated by Palouse Specialty Physicians. Dr. Said-Said recently completed an Advanced Neuromuscular Medicine Fellowship in Neuromuscular Pathology where she actively participated in cutting-edge clinical trials and research. She offers specialized diagnostics and treatment for a full range of neurological conditions, including headaches and migraines. Call 208-813-7519 for more information. Learn more.

Learn more about migraines and treatments in our Online Clinic.

What are migraine headaches?
Migraines are painful, throbbing headaches that last from 4 to 72 hours. When you have a migraine, it may be so painful that you are not able to do your usual activities. But even though migraines make you feel bad, they don’t cause long-term damage.

Migraines are a health problem that can be treated. Talk to your doctor about your migraines.

What causes migraines?
Experts are not sure what causes migraines.

Migraines run in families, but it isn’t clear why some people get migraines and others don’t.

Some things can cause a migraine to start. These are called triggers. Your triggers may be different from someone else’s. Some common triggers include:

  • Stress.
  • Not eating.
  • Poor sleep habits.
  • A change from your normal routine.
  • Red wine.
  • Monosodium glutamate (MSG).
  • Strong odors.
  • Chocolate.

What are the symptoms?
The main symptom of a migraine is a throbbing headache on one side of your head. You also may feel sick to your stomach and vomit. Activity, light, noise, or odors may make the migraine worse. The pain may move from one side of your head to the other, or you may feel it on both sides at the same time. Different people have different symptoms.

Some people have an aura before the migraine begins. When you have an aura, you may first see spots, wavy lines, or flashing lights. Your hands, arms, or face may tingle or feel numb. The aura usually starts about 30 minutes before the headache. But most people don’t have auras.

How are migraines diagnosed?
A doctor can usually tell if you have a migraine by asking about your symptoms and examining you. You probably will not need lab tests, but your doctor may order some if he or she thinks your symptoms are caused by another disease.

How are they treated?
You can’t cure migraines. But medicines and other treatments may help you feel better and limit how often you get migraines.

At first, your doctor may want you to try an over-the-counter pain medicine, such as acetaminophen, aspirin, ibuprofen, or naproxen. Brand names include Advil, Aleve, Bayer, and Tylenol. Some over-the-counter medicines (for example, Excedrin) combine acetaminophen, aspirin, and caffeine. Be safe with medicines. Read and follow all instructions on the label.

If these medicines don’t work, your doctor can prescribe stronger medicine to stop the migraine. Your doctor also may prescribe medicine to prevent migraines.

You may not be able to use some medicines if you are pregnant or have other health problems, such as heart problems.

If the first medicine doesn’t work, ask your doctor if you can try something else. It may take time to find what works best for you.

Some people also use other kinds of treatments, such as acupuncture. These may help reduce the pain or the number of migraines you have.

When you feel a migraine coming on:

Stop what you are doing, and take your medicine. Don’t wait for the migraine to get worse. Take your medicine exactly as your doctor told you to. Rest in a quiet, dark room. Close your eyes, and try to relax or go to sleep. Don’t watch TV or read. Put a cold pack or cool cloth on the painful area. Be careful when you use your migraine medicines. Taking them too often can cause you to get another headache when you stop taking the medicine. This is called a rebound headache. If you are taking headache medicine more than 2 days a week, or if you get more than 3 headaches a month, talk to your doctor.