The Everything Health Guide to Migraines Professional
advice to help ease the pain and find the solution that's right
for you
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THE EVERYTHING® Series
THE EVERYTHING® HEALTH GUIDES are a part of the bestselling
Everything® series and cover important health topics like anxiety,
postpartum care, and thyroid disease. Packed with the most recent,
up-to-date data, THE EVERYTHING® HEALTH GUIDES help you
get the right diagnosis, choose the best doctor, and find the
treatment options that work for you. With this one comprehensive
resource, you and your family members have all the information you
need right at your fingertips.
Alerts: Urgent warnings
Essentials: Quick, handy tips
Facts: Important snippets of information
Questions: Answers to common problems
When you're done reading, you can finally say you know
EVERYTHING®!
DIRECTOR OF INNOVATION Paula Munier
EXECUTIVE EDITOR, SERIES BOOKS Brielle K. Matson
MANAGING EDITOR, EVERYTHING SERIES Lisa Laing
COPY CHIEF Casey Ebert
ACQUISITIONS EDITOR Katie McDonough
DEVELOPMENT EDITOR Brett Palana-Shanahan
Visit the entire Everything® series at www.everything.com
To my best girls — Kate and Cassie
Contents
Introduction
Chapter 1: Migraine Basics
Migraine by the Numbers
Types of Migraine
Anatomy of a Migraine
What Is Known, and Not Known
All about Auras
Migraine Myths and Misconceptions
Chapter 2: When It's Not a Migraine
Cluster Headaches
Tension Headaches
Sinus/Nasal Problems
Central Nervous System Disorders
Cardiovascular Disorders
Vision Problems
Other Migraine Mimickers
Chapter 3: Diagnosis
Keeping a Headache Diary
Screening Assessments
Medical History and Physical Exam
Neurological Evaluation and Workup
Neuroimaging
Lab Tests
Putting It All Together
Chapter 4: Getting Help
Finding a Doctor
When It's Time for a Second Opinion
Migraine Specialists
Headache Clinics
Working Together
When It's an Emergency
Chapter 5: Headache Diaries
Why Keep a Headache Diary?
What You Should Track
Making It Easy
Identifying Patterns
Sharing with Your Doctor
Assessing Effectiveness of Treatment
Chapter 6: Avoiding Triggers
What Is a Trigger?
Lifestyle Triggers
Food Triggers
Weather Triggers
Travel Triggers
Sensory Triggers
Drug and Chemical Triggers
Hormonal Triggers
Chapter 7: Acute Treatment Options
Pain Relievers (Nonopioid)
Pain Relievers (Opioid)
Ergot Derivatives
Triptans
Antinausea Medications
Avoiding Rebound Headaches
Bed Rest, Compresses, and Cold Packs
Biofeedback
Chapter 8: Prophylactic Medications
Antiepileptic Drugs (AEDs)
Antidepressants
Beta-Blockers
Calcium Channel Blockers
Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)
Angiotensin Blockade Agents
Other Migraine Preventatives
Chapter 9: Alternative and Complementary Medicine
Vitamin B2 (Riboflavin)
Niacin
Magnesium
Coenzyme Q10
Herbal Supplements
Smart Supplementation
Acupuncture
Avoiding Quackery
Chapter 10: Recovery
A Safe Space
Comfort Measures
Sleep
Minimizing Stress
When You're Away from Home
Migraine “Hangover”
Chapter 11: Women and Migraines
The Female Connection
Adolescence and Adulthood
The Menstrual Migraine
Birth Control Pills
Migraines During Pregnancy
Migraines and Menopause
Chapter 12: Children and Headaches
The Youngest Patients
Getting a Diagnosis
Figuring Out Triggers
Treatment Safety
Nausea and Vomiting
School and Migraines
Helping Kids Cope
Chapter 13: Men and Migraines
The Silent Minority
Migraine or Cluster Headache?
Testosterone and Male Headache
Heart Disease Connection
Overcoming Stereotypes
Special Issues
Chapter 14: Living Life
Healthy Sleep Patterns
Exercise — Why It Works
Sex and Intimacy
Migraines in the Workplace
Seasonal Strategies
Travel
Inspiration: Famous Migraineurs
Chapter 15: Family and Friends
Not “Just a Headache”
Educating Family and Friends
Peer Support Groups
Sanity Strategies for Parents
Putting Yourself First
When They Just Don't “Get It”
Chapter 16: Your Emotional Health
Coming to Grips with a Chronic Disease
Coping Strategies
Stress Management
Psychological Triggers
Taking Time to Relax
Being an Empowered Patient
Chapter 17: Headache-Free Diet
Avoiding Food Triggers
Reading Labels/Recognizing Hidden Triggers
Sugar and Sweeteners
Comfort Foods
Eating Out
Supermarket Tips
Drinking Smart: Alcohol and Caffeine
Chapter 18: Advocacy and Your Rights
Disability
Facing Discrimination
Medical Records and Your Rights
Paying for Your Care
Dealing with Insurance Issues
Medicare and Migraines
Chapter 19: Beyond Migraine: Comorbidities
Comorbidities: An Overview
Stroke and Cardiovascular Disease
Depression
Epilepsy
Asthma
Raynaud's Disease
Other Conditions
Chapter 20: The Future of Migraine Care
Drugs in the Pipeline
Transcranial Magnetic Stimulation (TMS)
Occipital Nerve Stimulation
Identifying Genetic Connections
Clinical Trials — Are They for You?
Advances in Migraine Diagnosis
Appendix A: Additional Resources
General Migraine Information
Finding Your Health Care Team
Advocacy Organizations
Patient Assistance Programs
Support Groups
Appendix B: Sample Headache Diary
Appendix C: Emergency Patient Forms
Appendix D: Migraine Glossary