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Understanding Treatments for Migraine Headache

April 18, 2025

A senior man who is stressed at home is experiencing a chronic migraine headache and holding his head.

Migraine headaches are not just a bad headache – they can really mess up your day. They might make it hard to work, spend time with family and friends, or even do simple things you enjoy. If you deal with migraines, you are not alone. Millions of people in the U.S. experience them, too.

Treatments for migraine headaches have come a long way, giving hope to many who struggle with the pain. Let us break down both common and newer treatments. Whether you are just starting to manage migraines or looking for different options, this guide can help.

Understanding Migraine Symptoms and Causes

Before talking about treatments, it helps to know what migraines are. They are not just bad headaches. They are usually accompanied by other symptoms such as:

  • Feeling sick to your stomach
  • Being sensitive to light
  • Having intense, pulsing pain on one side of your head

The causes of migraines are not fully completely understood yet. However, they can be triggered by things like stress, certain foods, changes in hormones, or not getting enough sleep. The deeper underlying causes may be a mix of genetics, your environment, and other factors unique to your brain.

Different Options for Treatment for Migraine Headache

Migraine treatments come in two broad categories—preventive and abortive treatments. Preventive treatments aim to reduce the frequency and intensity of migraines. Abortive treatments aim to stop a migraine in progress.

Let us discuss these approaches and explore specific treatments available today.

1.    Preventive Treatments

Preventive treatments are for people who experience frequent migraines that interfere notably with their lives. These options aim to reduce how often migraines occur and minimize their severity.

Prescription Medications

Preventive medications include beta-blockers, such as propranolol, and anti-seizure drugs, like topiramate. These drugs are prescribed by doctors and work by stabilizing brain activity. They help reduce the likelihood of migraines.

CGRP (Calcitonin Gene-Related Peptide) Blockers

A groundbreaking trend in migraine prevention involves CGRP inhibitors. This includes Aimovig, Ajovy, and Emgality. These injectable medications target a protein linked to migraine development. This treatment for migraine headaches helps with both frequency and intensity.

Antidepressants

Low doses of medications like amitriptyline are sometimes used for migraine prevention. Antidepressants can stabilize serotonin levels, which may reduce migraine triggers for some individuals.

Botox for Chronic Migraines

The use of Botox is not just for cosmetic purposes. It has been FDA-approved for chronic migraines. It helps reduce attacks when administered every 12 weeks into specific areas of the head and neck.

Lifestyle Changes

Lifestyle adjustments play a crucial role in prevention. Focus on consistent sleep patterns, a healthy diet, and stress management. Doing so can target key triggers and reduce migraine frequency.

Nutritional Supplements

Some supplements have shown promise in preventing migraines. This includes magnesium, riboflavin (vitamin B2), and coenzyme Q10. Talk to your doctor to learn the right dosage for you.

2.    Abortive Treatments

When a migraine attack begins, quick relief is key. Abortive treatments work best when taken at the onset of symptoms.

Pain Relievers and NSAIDs

Pain relievers you can buy without a prescription, also known as over-the-counter medication, like ibuprofen, aspirin, or acetaminophen, can help alleviate mild migraines. However, they are most effective when taken early in the attack phase.

Triptans

For moderate to severe migraines, triptans are often the first-line treatment. These medications include sumatriptan and zolmitriptan.

They help by tightening blood vessels and stopping pain signals from getting to the brain.

Ergotamine Derivatives

For individuals who find triptans ineffective, ergot-based medications may offer relief. One example is dihydroergotamine. These are usually prescribed when migraines do not respond well to other treatments.

Anti-nausea Medications

Nausea is a common migraine symptom. Some types of medication can help reduce nausea, but they might not help with the pain.

Neuromodulation Devices

For those seeking non-drug alternatives, neuromodulation devices are gaining popularity. This includes Cefaly and Nerivio. These wearable devices use electrical or magnetic pulses. These target migraine-related brain pathways, reducing pain.

Acute CGRP Blockers

Newer oral medications such as Ubrelvy and Nurtec ODT are specifically designed for migraines. They can rapidly alleviate pain without the side effects linked with other drugs.

Hydration Therapy

Dehydration can cause migraines in some people. Receiving IV fluids or consuming electrolyte-rich drinks can provide significant relief in such cases.

3.    Complementary and Alternative Treatments

For those who prefer holistic approaches, complementary treatments can enhance traditional therapies.

Cognitive Behavioral Therapy (CBT)

Stress and anxiety can make migraines worse. CBT can help manage stress triggers and decrease symptoms.

Massage Therapy

Regular head and neck massages can target tight muscles and improve circulation. This helps reduce tension headaches and can reduce the chances of a migraine.

Biofeedback Training

Biofeedback uses sensors to track physical responses like heart rate and muscle tension. It teaches people to control these factors to prevent attacks.

Treatment for Migraine Headache in Melbourne, FL

If you are looking for personalized treatment for migraine headaches, Central Florida Spine & Pain is here to help! Our team of pain management doctors specializes in creating personalized treatment plans tailored to your needs. Our board-certified physician, Dr. Nicholas Giordano, and his team are at the forefront of interventional pain management and minimally invasive therapies.

Dr. Giordano is known for his compassionate approach, taking the time to listen to each patient’s story and concerns, fostering a caring and trusting patient-doctor relationship.

For more information or to schedule an appointment, call us today at (321) 802-5021.

We look forward to helping you with pain management!

Filed Under: Pain Management Tagged With: Antidepressants, Botox for Chronic Migraines, Cognitive Behavioral Therapy (CBT), Different Options for Treatment for Migraine Headache, Hydration Therapy, Pain management doctors, Preventive medications, Preventive treatments, treatment for migraine headache, Treatment for Migraine Headache in Melbourne FL

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At Central Florida Spine & Pain,  Dr. Giordano offers Interventional Pain Therapies and Minimally Invasive Treatments for acute and chronic pain conditions.