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Minimally Invasive Pain Institute

Types of Pain and Problems

Headaches/Migraines

Migraine is a very broad term to which there are whole textbooks dedicated to teaching about migraines. In general, migraines are severe headache-type pains. There are many different types and causes to migraines. Migraines can be one-sided, feel like a pulse, can be aggravated by daily activities, can have associated symptoms of nausea and sensitivity to light, and many other characteristics. Migraines can be divided into phases:

  1. premonitory phase: which is the days or hours leading up to it;
  2. aura: occurs within an hour of pain;
  3. headache phase: the actual pain attack, and;
  4. resolution phase: pain spontaneously goes away.

The diagnostic process for migraines is very in depth in order to figure out which type of migraine is occurring and which treatment plan to initiate. There are no specific diagnostic tests for migraines, it is more of an exclusion process. Treatment options include: identifying triggering factors (what brings on the migraine like caffeine, smoking, loud music, etc), behavioral interventions, acupuncture, and medication management for both treatment and prevention. Depending on some underlying causes of migraines, sometimes injections and surgical treatment (such as the use of a spinal cord stimulator) options are possible.