Migraine Update

Hope for migraneurs? Doc Gumshoe takes another look

By Michael Jorrin, "Doc Gumshoe", August 6, 2018

When I last took a look at what was happening in the treatment of migraines, I took careful pains to elucidate the differences between migraines and a plain old bad headache – the fact that migraines affect only one side of the head, and a detailed disquisition on the symptoms that many migraineurs (that’s the term for people who are prone to migraines) experience in advance of the onset of the headache.   It turned out that what I was experiencing was an overdose of scruples. Judging from your comments, of which there were a good many, the denizens of Planet Gumshoe are not confusing migraines with other garden-variety headaches. Nobody responded with an “Aha! So that’s what’s been making my life miserable!”

I will once again, but more briefly, summarize the characteristics of migraines with and without aura and also go over such matters as risk factors and triggers.   The main focus of this piece will, however, be managing migraines – which, of course, is what you really want to know.

There is one problem area that I will need to deal with.   Let me state it briefly: the actual pathophysiology of migraines is poorly understood.