Select Page

Chronic Migraine: A Closer Look


What is Chronic Migraine?

Chronic Migraine is a headache that occurs 15 or more days a month with headache lasting 4 hours or longer for at least 3 consecutive months. People with Chronic Migraine may spend half their month living with headaches that significantly impact their function and quality of life.

Migraine headaches may involve triggers and associated symptoms. Migraine may be associated with:

  • Nausea and/or vomiting
  • Sensitivity to light, sound, and/or smell

Over a 3-month period, people with Chronic Migraine are more likely than those with occasional migraine to miss 5 or more days of: work or school, household work, and family activities.


How are Chronic Migraines treated?

Most treatment options for chronic migraine are either acute or preventive medications. Acute medications are taken to stop the headache pain once it has begun. Preventive medications are taken on a regular basis with the goal being to reduce frequency and severity of migraine episodes. Additional treatments include avoidance of headache triggers, therapeutic exercise, and behavioral pain management.

For individuals who have not achieved management of their migraines with oral medications, OnabotulinumtoxinA (Botox) has been shown to be helpful in treating chronic migraine headaches in adults. During this procedure, injections are made in muscles of the forehead and neck. When this is effective, treatment usually needs to be repeated every 12 weeks.


What Can I Expect at my Visit?

At our clinic we use an integrative approach to evaluation and treatment of Chronic Migraine. Treatment focuses on reducing the severity and frequency of migraines to improve activity tolerance and quality of life. We discuss the patient’s migraine history, treatment options, and goal setting. Patients complete a migraine diary before and after Botox therapy to track his or her response to the treatment.


Please click below for more information on Chronic Migraine Symptoms & Treatment:

My Chronic Migraine

Botox for Chronic Migraine

Our very own Laurel Short is working on a project that is focused on self-management for chronic migraine-

Source/ References:

Schedule An Appt.

We offer online appointment scheduling for your convenience. Click below to request an appointment with one of our physiatry and rehab specialists.

Related Articles

Still can’t find what you’re looking for? Check out these related articles and blogs to find out more information regarding Physiatry and Rehab.

Migraine At a Glance

    The estimated global prevalence of migraine is about 15%, ranking it as the third most common disease in the world to affect both males and females (The Global Burden of Disease Survey, 2010). Women are more likely to have migraines, but males account for as much... read more

Osteoporosis Versus Osteopenia

Osteopenia refers to the weakened state of bone due to decreased bone density. Having osteopenia is a direct indicator of poor bone health and that treatment should be considered to improve bone health prior to the occurrence of significant fractures. Medication is... read more

Playing it safe with Concussion Awareness

Fall sports are under way in KC, and as youth are lacing up their cleats for soccer and football it is a great time to discuss concussion awareness and prevention. While awareness of concussion has improved in recent years, the CDC estimates that 50% of sports-related... read more

Back in action

Here are great stories from a few of our patients on how they got ‘Back in Action’ after rehab.