Patient's Query
Hello doctor,
I am experiencing severe migraines. I get them like twice a week now, throbbing pain behind my right eye, and lights feel like knives. I have to lie in the dark for hours. Sumatriptan works sometimes, but if I miss it early, it is very difficult to manage. Caffeine helps a bit, but not always. Also, my friend gets those monthly migraine shots. I am starting to notice neck pain before headaches. I am tired of missing work and plans because of this.
Could that be a trigger?
Do they really stop attacks?
Any real prevention options that actually work long-term?
Kindly advise.
Hello,
Welcome to icliniq.com.
I have read your query and understand your concern.
It sounds exhausting and painful to deal with such frequent migraines, especially when they interrupt your work and daily life. The symptoms you describe, including the throbbing pain behind your eye, sensitivity to light, and the need to rest in darkness, are all classic signs of migraine.
Neck pain before your headaches could be part of the early warning phase called the prodrome, or it might indicate that muscle tension in your neck is acting as a trigger for your attacks.
It is worth noting that managing neck tension through physical therapy or relaxation techniques can sometimes reduce the frequency of migraines. Since your migraines are happening twice a week, preventive treatment would be a good option to consider.
The monthly injections your friend mentioned are likely CGRP inhibitors such as Erenumab or Fremanezumab. These have been shown to reduce both the frequency and intensity of migraines in many people and are safe for long-term use.
Other preventive medications your doctor might discuss include beta-blockers, certain anticonvulsants like Topiramate, or antidepressants such as Amitriptyline, depending on your medical history. Keeping a migraine diary to track triggers like sleep patterns, hormones, stress, and diet can also help tailor your treatment.
I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq. Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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