Lancaster Physician Fall 2021 - 20

L A N CA S TERMED I CALSO C IET Y. O R G
Healthy Communities
OPTIONS FOR AND ADVANCEMENTS IN THE
Treatment of Migraines
JAROD JOHN, MD
Argires Marotti Neurosurgical
Associates of Lancaster
M
igraines have been difficult to
define for many years, but what
is clear is that they are a biological
brain disease characterized
by recurrent moderate to severe headaches.
A migraine attack causes a headache that can
range from mildly painful to incapacitating.
The pain is typically felt on one side of the head
and is typically described as a throbbing pain
with associated light sensitivity, sound sensitivity,
nausea, and, on rare occasions, vomiting.
Stress, hormones, bright lights, tiredness, lack
of sleep, odors, chemicals, certain medications,
and certain foods could all trigger migraines.
Migraines in women can be triggered by the
normal decrease in estrogen levels that occurs
each month before the menstrual period.
Migraines are three times more common in
women than in men. Even though it is more
common in women, it can happen to anyone.
Recent data support the finding that up to 12
percent of adults suffer from migraines. That
equates to over 900 million migraine sufferers.
I've found that many migraine patients believe
it's not a life-threatening disease, and so they
delay seeing a doctor for years. They thought
the best approach of coping with their hardship
was to grit their teeth and power through it.
Delaying treatment for migraines can exacerbate
the condition and lead to unhealthy
behaviors like abusing over-the-counter medicines.
Overuse of those medicines can lead to
rebound migraines, which can be as severe as
the original condition.
Chronic or transformed migraine occurs
when migraine attacks become more frequent
and the headaches occur on a daily or near-daily
basis. Chronic migraine is defined as 15 headache
days per month for at least three months.
Chronic migraine affects around 1.5 - 2 percent
LANCASTER 20 PHYSICIAN

Lancaster Physician Fall 2021

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