Persistent migraine (Hemicrania continua)

 Persistent migraine (Hemicrania continua)

 Or what is known as migraine is a type or form of headache and is classified within the types of chronic and persistent disease.

 It is characterized by constant pain, but it varies in severity from one person to another, and it often occurs on the same side of the face and head, and it is accompanied by additional symptoms.


 The pain is usually mild to moderate in intensity, and in most patients the pain is consistent with persistent core pain episodes of severe pain that last from 20 minutes to several days.


 A persistent migraine is characterized by pain that fluctuates on one side without changing the sides of the head, and the sufferer suffers from involuntary changes such as nasal obstruction or runny nose, redness of the eye, drooping eye cover, and these changes occur on the same side of pain.

 Persistent of the eye:

 It is a type of migraine that usually causes temporary blind spots in one eye.

 Migraine often begins as a throbbing pain in the side and front of the head, and then extends to the back of the head.  It is called halves because it may affect one of the two halves of the head and not the other half, but this rule is not permanent at all times.

 And the headache is accompanied by feeling - nausea and vomiting in most cases.

 Treating chronic migraine pain:

 Behavioral therapy to prevent seizures:

 There are more than 100 types of headaches, and a chronic headache patient may often resort to many medical specialties as a result of the belief that headaches are always a symptom of another disease, meaning that the patient suffers from high pressure, for example, and it is believed that headaches are a symptom of pressure, but in reality  The headache is often a primary disease in and of itself, meaning that the disease is the headache itself and not because of another disease.

 Chronic headache patients resort to addiction to regular painkillers and known headache medications, hoping to get rid of the headache problem, which may pose a risk to the kidneys, liver and blood flow, in addition to the ineffectiveness of these drugs in acute and chronic headaches and migraine and cluster patients.

 The treatment of primary headache mainly depends on dealing with headaches as a stand-alone disease, as we said, and it should be diagnosed correctly by a doctor who specializes in treating such cases, such as a pain therapist who can help you through the correct diagnosis first and then follow specific drug protocols for cases  Acute and chronic headache.

 We also treat migraines, cluster headaches and other types of headaches by making injections and a thermal frequency on the nerve nodes that cause the headache, and interventional treatment varies according to the type of headache, and the pain treatment doctor will explain the treatment plan followed so that you can get rid of the headache completely and return to your normal life as soon as possible.


 The effect of regular sleep is also significant in treating migraines, as regular and complete sleep helps to relax and relieve pain

 In addition to regular diets that similarly help sleeping in treating headaches while avoiding some foods that contain caffeine, tyramine, monosodium glutamate or nitrates.

 And doing sports, physical activity also helps treat migraines.

 Medicines to prevent migraine attacks:

 A class of drugs that have achieved great efficacy in scientific research as preventing migraine attacks:

 Beta-blocking drugs such as metoprolol (Metoprolol, propranolol, timolol).

 Tricyclic antidepressants such as amitriptyline and venlafaxine.

 Anticonvulsants, such as valproate and topiramate.

 Medicines to relieve symptoms during an attack:

 There are many medicines that have been scientifically proven successful in recent years to treat acute migraine attacks, and we can divide them as follows:


 Regular anti-pain medications such as analgesics, such as:

 Paracetamol

 Non-steroidal anti-inflammatory drugs such as aspirin, ibuprofen, naproxen, and diclofenac.

 Opioid analgesics, although opinions differ among doctors about the best use of them for migraine treatment.

 Or medication for migraine:

 Tryptanate, a drug specifically developed to treat migraine, is a type of agonist for a neurotransmitter called serotonin.

 Among the types of drugs in this class are Elitriptan, Naratriptan, Rizatriptan, Sumatriptan (which is the most commonly used drug today and is known to begin to relieve pain within a short time of taking it) and zolmitriptan.  These drugs have good effect and high efficacy at the time of the attack.

 Antiemetic drugs (ANTIEMETICS):

 The role of these drugs is supportive and adjunct to the treatment of relief of headache pain and to prevent vomiting associated with the headache in migraine attacks.  Among the types of drugs in this class are metichlopramide, chlorpromazine, Prochlorperazine, droperidol and diphenhydramine.


 Ergots class of drugs: These drugs also bind to serotonin receptors of the type (5 - HT1B / 1D).  Medicines in this class are Ergotamine and DihydroErgotamine.


 Dexamethasone: This drug has proven effective in relieving a recurrence of a migraine attack (relapse) if the drug is given during the occurrence of the acute attack.

 Transcranial Magnetic Stimulation.

 New research is also underway on new drugs that act on other receptors for the neurotransmitter that show potential efficacy for migraine sufferers.

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