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Husband With Chronic Migraines...new to this journey

Hi everyone! I hope it is okay for me to post here as I am not the one with Migraines; it's my husband, Tracy. This might get a bit long, sorry.

Tracy is 53 and had his first ever migraine October 2020. They were episodic at first, but by last summer they were increasing and by November 3, 2021 they had gotten so bad they became chronic and all treatments have yet to actually give him any kind of relief. (Well except for 2 weeks somewhere in there).

The doctors started with the abortive medications. Then they started with Aimovig. And now Tracy is a week and a half away from his 2nd botox shot. Oh ya, he also has Topomax. NONE of these things are working.

He is a computer programmer and software architech for a big printing company. They have been very compassionate with the amount of work Tracy has had to take off because of the migraines and the symptoms they cause. He gets auras (which thanks to this site he learned he actually had them; the doctors just asked if he saw spots..which he doesn't). He has what seems to be permanent cognitive impairment. (Every time he gets a bad migraine, it gets harder and harder for him to come back from it.) He is unable to use his imagination or to think. He is unable to problem solve. He is unable to do physical labor. He can't put words together and often has a hard time finding words at all. He has sensitivity to sound and light. So much so we live in a dark and quiet house (which is depressing). He is unable to do the things he loves to do for fun..like wood working or working on his 3D printer. And now he is on short-term disability hoping that the next Botox shot will work. Though we plan on talking to the doctor about other treatments like maybe the devices.

Tracy tries to stay hopeful, but it is very difficult when your life has been upended and not in a good way.

I guess my question is, does anyone else experience these kinds of headaches that seem like nothing works? Has anyone tried the devices; did they work? Does anyone have any good news to keep us hopeful? It's very hard at this point.

Thanks for reading. I appreciate you, and this site.

Martha

  1. Hi @IdahoMartha, at the risk of sounding like a corny old scary movie - all are welcome! We love seeing care partners here because we know our members have great support. And I'd like to assure you that we're here to support you as well.

    I wanted to share lists of articles on Intractable migraine, and on some of the devices and tools members use, while you're waiting for feedback from the community.

    Chronic Intractable Migraine - https://migraine.com/search?s=chronic%20intractable
    Devices - https://migraine.com/search?s=devices
    Cefaly - https://migraine.com/search?s=cefaly

    I hope that helps a bit! - Warmly, Donna (team member)

    1. Hi, Martha. So glad you two have found us. It's not an easy road, and I'm so glad to hear you are being such an advocate for Tracy. You also seem pretty knowledgeable about migraine treatments so far! I have some questions that may help us get a better sense of where to direct you. We can't give medical advice, but we can offer options that you may not have considered yet.

      Has he had a full medical workup done to rule out other conditions that may be present? What kind of doctor are you working with? We are big believers in board-certified migraine or headache specialists. Neurologists are great doctors, BUT they often treat a wide range of conditions and so may not be super well-educated about migraine specifically. A migraine specialist, on the other hand, has had focused education. There are also headache clinics that can do outpatient or inpatient work, and some doctors may offer telehealth consults if you can't get to them. Here's a directory of headache specialists in the US:

      https://americanmigrainefoundation.org/find-a-doctor/

      Other things I'm thinking about: People in high stress situations can develop migraine. There can also be dietary components. It's a great idea to keep a headache journal if you can, even if he's chronic -- do pain levels fluctuate? Are there cycles you can discover? Any warning signs like yawning, auras (as you mentioned) or irritability? All of those things could help paint a clearer picture for your team.

      Lastly, there is still hope. The trouble with migraine is that there are dozens of treatments, medications, devices, supplements, etc -- and you need to find the right combination for Tracy's unique situation. People with migraine have very individual experiences and treatment regimens, Just because something worked for someone here doesn't mean it'll work for him ... but something that many find ineffective could be a part of his routine with great results. It takes tremendous perseverance, but the vast majority of folks here have found at least one thing that helps at least a little!

      I know that's a lot to digest, so I'll stop here. Know that we are here for both of you on this journey. Ask a million questions and vent as needed. Take good care of yourself too, Martha! -Melissa, migraine.com team

      1. Hi Melissa,


        Thank you for the response. Tracy is actually seeing the only headache clinic in the state of Idaho. We are very lucky to be seeing the best doctor for migraine and he is just down the street from our house. This is helpful; it is also hard to get into him. It's hard to get into any doctor these days.


        We have been able to recognize cycles and differing levels of pain through his cycles. He is still finding new triggers and we are taking notes.


        Thanks for holding out hope for us. Tracy works really hard at keeping hope. You are right; there are so many different treatments and things to try. It's all so overwhelming and a bit frustrating. Thankfully, his doctor doesn't mess around with things and moves through the different treatments pretty quickly (well at least in regard to number of visits, not actual calendar days which seem too long between visits). Just a couple of more days until his 2nd botox shot and hopefully it works more than the couple of hours the first one did.


        Martha

        1. My goodness, only one migraine specialist in all of Idaho? It is such a shame the shortage of these key specialists across the world currently.

          Thank you for providing this update to us. Glad you are keeping your hope up. We will continue to send you our thoughts and compassion.

          Let us know how the next Botox treatment goes. I thought you might find this recent video I created on the topic of interest. I've been receiving Botox injections for migraine for over 20 years and this piece is about all I've learned about the process including how some treatments can be more effective than others:https://migraine.com/video/20-years-of-botox.

          Please let us know if you have any questions. We are here for you and in this with you. Warmly- Holly -migraine.com team.

        2. Hey Martha, sorry I'm a little delayed in getting back to you. What a gift that your specialist is so close, especially given the scarcity of headache specialists generally. I am glad you are well-supported and seem to have a good set of tools at your disposal. As long as we are here there is cause for hope -- new treatments are coming down the pipe all the time. How did the second Botox treatment go? Fingers crossed for the best. -Melissa, migraine.com team

      2. Hi Melissa. The results from the 2nd shot were that the day after he had a good day with no pain and no migraine symptoms. He was at his baseline of a 1 or a 2. But today he has one of those migraines without pain and not feeling so great. The doctor did approve of the Cefaly device saying it was a good time since nothing has seemed to work thus far. We only get to see the doctor every 3 months. He said that if the botox didn't work, contact him in 6 weeks and he will try a new preventive shot (if insurance will cover it). He told Tracy that we still have lots more to try, but it comes down to insurance...which kills me. In the mean time, Tracy's short term disability will turn into long term disability. AFter he talked to his bosses, he had to create a response email that said he is out for 3 months and to contact his boss. He had to remove himself for chat channels and decline all meeting requests. This about killed him. It felt like the nail in the coffin. He has been very depressed since the doctor's appointment. Hopefully he will find some peace with what is going on soon. We have also found a friend to come over and hang with him while I get out for "me" time. This helps his spirits too. I just can't be everything to him... his whole social network and care taker and wife and mom AND care for my elderly mom who was just in the hospital. So I'm grateful to my friend who shares the same interests as my husband who can come over and watch tv or work on the 3d printer or just sit and be quiet with him...all depending on his head.

        1. Hi, it's me again. It can be up and down with new treatments, especially if it takes a few "cycles" to get acclimated to them. Cefaly is a common topic of conversation around here and can be an excellent tool. You might like to check out this video of one of our advocates using it and talking about it:

          https://migraine.com/blog/the-girl-tries-cefaly

          You are right that you can't be all things to him ... good for both of you to surround yourselves with friends and take time to do things you enjoy, together and separately. Keep taking good care of yourselves, we're always here if you need us! -Melissa, migraine.com team

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