I have chronic migraines without aura and CGH migraines due to deteriorating cervical disks. Both types of migraines have been getting worse over the past 3 years to where I have approximately 20 migraines a month. I'm lucky that they're managed by triptans and that my insurance allows me enough triptans (18/m) to treat them.
The neurologist that I've been seeing recommended that I go to a Botox neuro to see if we can knock the frequency down. The new Botox neuro has now diagnosed (1) migraine with aura because during the pain phase I sometimes see spots, wavy lines, or have general visual difficulties. I understand that aura is before the pain phase, not during. Are visual things during pain common for any migraineur? So, is that aura?
She has also diagnosed (2) medication overuse headache (MOH) for the triptans and other medications I take for osteoarthritis, degenerative disk disease, and fibromyalgia. I will agree, looking back, that I should cut back on the triptans, but I'm still below the 6/week. She sent a message to my rheumatologist and PCP that I'm taking too many meds and gave specific recommendations on what should be changed. Rheumatologist and I discussed it, I take next to nothing in controlled pain meds, and Cymbalta daily. He agrees that my cutting back on the triptans is the way to proceed. Cymbalta is working really well for me and changing it to Lyrica, doesn't make sense right now.
Long long story and I'm sorry for that, but I was a little blown away by her aura diagnosis and then wanting to completely revamp my meds. So, do I have migraine with aura? And regarding MOH, am I being sensible by focusing on the triptans?
Thanks so much for your help.