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Status migrainous

So ... horrible sever migraine for 9 days in a row and it refuses to break. Now I have chronic migraines and have been At a pain of 5-8 for months now daily. Normally imitrex nasal spray and zofran works. I was using Ketortolac as. Rescue but since I started PRP therapy I'm not allowed to use NSAIDs.

Went to family doc last week, extra trigger point injections, 3 days of imitrex around the clock (first three days of migraine, worked until drug was out of system) .... added baclofen around the clock ..... nothing - no change at all now.

Doc told me over phone to head to ER, went and got 2.5 litres IV fluid. 2 doses of hydromorph something, dexamastone and zofran. Absolutely no change. ER doctor decided he had nothing more to try and sent me home with Percocet to "sleep it off"

12:30am and been trying to sleep since I got home from ER at 6pm ..... had two doses of 2 pills of Percocet, my dose of baclofen and 2 dropperfuls of 3:1 cannabis CBD:THC oil. Still severe pain that is causing me to shake and muscle spasms.

What do I say to my doctor tomorrow? He is a pain management doctor in a family clinic practise. He does mainly trigger point injections and acupuncture though. I am on vaporic acid and tramadol ER as Preventative right now

  1. Hi Tamara,

    First let me apologize for not getting back to your sooner - I'm sorry. Thank you for your question and being part of our community. I am sorry to hear you are having such a difficult time and hope by now you are feeling better. For future reference we have information in this article about what a migraine emergency is; https://migraine.com/blog/what-is-emergency/.

    The first thing that came to mind is it may be time to see a doctor who is a true expert in treating migraine/headache disorders and I'm sorry to say pain management doctors may not be the best option for migraine/headache - let me explain. Neurologists may be fine doctors but have a hard time being experts in one area because they treat so many different conditions such as epilepsy, multiple sclerosis, stroke, Parkinson's and others. A true migraine/headache expert is board certified in headache medicine, which is different than being certified in neurology, and mostly treat migraine and headache all day, every day. When you get a moment take a look at this information that discusses how these doctors are different and how to find one; https://migraine.com/blog/really-find-headache-specialist/ and
    http://migraine.com/blog/how-are-migraine-specialists-different/.

    Please let me know how you are feeling,
    Nancy

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