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Chronic migraines refer to headaches that occur 15 or more days per month that significantly interfere with daily life. For many people, these headaches affect work, sleep, and overall function.
Migraine pain is often throbbing and one-sided. It may be accompanied by nausea, sensitivity to light or sound, visual changes, or neck discomfort. Some patients describe a constant pressure that never fully settles between attacks.
In certain cases, irritation of nerves at the back of the head or upper neck may contribute to persistent or recurring symptoms.
For some people, migraines gradually become more frequent over time. What once occurred occasionally may begin to happen weekly or even daily.
Repeated attacks can make the nervous system more sensitive, lowering the threshold for future episodes. When this pattern develops, both short-term relief and longer-term prevention become important.
Treatment is based on headache pattern, severity, and previous response to medication.
Options may include:
Used to reduce the frequency and intensity of migraine attacks in patients with frequent headache days.
An intravenous preventive treatment for selected patients with recurrent migraine.
Used for acute or prolonged migraine episodes that have not responded to oral medications.
May be considered in complex or refractory migraine patterns.
Targeted injections at the back of the head that may reduce nerve-related headache symptoms.
Managing chronic migraines often requires more than one strategy. Acute treatments help control active attacks, while preventive therapies aim to reduce how often they occur.
A detailed assessment helps determine which combination of treatments is most appropriate based on your symptoms and history.
Jacobs Pain Centre, 8920 Woodbine Ave, Unit 102, Markham, ON L3R 9W9
Since 2002, Jacobs Pain Centre has provided effective, comprehensive pain management through a multidisciplinary approach. We combine evidence-based treatments with supportive care to deliver accurate diagnoses and personalized pain management plans.
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