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Chronic migraines involve headaches on 15 or more days each month. The pain throbs, and it may come with nausea, light sensitivity, or vision changes. Since migraines disrupt daily routines, many people need care that fits their symptoms. Here are several treatment paths for chronic migraines that you might discuss with a medical provider:
Migraine Medications
Doctors typically group migraine drugs into two types. Pain relievers work for mild or moderate cases, and preventive medications aim to reduce how often attacks happen. Since triggers differ from person to person, your provider may adjust doses over several weeks.
Typical options include over-the-counter pain relievers and prescription drugs. When headaches strike often, a doctor might suggest a daily preventive plan. You may hear about these medications during an appointment for migraines:
- Pain relievers
- Beta-blockers for prevention
Each drug carries specific side effects, and a provider reviews your history first. Some people respond to one class quickly, while others need a combination. As medication needs shift over time, follow-up visits help track progress.
Botox Injections
Botox is approved by the FDA for adults with chronic migraines. A provider injects small amounts into muscles around the head and neck, and the process is short. Since the injections target specific points, a trained clinician performs them.
Treatment repeats every 12 weeks or as directed by your doctor. Before scheduling an appointment, ask your provider whether your diagnosis matches the approved criteria. Some patients notice fewer headache days, but results vary widely.
Nerve Blocks
A nerve block delivers anesthetic near a targeted nerve. Providers use it for occipital nerves at the back of the head, and the injection aims to interrupt pain signals. Since the effect is localized, the procedure is typically brief.
The relief lasts different lengths of time for each person, and repeat injections are sometimes scheduled by your doctor. If you have questions about frequency, your provider explains what to expect. Doctors may combine a nerve block with other treatments.
Acupuncture and Physical Therapy
Some people add non-drug approaches to their care plan. Acupuncture uses thin needles at specific points, and physical therapy focuses on posture, movement, and muscle tension. Since these methods differ, a provider helps you decide what fits.
Physical therapy may include stretches, manual techniques, and exercises for the neck. When tension contributes to headaches, targeted movement sometimes plays a role. This is what a session might involve:
- Neck and shoulder stretches
- Posture correction
- Trigger-point release
- Exercises for strengthening
Acupuncture sessions vary in length and number. A licensed practitioner reviews your symptoms first, and treatment plans adjust as you go. Since responses differ, people can track their headaches in a journal to help their doctor notice patterns.
Schedule Migraine Treatment Near You
Chronic migraines respond to many different approaches. A provider reviews your history, and together you build a plan that matches your symptoms. Since no single treatment fits everyone, an evaluation is the practical first step. Call an advanced medical care clinic today to schedule a consultation; bring a record of your headache days so the discussion stays specific and focused.
