It’s reported that in the United States an estimated 11.7% percent of the population (5.6% male and 17.1% female) is directly affected by chronic migraine headaches.  Chronic migraines are more common than asthma and diabetes combined.  Up until now there have been very few treatment options for patients who suffer from chronic migraines.

Recently it has been shown that the use of Botulinum toxin injected into muscles in the back of the neck, the temple area and the forehead can provide relief from chronic migraines.  In many instances there will be an elimination of the migraine.  If the patient responds to Botulinum Toxin they can be evaluated for the surgical treatment of Chronic Migraines.

Surgical treatment involves the release of the nerves in the back of the neck, the greater occipital, the nerves in the temple area, zygomaticotemporal, and the nerves in the forehead, supraorbital and supratrochlear nerves.  In addition several patients report headaches or symptoms related to the sinuses.  Each patient is evaluated for sinus issues as well as airway issues.  Patients can have problems within their nose that can actually cause a migraine such as a septal spur.  If appropriate patients with septal problems can undergo a procedure to correct this at the same time of at a later date.

I feel fortunate to be able to offer this as another alternative to patients with Chronic Migraines.   It is my hope that I will be able to help as many patients as possible by giving them back the quality of life they’ve lost due to chronic migraines.