Friday, April 3, 2009

Headache that turns into a Migraine

Problem: Today I had a 39 year old female present with what she described as a sinus headache that turned into a migraine about 1-2 times a month. This problem began several years ago when they moved to Alabama from St. Louis. She is having the sinus headache almost daily. She finds that every spring and fall she has terrible sinus problems. She further stated that the headaches became a full blown sick migraines several times a month. She took allergy shots years ago and knows she is allergic to grass trees and flowers. But she was frustrated as the shots did not help much and besides you cant help the trees and grass there everywhere. She had talked to her primary care physician and he even prescribed Imitrex which made her sicker with nausea, muscle weakness in the neck and back as well as tongue and mouth pain and then he prescribed Topamax which made her legs and feet tingle and feel numb. The Topamax also made her fatigued and she felt like she could not function due to the confusion and fatigue. She had been off all headache medication for 6 months. The day she was seen she rated her headache as a 8 on the 0-10 scale with the night before being a 10/10. Exam: The normal orthopedic, neurological, palpation, spinal exam, range of motion, muscle test, and posture exam was preformed. X-rays of the sinus and cervical and thoracic spine were preformed in our office and the films were sent to Dr Mike Jokich MD radiologist for review. Copyright 2009 Millar Chiropractic Associates, Inc. All rights reserved. The contents of this website including all links to other pages or websites herein including but not limited to text, graphics, images, comments, statements, or information from doctors, host or guest, and other material contained therein (Content) are for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. You should not use this Content for diagnosing or treating a health problem or disease. Never disregard professional medical advice or delay in seeking it because of Content you have seen, read or heard.