Migraine Treatments

Migraines – Chronic Headaches – Cluster Headaches – Menstrual Migraines

Frustrated Business Woman With Headache At Office

Almost 30 million Americans suffer from migraines in the United States, with women having three times as many migraines as men. Migraines are pulsating headaches that often affect one side of the head. Symptoms can vary from person to person. SIR now offers cutting edge treatment for migraine sufferers.

Warning signs of a migraine include:

  • Aura—flickering lights, spots or lines that typically last from five minutes to an hour, with a 60-minute “skip phase” before onset of the actual headache pain
  • Vertigo or double vision, referred to as a basilar-type migraine
  • Eye pain
  • Stuffy nose or water eyes
  • Throbbing pain on one or both sides of the head
  • Nausea or vomiting—often associated with more severe pain and more difficulty getting relief from medication than migraine sufferers who experience little or no nausea
  • Neck pain or stiffness
  • Muscular weakness on one side of the body (IMPORTANT: This could be the sign of a stroke, so consult your doctor.)
  • Numbness or tingling
  • Frequent urination, also known as the prodromal phase of a migraine, which can arrive from an hour to as much as two days before the migraine starts
  • Food cravings, chocolate being a common one
  • Insomnia

Following the migraine, sufferers may experience “headache hangover” with such symptoms as fatigue, difficulty concentrating, weakness, dizziness, lightheadedness, or loss of energy.

Other chronic headache syndromes include:

  • Cluster headaches
  • Menstrual migraines
  • Ocular migraines
  • Sinus headaches
  • Tension headaches

Ketamine IV Therapy – Migraines And Chronic Headaches

Ketamine IV Therapy has helped many patients who suffer from migraines and chronic headaches. Ketamine IV Therapy treats a variety of pain conditions:

  • Neuropathic pain
  • Centralized or intense widespread pain
  • Complex regional pain syndrome, or CRPS—chronic or excessive pain that most frequently affects one of the limbs (arms, legs, hands, or feet) and usually occurs after an injury or trauma to that limb)
  • Hypersensitivity or hyperalgesia—an extreme reaction to a stimulus that is normally only slightly painful, such as a pinch
  • Allodynia—pain from a stimulus that normally does not cause pain, such as touch or temperature

IV Ketamine may reverse the symptoms for these conditions by blocking the specific pain receptors. It may be a viable option for pain management if conventional approaches, such as medications, physical therapy, and standard clinical interventions, are not successful in alleviating the pain.

IV Ketamine therapy is also used to treat depression and is especially effective in treating posttraumatic stress disorder (PTSD), resulting in often significant and rapid reduction in the severity of PTSD symptoms severity.

"Three and a half years ago, at the age of 36, I suffered a stroke behind my right eye. As a result, I developed Complex Migraine Syndrome. At the time, my wife was working for a local neurology group. She immediately got me in to be seen, and I was sent for an MRI. Over the next few years, we tried every medication (except the triptans due to my high risk for stroke), Botox, acupuncture and anything else the doctor suggested. Nothing relieved my migraine pain. I was suffering from 3-5 migraines a week, often accompanied by right sided weakness and facial droop. I was working nights and going to school full time at the onset, but after a year my doctor urged me to quit my night job and take a medical leave from school (neither were options my wife and I wanted to have happen), because he assured me these things were "triggering" my migraines. Needless to say, I did both and there was no change in my pain. Eventually I felt as though the doctor pretty much gave up on me. It was so depressing and debilitating to think I would have to spend the rest of my life living with constant migraine pain.

On Super Bowl Sunday, my family was relaxing at home watching the game when I noticed a friend of ours posted a video on Facebook of a Sphenopalatine Ganglion Block being done at a clinic in NY. I showed it to me wife and she went on the internet and found that your office was offering this procedure in nearby Sarasota. I called the next day and was able to get in to see Dr. Grubbs that same week. After the consultation and CT scan, he declared that I was a good candidate for the procedure. The next Wednesday, my wife and I drove to Sarasota Interventional Radiology. I had a migraine when I went back for the procedure. A short time later, my wife came back to the recovery area and said she was amazed at the transformation already--no more facial droop! And she could see that there was no pain in my face!

It has been 11 1/2 weeks so far, and I have been migraine free! I have my life back! I started a new job the week after my procedure and now I have the energy to do so many things I have been missing out on with my family. I am back in school and looking forward to continuing my academic career as well.

I am so appreciative to Dr. Grubbs and his staff-they were friendly, kind and accommodating. The procedure was quick and painless. I could not be more pleased with the results so far!

God bless you all!"

Paul H.

SPG Block - Migraine Treatment

This migraine treatment is called SPG (sphenopalatine ganglion) block. This procedure has been around for quite a while with good results for migraine treatments and chronic headache treatments. The old method of treatment is invasive and is done this way. It requires that a long needle be placed through the side of the face all the way to the skull to inject medication to make the migraines go away and prevent them from coming back. The procedure works well but is invasive, and complications may occur if the needle inadvertently goes through an artery of the face.

Migrane Treatment Sphenopalatine Ganglion Block

Traditional Needle-directed Sphenopalatine Ganglion Block

SphenoCath Injection For Sphenopalatine Ganglion Block

SphenoCath Injection For Sphenopalatine Ganglion Block

SPG Block – Chronic Headache Treatment

The new way in competing SPG (sphenopalatine ganglion) Block uses state-of-the-art imaging guidance. Sarasota Interventional Radiology performs SPG Block using SphenoCath, a noninvasive procedure that is quick, successful, low-risk, and cost-effective for migraine treatments and chronic headache treatments. In this procedure, a small plastic catheter is used to place the medication directly on top of the sphenopalatine ganglion.

SphenoCath injection is performed without a needle and takes only minutes to perform. It is pain free for most patients, while some may briefly feel a slight nasal irritation. Many patients literally walk in with a headache and walk out without one! Most often patients are headache free for three to four months. Those who repeat treatments every three to four months may never have a headache again.

SphenoCath injection is effective for all types of migraine headaches and for most types of headache pain, including pain from cluster headaches, trigeminal neuralgia, and atypical facial pain.

Occipital Nerve Block For Treating Migraines And Cluster Headaches

An occipital nerve block is an injection of a steroid or other medication around the occipital nerves that are located on the back of the head just above the neck area. These nerves can be blocked (made numb) with the injection of medication so that head pain (touch, pain, temperature changes) is not conveyed to the brain.

This procedure helps some patients with migraines and cluster headaches, but also helps those with one-sided head pain (shooting, zapping, stinging, or burning pain) that occurs primarily on the back of the head. During the procedure, the patient’s scalp at the trunk of the occipital nerve is injected with local anesthetic and steroids, often relieving pain within minutes.

The occipital nerve block is performed with conscious sedation by SIR’s board-certified anesthesiologists. Conscious sedation is done with a combination of medicines (a sedative and an anesthetic) that help the patient relax and help to minimize pain and discomfort during the procedure. The patient is usually able to stay awake and respond to verbal cues but may not be able to speak. The patient’s heart rate, blood pressure, breathing, oxygen level and alertness are carefully monitoring during and after the procedure. Conscious sedation is safe and effective and allows patients to recover quickly.

Occipital Lobe Human Brain Illustration

IMPORTANT! All information presented in this website is intended for informational purposes only and not for the purpose of rendering medical advice. Statements made on this website have not been evaluated by the Food and Drug Administration. The information contained herein is not intended to diagnose, treat, cure or prevent any disease. View SIR's Notice of Privacy Practice