Common Traps of Chronic Migraine

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Key Questions
  • What is chronic migraine?
  • Why does migraine become chronic?
  • How does chronic migraine differ from episodic?
  • How do we balance using acute treatment to stop attacks and using too much acute medication?
  • If migraine treatments are not working, what other conditions and treatments should be investigated?
  • What strategies can be used when the treatment is not sufficient?
  • What complementary modalities can augment preventive treatments?
  • Why do some treatments work for some people and not for others?
  • What can be done to prevent going from episodic to chronic?
  • Is there hope for someone with chronic migraine who has not responded to anything they’ve tried?
Interview Notes

Deborah Friedman, MD, MPH, FAAN, FAHS

Neuro-Ophthalmologist & Headache Specialist
Yellow Rose Headache & Neuro-Ophthalmology

Dr. Deborah Friedman is a neurologist specializing in headache medicine and neuro-ophthalmology in Dallas. She was the founding director of the Headache and Facial Pain Program and Cerebrospinal Fluid Dynamics Program at the University of Texas Southwestern Medical Center. She is board certified in neurology and headache medicine, and is a Fellow of the American Academy of Neurology, the American Headache Society (AHS), the American Neurological Association, and the North American Neuro-Ophthalmology Society (NANOS).

She served on the board of directors for the AHS and the Southern Headache Society, as a past president of NANOS, and on the steering committee for the Idiopathic Intracranial Hypertension Treatment Trial. She has published over 130 articles in peer-reviewed journals and 27 book chapters. Her key interests are intracranial pressure disorders, migraine, and cluster headache.

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Over the past 50 years, our mission at the National Headache Foundation has been to further awareness of headache and migraine as legitimate neurobiological diseases. Much has changed during this time. With aid from advanced technology and clinical innovation, there are more treatment options than ever before. However, we understand that these diseases are still largely misunderstood and that finding the right treatment options for you requires insight.

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