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

Deborah Friedman, MD, MPH

Professor of Neurology & Neurotherapeutics and Ophthalmology and Headache Specialist
University of Texas Southwestern Medical Center

Dr. Deborah Friedman is a professor of neurology & neurotherapeutics and ophthalmology at the University of Texas Southwestern Medical Center, where she directs the Headache and Facial Pain Program and the Integrated Project Team for Intracranial Pressure Disorders. She is board-certified in neurology and headache medicine.

Dr. Friedman is also a fellow of the American Academy of Neurology, the American Headache Society, the American Neurological Association and the North American Neuro-Ophthalmology Society. She currently serves on the board of directors of the American Headache Society. She has been elected to the “Best Doctors in America” yearly since 1998 and US News and World Report Top Doctors since 2011.

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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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