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, FAAN

Professor of Neurology & Ophthalmology
UT Southwestern

Deborah I. Friedman, M.D., M.P.H., is a professor in the department of neurology and the department of ophthalmology at the UT Southwestern Medical Center. A neuro-ophthalmologist, Dr. Friedman is chief of the division of headache medicine, and the founding director of UT Southwestern’s Headache and Facial Pain Program.  Dr. Friedman is board certified in neurology, with subspecialty certification in headache medicine by the United Council for Neurologic Subspecialties.  Dr. Friedman is a fellow of the American Academy of Neurology, the American Headache Society, and the North American Neuro-Ophthalmology Society.

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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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