Controlling Unresponsive Chronic Migraine

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Key Questions
  • What makes chronic migraine a different beast than episodic migraine
  • What is central sensitization and how does it relate to chronic and episodic migraine?
  • How do you treat someone who says they have already tried everything?
  • How do you treat someone who is never pain-free?
  • What are the risk factors that lead people to develop chronic migraine?
  • Why do some people recover from chronic migraine spontaneously?
  • What types of migraine improve with age?
  • Why do some people’s chronic migraine get better at younger ages?
  • How can I participate in migraine research studies?
  • How should I keep track of migraine triggers when my symptoms are constant?
  • How can migraine triggers be made irrelevant?
  • When should someone be hospitalized because of chronic migraine?
  • What percentage of people do not get better with adequate treatment, and how do I know if I’m one of them?
  • Why are some doctors still unaware of chronic migraine, and how can this problem be addressed?
Interview Notes

Find more about David Dodick, MD and his work here:

David Dodick, MD

David Dodick, MD

Director of Headache Program
Mayo Clinic, Arizona

David Dodick, M.D., FAAN, is a professor of neurology at the Mayo Clinic College of Medicine and Science in Scottsdale, Arizona. He is the director of the headache program and the sports neurology and concussion program at Mayo Clinic in Arizona. He is an adjunct professor in the department of neurosciences, Norwegian University of Science and Technology. Dr. Dodick is board certified by the Royal College of Physicians and Surgeons of Canada and the American Board of Psychiatry and Neurology (ABPN). He also holds United Council for Neurologic Subspecialties certification in headache medicine and ABPN certification in vascular neurology.

Dr. Dodick has authored more than 380 peer-reviewed publications and authored/edited 10 books. He is the chair of the American Migraine Foundation, chair of the American Academy of Neurology (AAN) Annual Program Concussion Committee, co-director of the American Registry of Migraine Research, chair of the International Registry for Migraine Research, chair of the International Headache Society Global Patient Advocacy Coalition, co-director of the Annual AAN Sports Concussion Conference, president-elect of the International Concussion Society, immediate past-president of the International Headache Society, former editor-in-chief of Cephalalgia, and past-president of the American Headache Society.

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