Expert Tips to Manage Persistent Migraine Pain

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Key Questions
  • What is allodynia?
  • How common is allodynia in migraine patients?
  • Does allodynia continue in between attacks?
  • How does migraine cause allodynia in some people?
  • What is central sensitization? How does it develop from migraine?
  • How do people with migraine get stuck in a chronic pain cycle?
  • What are the risk factors of chronic pain?
  • How can the cycle of chronic migraine be broken?
  • What changes have the biggest impact in migraine management?
  • What’s the difference between nociceptive and neuropathic pain?
  • What is fibromyalgia?
  • What are the similarities between allodynia and fibromyalgia?
  • How might insurance affect what treatment your doctor prescribes?
  • How many people with migraine have fibromyalgia?
  • What type of health care professional should people with both migraine and fibromyalgia see?
  • How can we help coordinate our own care between doctors? What are the roles of the doctor and the patient?
  • How does having both fibromyalgia and migraine affect the patient?
  • Are there medications that can treat both migraine and fibromyalgia at the same time?
  • When is the best time to take medication for pain when it’s 24/7?
Interview Notes

Find more about Jessica Ailani, MD and her work here:

Treatments Mentioned
  • Acupunture
  • Biofeedback
  • Dihydroergotamine (DHE)
  • Gepants
  • Infusions of intravenous Injectables
  • Lifestyle factors (sleep)
  • Mindfulness-based stress reduction
  • Neuromodulation
  • NSAIDs
  • Relaxation breathing
  • Triptans

Please note: The Migraine World Summit’s aim is to bring you a variety of perspectives and expertise, independent of bias or judgment. Alternative theories presented in this video have not been medically reviewed. Views expressed in this interview do not necessarily represent the views of the Migraine World Summit. Please always consult your health care professional and do your own research before making changes to your treatment plan.

Jessica Ailani, MD

Director, Headache Center
Medstar Georgetown University Hospital

Dr. Jessica Ailani is board certified in neurology, with added certifications in neurology and headache. She is an associate professor of neurology at MedStar’s Georgetown University Hospital and director of the MedStar Georgetown Headache Center. She is a specialist in headache and women’s health and is dedicated to patient education. Dr. Ailani is also a member of several professional societies, including the American Headache Society and the American Academy of Neurology.

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