F.A.Q.

/F.A.Q.

Migraine Surgery FAQs

Below are some of the most frequently asked questions about migraine diagnosis and surgery. We hope you find these answers to be helpful. However, if you still have additional questions after reading this page, please do not hesitate to contact The Migraine Institute.

FAQs

Below are some of the most frequently asked questions about migraine diagnosis and surgery. We hope you find these answers to be helpful. However, if you still have additional questions after reading this page, please do not hesitate to contact The Migraine Institute.

Migraines are a subset of headaches, which cause moderate to severe throbbing or pulsating pain on one side of the head. Migraines can last from two hours up to three days and are typically associated with nausea, vomiting, and sensitivity to sound (phonophobia) and light (photophobia). Although migraines can be diagnosed by a primary care doctor, in order to be considered for surgery you need to have a diagnosis from a neurologist.

All migraines are headaches, but not all headaches are migraines. To find out if you are suffering from migraines vs headaches, you should schedule an appointment with a neurologist who can make the diagnosis.

To be properly diagnosed with migraines, you need to see a neurologist. Your neurologist will evaluate you to determine if you are in fact suffering from migraines.

Every patient is unique and has their own set of triggers that cause their migraines. However, there is still no exact mechanism proven to cause migraine headaches. Most believe that migraines are caused by a combination of factors that ultimately trigger a cascade of events to cause migraine pain.

There are several treatment options available for migraines, but keep in mind that each patient responds differently to treatment options. It may be frustrating as you try several treatment options that work for others that simply do not work for you. We know that it can be difficult and are here to support you in every way possible. The most common treatment options include lifestyle changes, alternative therapies (acupuncture), medication, BOTOX® and surgery.

Today, migraine surgery is effective to treat migraines caused by one of four muscular/nerve trigger points. Three muscular/nerve trigger points are around the scalp and one is inside the nose. Other trigger sights have been suggested and are being studied, but are not currently treated with surgery.

Before undergoing surgery, we will “test” your triggers by using Botox® injections for the three scalp trigger points and nasal spray for the nasal trigger point. If the Botox® or nasal spray help reduce your migraine pain, then you are most likely confirmed as a candidate for migraine surgery.

Migraine surgery generally takes one to three hours depending on the location and number of trigger points. Dr. Cabin will explain how long he expects your surgery to take during your pre-op appointment.

We do everything we can to make sure you do not have any visible scars after migraine surgery. During a migraine surgery, a facial plastic surgeon will administer one or more small incisions within the hair or scalp. The incisions will be hidden within the eyelid creases and typically heal with no visible scar.

With a nasal trigger point, a facial plastic surgeon will make the incisions within the nose. The incisions will be hidden within the nose.

We perform minimally invasive migraine surgery at an outpatient surgery center, which means you can go home after a procedure is completed. Sutures are removed one week after surgery. In many instances, patients will be able to go back to work after about 7 to 10 days, but need to restrict their actions for at least a few weeks. Typically, Dr. Cabin will provide details about the recovery process, along with when you can restart your regular exercise routine.

The side effects of migraine surgery are similar to most surgeries. Bruising and swelling around the eyes is common after migraine surgery, but these symptoms will disappear within about one to two weeks. The combination of ice, anti-bruising medication and ointment, will be prescribed by Dr. Cabin to help ensure a patient’s recovery moves along smoothly. Pain is generally minimal, and you will be prescribed pain medication to use in the days after surgery. You may also receive antibiotics to mitigate the risk of infection. If you are experiencing significant pain during your recovery, do not hesitate to contact our office.

You can expect a significant decrease in migraine pain following your migraine surgery. Depending on your migraine trigger sites, you may notice improvement immediately. However, it takes some patients weeks or months until the full effect is felt. The majority of patients notice improvement two to four weeks.

Although uncommon, there is a chance your migraines will not significantly improve. This is usually related to additional trigger sites that are now noticeable after the removable of the primary sites, and can usually be treated with an additional procedure. It is very rare for there to be no improvement after surgery.

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