Migraines are very common and affect over 35 million Americans a year. Migraines can be painful and affect daily life. The cause of migraine is multifactorial and not completely understood. Treatment usually includes different classes of medications, life style changes, physical therapy, acupuncture, nerve stimulators and avoiding common triggers (like bright lights, certain foods, or loud sounds). For some patients, Botox injected into the muscles of the forehead and neck can significantly reduce pain. Unfortunately, this does not provide long-term relief as the effect of Botox lasts for 3 months. Since year 2000 surgery to treat a selected population of migraine patients has been gaining popularity and showing promising results. The surgery reduces the pressure on the peripheral nerves that are believed to cause migraine headaches by resecting the surrounding tissue (bone, fascia, muscle, and arteries). This surgery provides a more long-term and permanent relief. The purpose of this study is to follow the effectiveness and outcomes of migraine surgery.
Migraines are very common and affect over 35 million Americans a year. Migraines can be painful and affect daily life. The cause of migraine is multifactorial and not completely understood. Treatment usually includes different classes of medications, life style changes, physical therapy, acupuncture, nerve stimulators and avoiding common triggers (like bright lights, certain foods, or loud sounds). For some patients, Botox injected into the muscles of the forehead and neck can significantly reduce pain. Unfortunately, this does not provide long-term relief as the effect of Botox lasts for 3 months. Since year 2000 surgery to treat a selected population of migraine patients has been gaining popularity and showing promising results. The surgery reduces the pressure on the peripheral nerves that are believed to cause migraine headaches by resecting the surrounding tissue (bone, fascia, muscle, and arteries). This surgery provides a more long-term and permanent relief. The purpose of this study is to follow the effectiveness and outcomes of migraine surgery.
Study Type
OBSERVATIONAL
Surgical decompression of neuromuscular structures causing migraine headaches.
Change in International Classification of Headache Disorders Diagnostic criteria: Frequency
Frequency * Number of migraine headaches per day * Number of migraine headaches per week
Time frame: 1 month intervals at 1 month, 1 year, 2 years, and 5 years post-operative
Change in International Classification of Headache Disorders Diagnostic criteria: Duration
Duration -How long the migraine headaches last in minutes
Time frame: 1 month intervals at 1 month, 1 year, 2 years, and 5 years post-operative
Change in International Classification of Headache Disorders Diagnostic criteria: Location
Location * Area of head that hurts with migraines. * Options include front, side, top, and back.
Time frame: 1 month intervals at 1 month, 1 year, 2 years, and 5 years post-operative
Change in International Classification of Headache Disorders Diagnostic criteria: Quality
Quality * Description of the migraine pain. * Options include sharp, stabbing, dull, pulsating, and burning.
Time frame: 1 month intervals at 1 month, 1 year, 2 years, and 5 years post-operative
Change in International Classification of Headache Disorders Diagnostic criteria: Severity
Severity \- Migraine headache severity graded on a 0-10 scale, with 10 being the most severe.
Time frame: 1 month intervals at 1 month, 1 year, 2 years, and 5 years post-operative
Change in International Classification of Headache Disorders Diagnostic criteria: Laterality
Laterality * Side of the head that is impacted with migraine headaches * Options include right, left, or both.
Time frame: 1 month intervals at 1 month, 1 year, 2 years, and 5 years post-operative
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Change in International Classification of Headache Disorders Diagnostic criteria: Associated Symptoms
Associated symptoms * Question to record associated symptoms that occur with migraine headaches * Options include nausea, vomiting, photophobia, photophobia, and aura symptoms
Time frame: 1 month intervals at 1 month, 1 year, 2 years, and 5 years post-operative
Change in International Classification of Headache Disorders Diagnostic criteria: Exacerbating factors
Exacerbating factors * Open ended question to record anything that makes the migraine headaches worse. * Examples include medications, environmental triggers (light, noise, etc), and lifestyle (stress, exercise, etc)
Time frame: 1 month intervals at 1 month, 1 year, 2 years, and 5 years post-operative
Change in International Classification of Headache Disorders Diagnostic criteria: Relieving factors
Relieving factors * Open ended question to record anything that makes the migraine headaches better. * Examples include medications, avoidance of environmental triggers (light, noise, etc), and lifestyle changes (stress avoidance, exercise, etc)
Time frame: 1 month intervals at 1 month, 1 year, 2 years, and 5 years post-operative