A few months back my neurologist suggested I go to Georgetown Headache Center or to Jefferson Headache Center and since the former is much closer, I decided to make an appointment. I had gone there early on in my headache trials and tribulations but all I remember is that the doctor made me stop taking Excedrin (which I had been taking everyday for about a year) and the withdrawal was miserable. Then my insurance changed and I had to find a different doctor.
This time there are different doctors and many things have changed so I was hopeful that I’d get some different advice.
The doctor read over my questionnaire and had already read through a letter from my neurologist so we spent quite a while talking and answering questions of each other. I got the usual physical exam with a few differences and I was sent out so that my treatment plan could be written up.
In a nutshell, I had to stop taking my current abortive medications so often because she believes it is causing rebounds. I wasn’t surprised but you gotta get through the day and that’s how I get through the day. Luckily she gave me some alternative medications and started me on a preventative protocol. B2 was helpful years ago so she said to start that again along with a twice daily anti-inflammatory. Limit abortives and rescue medications to 2 times each during a week trying to minimize to only 2 times total for all a week. This I wasn’t hopeful would work out but I’d certainly try.
She also wanted me to continue meditating and looking into Mindfulness Based Stress Reduction courses to expand my meditation practice. She prescribed yoga twice a week as well. I’ve been doing the meditation (not the course yet) but haven’t gotten to the yoga yet. I will though. I will.
She also wanted me to restart using the Cefaly device but to use it for 40 consecutive minutes instead of 20. I have been able to fit that in each day since.
Lastly she wanted me to make an appointment with Jefferson Headache Center too so that they could evaluate my state of medication overuse and treat if necessary. Nothing like having to travel to go to a doctor’s appointment.
Things have been going well so far. I am definitely taking less medication each week and waking up less days already in pain. I still have pain every day but it is better. I imagine I am still going to have to end up at the other center even though I had my fingers crossed that I would be so much better I could skip that part.
For now I am cautiously optimistic.