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What is the most efficacious treatment for migraine headaches?

Migraine headaches is the biggest source of chronic pain. There is however a very thin line of distinction between Cervicogenic, Migraine and Tension headaches. I reckon drugs are the first line of defence however do other forms of treatment like physiotherapy help at all .

Public Comments

1. i know its old fashioned but it really works for me
i get an ice cube and rub it on my head for about 20 sec....take it off fotr 20...back for 20

also try and get around comfortable smells!

2. to be honest, i dont know about physiotherapy. i suffered from migraines for years until i was refered to a "headache specialist", not a "neurologist", but a headache specialist, after my initial consultation, she felt that my migraines were caused by a vitamin deficiency, she ordered tests, and sure enough, B12 deficient.
ever since then, i take 1000 mcg of B12 every day and have not even had so much as a hint of a headache since then.
it might be something worth checking out for you.

3. There's a new development in migraine therapy:
http://www.neurologyreviews.com/feb04/nr_feb04_foramen.html

4. Headache is a pain in the head, scalp or neck.
Headaches can be caused by minor problems
like eyestrain, lack of coffee or more serious reasons
like head injury, brain tumors, encephalitis and
meningitis. Taking painkillers continuously can
have harmful side effects, so it is better to
modify your lifestyle. More information available at