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Corrected Dr. Shafa is an expert in diagnosing and treating different types of headaches including migraine headaches. She suffers from migraines herself, allowing her to understand how debilitating they can be. Her strong background in internal medicine helps her make the correct diagnosis and gives her the ability to give appropriate treatment. She has had hands-on experience with Botox injections for migraine headaches since 1995.
What is migraine headache?
A migraine is a type of vascular headache typically characterized by throbbing pain on one side of the head. The pain may be accompanied by nausea or vomiting and sensitivity to light, sound, and/or touch. In about 15 to 20 percent of patients, the attacks are preceded or accompanied by an aura (a group of warning symptoms, such as visual disturbances, or changes in smell or taste). Attacks can last from four to 72 hours and be debilitating. In susceptible people migraine headache can be triggered by alcohol, certain type of foods (such as blue cheese, Choclate, etc.), changes in sleep patterns, stress, menstruation, smells, bright lights and changes in barometric pressure and more.
How common is migraine headache?
According to the National Headache Foundation, about 28 million Americans experience migraines. Women are affected about three times more often than men. The condition leads to more than 157 million lost workdays a year. Migraine headaches are also common in children and occur with increasing frequency through adolescence. An estimated 8 to 23 percent of children aged 11 to 15 years experience migraine headaches.
Is migraine headache a heredity Disease?
Heredity seems to play a role in the risk for migraines. When only one parent suffers from migraines, a child has a 50 percent chance of also being affected. If both parents have migraines, a child's risk jumps to 75 percent.
Treating Migraines
Avoid triggering factors:
An important method in treatment of migraine is avoidance of known trigger factors. Patients may need to keep a food diary to identify possible foods that trigger the symptoms.
What are medications options?
Patients who have frequent, severe migraines may benefit from preventive medications. These pills can stop or significantly decrese frequency, intensity and duration of the headaches.
Once the symptoms start, different class of medications may be helpful. Some of the over-the-counter medications have been approved for migraine relief -- Excedrin® Migraine, Advil® Migraine, and Motrin® Migraine Pain. Sumatriptan class such as Imitrex, Maxalt, Relapax, Zomig, and more may be indicated to stop the progresstion of the pain and cease the headache.
How Botox works for migraine i.e. vascular headache?
In migraine patients, it's believed forehead muscles somehow pinch the nearby nerves and trigger the headache symptoms. BOTOX temporarily relaxes the muscles and it can eliminate or reduces migraine pain. Most of patients remain migraine-free or experience a significant reduction in the frequency and severity of attacks after botox injection for migraine.
Tension headache which is partially due to muscle spasm can trigger migraine headache or visa versa migraine triggers tension headache. Botox inhibits muscle contraction and spasm associated with tension therefore it can prevent tension related headache as well.
One stone and two births with botox:

Dr. Shafa’s dual expertise in art and science of medicine allows her to customize the injection sites and you benefit form medical as well as cosmetic result of the botox at the same time. |
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