Topic: Migraine and New Generation Medications Host: Mia Minen, MD, MPH, FAAN, FAHS [@MiaMinenMD] Guest(s): Claire Sandoe, MD, MSC, FRCPC, Headache Fellow [@ClaireSandoe] | Michael J. Marmura, MD Description: In recent years, many new medications have been developed and approved for the treatment of headache and migraine disorders. These evidence-based treatments, such as those that target calcitonin gene-related peptide (CGRP), often work better and are better tolerated than older medications which were not designed to treat headache and migraine. In this episode, we review each of these new ..read more

Topic: Migraine and Emergency Medicine Host: Mia Minen, MD, MPH, FAAN, FAHS [@MiaMinenMD] Guest: Benjamin W. Friedman, MD, MS [@benjaminbwf] Description: When migraine or headache pain is at its peak and usual treatments aren’t effective, patients often turn to the emergency department for relief. In some cases, this may be the most appropriate choice—especially when headache red flags are present. However, limited access to care, treatments or education often causes patients to make unnecessary trips to the ED. What are some headache red flags that warrant referring to the ED? What treatments ..read more

Topic: Migraine and Dentistry/Orofacial Pain Host: Mia Minen, MD, MPH, FAAN, FAHS [@MiaMinenMD] Guest: Marcela Romero-Reyes, DDS, PhD Description: To visit the dentist or not to visit the dentist? This question is often debated by patients with migraine who experience orofacial pain, or facial pain involving the temporomandibular joint (TMJ), mouth, head or neck. Whether or not a patient has been diagnosed with migraine, it can be difficult to determine if orofacial pain needs attention from a dentist or orofacial pain specialist. This is why it’s important for primary care providers to learn ..read more

Topic: Migraine and Optometry/Ophthalmology Host: Mia Minen, MD, MPH, FAAN, FAHS [@MiaMinenMD] Guest: Kathleen B. Digre, MD [@kathleen_digre] Description: Approximately 33% of patients with migraine experience fully reversible visual (most common), sensory, or other central nervous system symptoms—known as aura—prior to or during migraine attacks. These symptoms are commonly confused with other neurological disorders by patients and clinicians alike. Understanding the basics of migraine aura can help health care providers make accurate diagnoses and provide appropriate medical care. What is au ..read more

Topic: Migraine and Psychology/Psychiatry Host: Mia Minen, MD, MPH, FAAN, FAHS [@MiaMinenMD] Guest: Noah L. Rosen, MD, FAHS [@NoheadachesNoah] Description: Both migraine and psychiatric disorders are common conditions that often go unrecognized, underserved and undertreated across the globe. The relationship between migraine and psychiatric disorders is complicated, and people dealing with both need informed care from a primary care provider who understands the nuances and connections between these conditions. Are there pharmacological treatments that may be considered to co-treat migraine and ..read more

About 60% to 70% of women with migraine experience attacks associated with hormonal changes. Hear Dr. Susan Hutchinson and Dr. Catherine Stika answer frequently asked questions about hormones and migraine, including hormonal treatment options and how to have these conversations with your migraine patients. The First Contact Headache in Primary Care podcast breaks down topics in headache medicine for primary care providers and other healthcare professionals who care for patients with headache disorders. The program’s goal is to provide educational resources to empower healthcare professionals a ..read more

Many women notice a reduction in migraine activity during pregnancy, especially in the second and third trimesters. But when should patients be concerned about headache during pregnancy? Learn from Dr. Susan Hutchinson and Dr. Catherine Stika about some headache red flags for pregnant patients, how to manage migraine after delivery and more. The First Contact Headache in Primary Care podcast breaks down topics in headache medicine for primary care providers and other healthcare professionals who care for patients with headache disorders. The program’s goal is to provide educational resources t ..read more

It’s important for healthcare providers to discuss pregnancy-safe treatment options with their migraine patients. From changes in medications to treatment at home, find out how to help women manage their migraine while pregnant in this podcast episode with Dr. Nina Riggins, Dr. Susan Hutchinson and Dr. Catherine Stika. The First Contact Headache in Primary Care podcast breaks down topics in headache medicine for primary care providers and other healthcare professionals who care for patients with headache disorders. The program's goal is to provide educational resources to empower healthcare pr ..read more

While migraine has not been proven to affect fertility, pregnancy can significantly impact migraine symptoms. Join Dr. Deena Kuruvilla in her conversation with Dr. Susan Hutchinson and Dr. Catherine Stika on treating and supporting patients with migraine who are planning to become pregnant. The First Contact Headache in Primary Care podcast breaks down topics in headache medicine for primary care providers and other healthcare professionals who care for patients with headache disorders. The program's goal is to provide educational resources to empower healthcare professionals and improve heada ..read more

More than half of women with migraine report attacks just before and during their period. In this episode, Dr. Jelena Pavlovic discusses how hormonal changes can affect women’s migraine and how to diagnose and treat menstrual migraine with Dr. Susan Hutchinson and Dr. Catherine Stika. The First Contact Headache in Primary Care podcast breaks down topics in headache medicine for primary care providers and other healthcare professionals who care for patients with headache disorders. The program's goal is to provide educational resources to empower healthcare professionals and improve headache an ..read more