Talk:Management of migraine

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Issues with POV

Surgery is given way to much weight. I have never had a patient who has had it done. It is a very rare treatment option and yet here we have two sections (the first and last) dealing with it. Doc James (talk · contribs · email) (if I write on your page reply on mine) 19:34, 25 September 2012 (UTC)

Fixed. Jaredroach (talk) 19:28, 3 May 2024 (UTC)

This was a 12 year old comment. I would no longer consider migraine surgery a very rare treatment option. You can get this procedure done at major hospitals today. The surgical research on this has expanded significantly.

e.g. https://www.massgeneral.org/surgery/plastic-surgery/treatments-and-services/treatments/migraine-surgery

e.g. https://www.mountsinai.org/care/surgery/services/plastic-surgery/migraine

e.g. https://weillcornell.org/headache-and-migraine-surgery Snake playing a saxaphone (talk) 07:16, 13 May 2024 (UTC)

Stuff on surgery was not deleted - just moved to the prevention article. But if you edit that article further, you may wish to consider what UpToDate (Jan 2024 update) has to say about surgery under the header of Interventions not recommended: "Results from a single-center trial suggested that surgical removal of muscle or nerve tissue [...] may be an effective treatment for select patients [...] [PMID: 23390177]. However, the trial results have been received with skepticism [...] due to small numbers and methodologic [sic] flaws including poor case definition and inadequate controls [PMID: 29504483; PMID: 35435045]. In addition, the proposed mechanism of benefit (trigger site deactivation) does not fit with current pathophysiologic models of migraine. [...] In addition, only a minority of patients with frequent migraine (those with identifiable trigger sites and a positive response to botulinum toxin injection) would appear to be candidates." Jaredroach (talk) 07:00, 14 May 2024 (UTC)

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Could mention magnesium under Rescue Treatment/Other

The existing Kelley 2012 ref mentions magnesium, (and a primary source Ketorolac versus Magnesium Sulfate in Migraine Headache Pain Management; a Preliminary Study. suggests it may be better than Ketorolac). So we could mention magnesium under Rescue Treatment/Other ? Apparently acute migraine is associated with low Mg levels. - Rod57 (talk) 19:44, 21 November 2017 (UTC)

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Update on the scope of the use of Ergot derivatives - would someone put this into the main article

In 2013 the European Medicines Agency’s Committee for Medicinal Products for Human Use (CHMP) has recommended that medicines containing ergot derivatives no longer be used to treat several conditions... — Preceding unsigned comment added by 2001:8004:1500:7AD:C461:D942:64F8:1D01 (talk) 14:04, 28 December 2018 (UTC)

References

Passive Voice

Every guide to good writing that I am familiar with says to avoid the passive voice. Yet here we have: "It is recommended that opioids and barbiturates not be used." Why write that way? To disguise the fact that the recommendation is not the consensus among experts? To sound like the voice of God?75.169.158.172 (talk) —Preceding undated comment added 02:58, 19 May 2020 (UTC)

Educate yourself. This isn't a guide; it's an encyclopedia. Read WP:MOS "To maintain an objective and impersonal encyclopedic voice, an article should never refer to its editors or readers using I, my, we, us, or similar forms"..."though rephrasing to use passive voice may be preferable". MartinezMD (talk) 03:35, 19 May 2020 (UTC)

CGRP receptor antagonists and blocking antibodies

There have been a handful of new drugs that target the neuropeptide CGRP released in the US in the last couple of years. These are mentioned on the Migraine page but are not mentioned here.

I agree that as written this page is very surgery forward. It may be useful to switch the order to non-medical, medical, then surgical options for treatment. UWM.AP.Endo (talk) 22:19, 25 November 2020 (UTC)

Fixed. Jaredroach (talk) 19:28, 3 May 2024 (UTC)