If you've suffered, seek a current expert (e.g., a neurologist migraine specialist who has recently completed training).
The newer CGRP inhibitors have been highly effective, but that also has made some specialists grow stale in their assessment skills.
Pain is emotionally debilitating, but sorting out complex chronic migraines takes persistence, patience, and an excellent diagnostician. It can take a few long-term trials of treatment and environmental/behavior changes. Be a good patient: bring accurate contemporaneous journals and openness to new suggestions, and stick with an agreed regime pending re-evaluation. Above all, don't just try to power through or mask the pain.
The newer CGRP inhibitors have been highly effective, but that also has made some specialists grow stale in their assessment skills.
Pain is emotionally debilitating, but sorting out complex chronic migraines takes persistence, patience, and an excellent diagnostician. It can take a few long-term trials of treatment and environmental/behavior changes. Be a good patient: bring accurate contemporaneous journals and openness to new suggestions, and stick with an agreed regime pending re-evaluation. Above all, don't just try to power through or mask the pain.