Neurologists are medical doctors who focus on conditions affecting the brain and nervous system. Some neurologists have additional training specifically in managing headache disorders like migraines. Here’s more information about what to expect from a headache specialist when you’re diagnosed with migraines:
Physical Exam
Your first visit may start with a comprehensive physical and neurological exam. The neurologist can ask detailed questions about your health history, your family’s health history, and the specifics of your headaches. The neurologist may ask you to describe what your migraines feel like, how often they occur, how long they last, and what symptoms you experience alongside the head pain.
This exam could include nausea, sensitivity to light and sound, or visual disturbances known as auras. The physical part of the exam involves checking your reflexes, muscle strength, and coordination. The doctor may also test your senses, like vision and touch.
These assessments help the headache specialist evaluate the function of your nervous system. The goal is to gather a complete picture of your health and rule out other potential causes for your symptoms. This thorough evaluation provides the foundation for any next steps in your diagnosis and management.
Diagnostic Tests
In some situations, a neurologist may recommend diagnostic tests to get more information. While migraine is typically diagnosed based on your symptoms and a physical exam, imaging tests are sometimes used to rule out other underlying issues.
- MRI (Magnetic Resonance Imaging): This test uses a magnetic field and radio waves to create detailed images of your brain. It can help identify structural abnormalities.
- CT (Computed Tomography) Scan: A CT scan uses X-rays to create cross-sectional images of the brain. It is another way to look for problems that might be causing your headaches.
These tests are not always necessary for a migraine diagnosis. Your neurologist will determine if they are needed based on your individual medical history and the results of your neurological exam. The information from these tests helps provide clarity and informs the direction of your treatment.
Treatment Plan
After confirming a migraine diagnosis, your neurologist can discuss a treatment plan with you. They may customize the plan to fit your needs, focusing on the frequency and severity of your migraines. It may include a combination of approaches to manage symptoms and reduce future attacks.
Some medications are designed to be taken at the first sign of a migraine to stop it from progressing. Others are preventive and are taken regularly to decrease the number of migraines you experience. Botox injections are a preventive treatment approved for chronic migraine, administered in a doctor’s office every few months. For very severe, prolonged migraine attacks, the specialist may administer IV infusions in a clinical setting to help break the pain cycle.
Follow-up Visits
Managing migraines is an ongoing process. You will have follow-up visits with your neurologist to monitor your progress. During these appointments, you and your doctor will talk about how the treatment plan is working. It’s helpful to keep a headache diary to track your migraines, symptoms, and any potential triggers. This log provides valuable information for you and your neurologist to review together.
Find a Headache Specialist Near You
A neurologist provides specialized care to help you manage your migraines. From the initial exam to creating a long-term treatment strategy, their role is to support you through the process. By working with a specialist, you can access a range of diagnostic and treatment options. If you are struggling with migraines, schedule a consultation with a neurologist.
