Migraines Specialist

Mullica Hill Advanced Therapies

Integrative Wellness Specialists & Interventional Pain Management Specialists located in Mullica Hill, NJ

About two percent of the population worldwide suffers from chronic migraines. For chronic and refractory migraines or those that are resistant to traditional treatment methods, visit Mullica Hill Advanced Therapies in Mullica Hill, New Jersey, for relief. With special training in pain management and headache relief, Rick Pescatore, DO, FAAEM, and Joseph Cesarine, MD, offer progressive therapeutic options to treat severe, chronic migraines. These therapies can include sub-anesthetic ketamine infusions, propofol microdosing, advanced nerve blocks, or other therapeutic options found most effective for your pain. As diplomates of the American Interventional Headache Society, Drs. Pescatore and Cesarine are proud to bring cutting-edge therapies to South Jersey. Learn how advanced pain therapies can help you by calling the office or booking online.

Migraines Q & A

What are the signs of a migraine?

Migraine symptoms can vary depending on the severity of your pain, your overall health, hormone levels, and other factors. Common symptoms include:

  • Throbbing, pulsing pain
  • Sensitivity to light and sound
  • Nausea and vomiting
  • Severe, one-sided pain
  • Vision changes, including blurred vision

Migraines may also be accompanied by an aura, which may give you a sense that a migraine is about to start. Migraines can last anywhere from four to 72 hours and may require medication or other treatments to stop the pain sooner.

What causes migraines?

Unfortunately, there’s no known cause of migraines. Current research points to abnormal pain pathways and pain reception factors in the brain. Migraines can also be related to your hormones or genetics. Many migraine sufferers have known triggers, such as:

  • Dairy products, MSG, caffeine, and red wine
  • Lack of sleep or an irregular sleep schedule
  • Changes in weather, including barometric pressure
  • Low blood sugar
  • Noxious odors and chemicals
  • Hormonal fluctuations during the menstrual cycle

Every person with migraines has their own unique triggers and the doctors can help you find out what your triggers are by keeping a record of your migraine symptoms and history.

What types of treatment are available for migraines?

Depending on the severity of your migraines, the team may recommend traditional headache and migraine medications, including:

  • Neuroleptic agents
  • Ketorolac
  • Diphenhydramine
  • Dexamethasone

For chronic or refractory migraines, the team uses low-dose propofol to ease pain and avoid many of the side effects of the other medications, such as nausea, vomiting, dizziness, fatigue, and poor concentration.

How does propofol reduce migraine pain?

Propofol is believed to function in three ways to regulate pain signals and sensations in the brain. First, propofol has gamma aminobutyric acid (GABA) potentiation, meaning it regulates that synapses in your brain to change pain signals. Second, propofol reduces central sensitization and cortical changes in the brain that are associated with migraines. Third, propofol inhibits certain pain receptors in the brain to stop pain signals from being received. Depending on how you respond to migraine medications, propofol may be the best option for you.

The medical team may recommend treatment with propofol if you have complex migraines, ocular migraines, drug-resistant migraines or traditional treatments don’t provide relief for you. Propofol can work within 10-30 minutes, compared to hours with other medications, making it a quicker solution as well.

To find out if propofol is right for your migraines, call or schedule a consultation online at Mullica Hill Advanced Therapies now.