Dr. Shapira's Chicago Headache Blog

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Monday, September 1, 2014

Lynette:    
 I can get my headaches at any time of day. They can be minor and then suddenly spike or can stay at the same level but be bad enough to stop me achieving my daily goals. When they get really bad I have the option of going to the hospital for a largactil drip and helps a bit. I've had xray and ct scan and nothing has shown up. Iv had these for 3 1/2 years .Can you help me please


Dr Shapira response:

Lynette,  It is not uncommon to hear stories like yours.  You have done the right initial approach of ruling out organic disease.  Radiographs, CT Scans, MRI's and other diagnostic testing rules out organic disease.  

I look forward to seeing patients just like you because it is usually very easy to get 50-80 percent improvement in the early diagnostic phase of treatment.

I frequently utilize simple techniques to reduce headache at the first consultation appointment.  Many patients report more relief at that first appointment then they have had in years or decades.  

The first visit allows me to understand your problem by temporarily relieving your symptoms.  Once you thoroughly understand your we move on to treatment planning in how to make this temporary relief permanent and how to give you control of your symptoms.

IT IS IMPORTANT TO UNDERSTAND THERE ARE NO MAGIC CURES, DRUGS OR SURGERIES.  YOU MUST UNRAVEL THE PROBLEM BUT LIVING WITH CHRONIC PAIN HAS PERMANENTLY CHANGED BOTH YOU AND YOUR BRAIN.  THE ONLY TRUE "CURE" WOULD TO BE TO HAVE A DO-OVER FOR THE LAST THREE YEARS.

TREATMENT IS TO IMPROVE YOUR QUALITY OF LIFE AS SOON AS POSSIBLE.  I always tell my patients to expect 50-80% improvement initially.  We continually strive to eliminate 50-80% of remaining pain and dysfunction.

Most of my patients begin treatment with a Neuromuscular Diagnostic Orthotic as part of a comprehensive approach to giving you rapid relief of symptoms.

Learning how to use Sphenopalatine Ganglion Blocks as an abortive measure to prevent severe exacerbations may let you quickly eliminate most hospital visits.  Eliminating a long term chronic pain problem is complex and we break it down into small pieces to address specific aspects.  There is sometime changes in lifestyle.

I utilize a whole person approach to therapy and treatment.  The use of trigger point injections and trigger point deactivation utilizing vapocoolants and stretch quickly eliminate much of the myofascial pain, a main cause of headache and gives you techniques to turn headaches off before they become severe.

While you are not close to Chicago I do see long distance patients.  To find a Neuromuscular Dentist near you go to www.iccmo.org.  I would also suggest working with a Diplomat of the American Board of Dental Sleep Medicine is many of these problems have a nocturnal problem associated, especially Sleep Disordered breathing.  The American Academy of Pain Management also has Diplomats trained in treating chronic pain.

I am pleased to announce that my new Highland Park, Il office will be opening in September and it is a tow minute walk from the Fort Sheridan Metra Station for my Chicago and Milwaukee patients who depend on public transportation.

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posted by Dr Shapira at 6:50 AM

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