Entries by Blog Admin

Codeine containing medicines to move to prescription only

Low dose codeine is currently available over the counter (OTC) in pharmacies for consumers to self administer. Low dose codeine containing medicines are not intended to treat long term conditions, however many consumers do use these products to self treat chronic pain, such as migraine headaches. In this setting, the potential for abuse and dependence […]

New Daily Persistent Headache (NDPH)

New daily persistent headache is a distinct primary headache syndrome. Primary headache disorders are those for which there is no underlying cause that can be identified. The diagnosis requires that the headache has persisted for more than 3 months, without stopping, and it must not be caused by another medical disorder. Frequently the person can […]


Congratulations to our esteemed colleague, stem cell researcher Professor Alan Mackay-Sim, the 2017 Australian of the year award recipient. Neurologist, Dr Nicole Limberg from Migraine Specialist was privileged to be able to assist with his research, providing SSEP measurements for his paper, ‘Autologous olfactory ensheathing cell transplantation in human paraplegia: a 3-year clinical trial’ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2525447/ His […]

Emerging therapies

Calcitonin Gene Related Peptide Targeted Therapy for Migraine  There is an emerging class of medications for migraine treatment, targeting the calcitonin gene related peptide (CGRP). These drugs are likely to become available in the next 2-3 years. They appear to be effective and specific medications, blocking the pain pathway most likely to result in migraines. […]

Questions from the clinic: How does injection therapy work for Chronic Migraines? Will it work for me?

Today we post our response to a question that gets asked frequently by patients in our clinic. Injection therapy has shown efficacy in chronic migraine, though the way it works to achieve this effect remains unknown. Recent studies have however provided some intriguing insights as to the potential mechanism of action of the drug. Migraine is […]

Injection therapy safe and effective for Chronic Migraine

Please note the name of the medication has been removed as per TGA guidelines, and is referred to as ‘injection therapy’ The American Academy of Neurology has released an updated guideline, the first since 2008, based on a review of scientific studies of injection therapy as treatment for chronic migraine. ‘Injection therapy has been established […]

Acute Migraine Treatment: A Graded Approach

At migraine specialist the concept of ‘stratified’ care to the treatment of an acute attack of migraine is applied. This treatment approach recognises the evolving nature of a migraine attack. In last weeks blog we included a graph of the evolution of an attack of migraine https://migrainespecialist.com.au/blog/5-steps-successful-acute-migraine-management/ For the migraine patient it is best to have […]

5 Steps to Successful Acute Migraine Management

Learning to understand your migraines and the best way to manage them effectively is essential for the migraine patient to achieve results.  1/Set a Goal for your treatment:  A reasonable goal is to be free of migraine within 2 hours, with no return of migraine for at least 24 hours, though this may not be able […]

Hemicrania Continua (HC)

Persistent headache with a watery, red eye? Read on Hemicrania continua (HC) is a rare headache disorder, more common in females, usually beginning in adulthood. It always involves head pain on one side only, although rarely it can switch sides. The pain typically involves the forehead, temple, eye and occipital regions. The pain is present […]

The Goals of Migraine Specialist

Our staff respond to many phone, email and other enquiries daily about the service we provide. Every week we meet to collate these queries, discuss further, and as a team we consider, ‘How can we continue to improve the outcomes for our patients?’ Potential patients ask, ‘How can your clinic help me?, and GPs ask, […]

Migraines and Weather

A multitude of triggers can set off an attack in migraine patients. Examples of such triggers include foods such as wine, chocolate and caffeine, stress or the sudden lack of it, ie ‘let down’ stress, changes in sleep patterns, and hormonal fluctuations at various times in a women’s life. A number of migraine patients will […]