Friends, I’m going to do an impromptu #MigraineChat office hour to help anyone who wants to get started with - or learn more about - the MigraineChat Discord group. I’ll be online at 1:30p ET.

If you want to join, please DM me and I will share the Google meet link.

https://twitter.com/beth_morton/status/1433450261377339394

I’ve done no planning & will do a more formal tutorial later, so this might be a little chaotic. Right now, Discord is the next most organized place to join #MigraineChat besides Twitter.

This week’s #MigraineChatAMA invited Qs about the relationship between sleep disorders and #migraine.

Nothing shared is medical advice. Please talk to an HCP before making changes to your migraine treatment. Errors are mine. #MigraineChat /1 What is the relationship between sleep and #migraine? “[T]he exact nature and direction of the association remains enigmatic; migraine may be the result of sleep disruption, but also sleep disruption may trigger migraine,... [cont.]
#MigraineChatAMA /2

This week’s #MigraineChatAMA invited Qs abt rebound headache: a topic I wish was more rigorously studied for lots of reasons. The research in this thread is not w/o limitations or issues.

Nothing shared is medical advice. Talk to an HCP before making changes. #MigraineChat /1 Medication overuse headache is the ICHD-3 term. Unofficially, it is often referred to as “rebound” headache. Some organizations are trying to get the name updated to medication adaptation headache (to avoid the stigma of blame). For space, I’ll use rebound. /2 #MigraineChatAMA

This week’s #MigraineChatAMA covered acute CGRPs (gepants). There weren’t a lot of questions, so I threw in a few extra resources. There are Qs for the #MigraineChat community at the end.

Nothing here is medical advice. Talk to your doc before making changes. #MigraineChatAMA /1 Do acute gepants work for those w/chronic migraine (CM)?

Clinical trials typically look at ppl w/episodic migraine first: either excluding ppl w/CM or not enrolling enough to obtain reliable results for the CM subgroup. #MigraineChatAMA
/2

Two weeks ago, I posted the #MigraineChatAMA topic: #CGRP preventives. You had great questions. Some I couldn’t answer satisfactorily, others too big to summarize adequately in a thread (i.e., I’ve give an example study for one CGRP, but other research exists). /1 Quick notes: This is not medical advice, just meant to get you pointed in the direction of things to discuss with your doctor. Also, due to space, terms are defined then abbreviations used. Studies may not use brand names (e.g., erenumab, not Aimovig). #MigraineChatAMA /2

Week 2 #MigraineChatAMA - #migraine types: You had some tough Qs & I don’t have all the answers. Just because I didn’t find them in my search, doesn’t mean they don’t exist. If you have reliable sources of information, please share. Errors are mine. For more info, click links. /1 Types: 2 main types are migraine without aura (MwoA) & migraine with aura (MwA). Under MwA are migraine w/: typical aura*, brainstem aura, hemiplegic & retinal migraine. *Migraine w/typical aura also incls migraine without headache. migraineagain.com/10-types-of-mi…
#MigraineChatAMA /2

For this week’s #MigraineChatAMA on Headache Specialists (HAS):

HAS are healthcare providers who completed a year fellowship in headache medicine and become board-certified through an accreditation organization (@UCNSorg). (ucns.org/Online/Online/…). /1 Others might call themselves HAS if they complete add’l qualifications like the @NHF Added Qualification in Headache (headaches.org/aqh/). Other healthcare professionals might regularly attend edu/prof meetings on headache treatment to improve knowledge.
#MigraineChatAMA /2

Can we all just behave and try to get Omicron under control?

Because the next strain is probably Pi and we all know how long that will go on. Yes, I made a bad COVID math pun. Laughter is the best medicine.*

(*It is not, but it helps, because otherwise… I’ll scream.)