The wrong treatment for migraines can actually increase future risk for increased severity and frequency of migraine.
Physiologic dentistry can decrease the severity and frequency of future migraines in many patients. The first step is a complete evaluation and the use of a diagnostic physiologic orthotic to evaluate treatment.
A recent study in Cephalalgia. 2014 Jun 19 showed that over half of patients seeking emergency care for migraine are given opiods in spite of recommendations to the contrary. The use of meperidine has declined but the use of hydromorphone has increased.
Trigger point deactivation, Sphenopalatine ganglion blocks, occipital nerve block can often give immediate relief without narcotics to patients with severe pain.
Neuromuscular Dentistry, Trigger Point Injections and Sphenopalatine Ganglion Blocks are all useful in the differential diagnosis of Orofacial Pain.