Migraine Specialist in Los Angeles

Migraine headaches are a disabling disorder that impacts an estimated 36 million Americans. For some, migraine headaches occur over many years or over an entire lifetime.

The main goals of Los Angeles migraine specialist Eddie Siman are to eliminate migraine headaches, relieve headache pain and restore the patient’s ability to function. An important, additional goal is preventing episodic migraines from progressing to chronic migraines and all its attendant complications by reducing or eliminating the frequency of migraine headaches.

For many migraine sufferers, their headache progresses through 4 stages:

1. Prodrome – a day or two before the migraine
   • Mood changes
   • Stiff neck
   • Constipation
   • Increased urinary output and thirst

2. Aura – before or during migraines
   • Seeing bright spots, shapes, flashes of light
   • Pins and needles sensation
   • Loss of vision
   • Numbness or weakness on one side of the body or face

3. Attack – untreated will last from 4-72 hours
   • Throbbing, pulsing pain
   • Light and sound sensitivity
   • Blurry vision
   • Nausea and vomiting

4. Post Drome – typically the 24 hours following the attack
   • Dizziness
   • Weakness
   • Light and sound sensitivity
   • Confusion and moodiness

Migraine headaches that occur on fewer than 15 days per month are considered episodic. Migraine headaches that occur on 5 or more days per month for a period of 3 months or more are considered chronic. It is not uncommon, however, for an individual’s condition to change back and forth between episodic and chronic migraine headaches. The distinction between episodic and chronic migraine headaches is important because chronic migraine headache sufferers are more likely to be unable to work, manage basic household chores, and function in society. They typically lose more productive time and suffer from a lower quality of life. Even worse, chronic migraine sufferers frequently suffer from other issues such as depression, anxiety, fatigue, and sleep disorders.

Therapiest Dr. Siman believes this is because the connection between temporomandibular disorder (TMD) and migraine headaches is poorly understood by most practitioners. Dr. Siman is a firm believer in a holistic solution to TMD related migraine headaches. Unfortunately, the diagnosis and treatment of TMD (or TMJ) related migraine falls into an area where dental and medical treatment overlap, making a holistic approach nearly impossible. Medical doctors, untrained in TMD typically offer only symptom-based response such as powerful narcotics rather than a preventative solution. Dentists, untrained in TMD typically offer only night guards, another symptom-based rather than preventative solution. Dr. Siman, as a Los Angeles headache specialist, has spent decades of training at the forefront of the diagnosis and treatment of TMD and TMD related migraine headaches. Using CT scans, electromyography, and most importantly, his many years of experience, Dr. Siman will find and maintain the correct jaw position that can prevent migraine headaches from occurring.