Headache Treatment and Sweat Management in Mississauga & Toronto
Headache Treatment and Sweat Management
in Mississauga & Toronto
From Herbal Remedies to Headache Injections, Mississauga and Toronto Headache Treatment Summary
There are many kinds of headaches, including migraine and chronic daily headaches. Headaches can also be caused by serious conditions, such as tumors and infections. For this reason it's important for patients with frequent or severe headaches to be evaluated by a neurologist. Treatments can include everything from physiotherapy to injectable medication for migraines.
Our Royal College-certified staff neurologist, who has extensive experience in headache treatment, gives a brief overview of migraine headache treatment in Mississauga as follows:
- Avoid common headache triggers, such as chocolate, cheese and red wine. Keep a food diary.
- Use simple analgesics to treat moderate headaches – Advil® and Tylenol® with cola or coffee.
Talk to your doctor about triptans, a class of prescription medication for specific acute migraine therapy. They shrink and calm inflamed, enlarged blood vessels of vascular headaches. Triptans come in oral as well as nasal and injectable formulations. Some commonly used triptans include FROVA®, Amerge®, MAXALT®, ZOMIG® and Imitrex®. Side effects of these medications include sedation, nausea, tingling and other sensory symptoms, and chest pain, and in rare circumstances cardiac complications.
Consider prophylactic measures to reduce frequency and severity. Such measures include oral medications and herbal remedies such as feverfew, as well as non-medicinal measures such as massage, acupuncture and orthopedic pillows, which can all help in some cases. Oral prophylactic mediations include a diverse list of anti-seizure medications, as well as antidepressants and beta-blockers, such as LYRICA®, TOPAMAX®, valproic acid, Elavil® and nadolol. Each has its own side-effect profile, and there is an element of trial and error as to which medication may benefit a given individual.
For chronic migraines, defined as 15 days of headache per month, medications that are injected in the area of the head and neck area can be tried, including nerve blocks with cortisol and lidocaine, or injections with botulinum toxin (Botox). Side effects of injections can include precipitating a headache or bruising and localized tenderness. Other side effects, such as unintended muscle weakness in the face or neck, which could result in a drooping brow or lid or dysphagia or neck weakness, can also rarely occur after migraine treatment with Botox. Mississauga and Toronto patients can find a more detailed discussion of the potential side effects of Botox on our page for prescription wrinkle injections.
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Many private health insurers will cover the costs involved with headache treatment.
Side effects and contraindications exist for all these options and need to be discussed during a detailed consultation with a headache specialist.
To obtain more information on headache treatments, call us at 905-273-3045. If you require a consultation regarding headaches, please have your family physician fax a referral to our office.
Treatment of Excessive Sweating, Mississauga and Toronto
Hyperhidrosis is a term used to describe excessive sweating. It can have negative emotional, social and physical effects for many individuals. Focal hyperhidrosis, affecting an area such as the hands, feet, face or underarms, typically has no specific underlying cause. We offer various options for hyperhidrosis treatment at our Mississauga Sweat Clinic, including:
- Topical treatments, such as topical Drysol or glycopyrrolate
- Botulinum toxin type A (therapeutic Botox)
- Oral medications, including glycopyrrolate, Ditropan® and others
Topical treatments for excessive sweating in Toronto patients can include over-the-counter products containing aluminum chloride and alcohol, as well as prescription medications such as glycopyrrolate compounded in a topical formulation. Side effects can include skin irritation, and in the case of glycopyrrolate, dry mouth, constipation and urinary retention – though these side effects tend to be more of an issue when it is used orally. Typically, topical agents are limited in their benefit for patients with severe sweating.
Iontophoresis treatment involves soaking the area (usually hands or feet) in a water bath through which a low-grade electrical current is passed. It is effective in some individuals and is simple to use and inexpensive.
Between 83% and 95% of people participating in studies of botulinum toxin type A for sweating responded. The average length of response was 7 months in studies, but response time can vary from 3 months to more than 1 year. Side effects can include some local bruising or swelling, and in rare cases an increase in sweating in another area. In the case of injections to the hands, mild transient weakness can be noted. For a more detailed discussion of side effects of Botox, see our discussion of prescription wrinkle injections.
Surgical options can include sympathectomy (nerve cutting) for treatment of the hands or feet, or removal of sweat glands for underarm sweating. Side effects of surgery need to be discussed in detail before the procedure, since they can include such things as nerve damage and infection. Some people can develop compensatory increased sweating elsewhere, and in some cases, results are not permanent and sweating returns.
Use of oral medication for focal sweat reduction is rare because of the potential side effects of medication. Oral medication is usually considered more in patients who have more generalized sweating or who have financial constraints. Again, side effects of these drugs include sedation, blurred vision, dry mouth, urinary retention and constipation.
The cost of hyperhidrosis treatment is often covered by private health insurance. Our sweat management specialists in Mississauga and Toronto can help you submit the required paperwork.