Q: My migraines are becoming more frequent and interruptive to my productivity at work. What kind of interventions make a difference? Cassie H., Trenton
A: Unfortunately there is not a direct answer to your question. A complete history and evaluation is needed first. You would start by finding a neurologist to perform imaging for analysis – someone specializing in headaches would be best. We would also work together to obtain a thorough understanding of your medical history (including your headaches, triggers, medications, etc.). After we have a full evaluation, we would then determine a treatment plan which could include appropriate therapy, medication management and lifestyle modification (stress, diet, exercise). Treatments could vary from Botox injections to caffeine-based medications and more. Each migraine sufferer has very individualized treatment plans, so there are many possibilities.
Q: I have degenerative disk disease in my lumbar spine. I spoke with a doctor about performing micro-surgery, but he said he didn’t want to do the procedure because it isn’t a permanent solution to my problem. I am not convinced. Please advise. Grant N., Melvindale
A: Confirming the cause of your back pain is very important. Degenerative disk disease is a complex issue and seeking two more evaluations – from both an orthopedic surgeon as well as a neurosurgeon – is recommended. Prior to making surgery your option, you may need to engage in other possible treatment modalities such as physicial therapy, massage therapy and ice/heat.
Q: My right hand is always in pain from mouse-clicking at work all day long. Are there any injections or treatments that are non-invasive that can help? I want to avoid taking pills and surgery, if possible. Ahmed Z., Dearborn Heights
A: Applying ice, resting your hand, taking breaks and changing the ergonomic setup of your desk may help. If none of these alleviate your pain, then you may need to see a hand specialist for further evaluation to prevent the possibility of permanent nerve damage. If it is carpal tunnel syndrome, a minimally invasive surgery could resolve your pain and prevent long-term problems.
Daniel Mekasha, M.D., is board-certified in anesthesiology and pain management. His practice, MAC Pain & Spine Institute, is at 13383 Reeck Court in Southgate. Do you have a health question for Dr. Mekasha? Submit it by email to: [email protected]
All information provided in Ask The Doctor is intended for your general knowledge. Consult with your personal doctor or pharmacist for any specific health or nutrition issues. Never disregard professional medical advice or delay seeking medical treatment because of information you have read in any publication.