DrGopi.painfree

DrGopi.painfree painfreeCdrgopi is a facebook site meant to educate both doctors and the public in Malaysia about pain and to create awareness.

To create awareness amongst the public and doctors about pain. No one deserves to live life with pain!!!!!!

23/10/2025

Newly Diagnosed WIth Migraines: What to Start, Stop

Written by Alexandra BenisekMedically Reviewed by Jennifer Robinson, MD on December 04, 2022
What to Do First
Learn Your Migraine Triggers
Start a Migraine Diary
4 min read

After your doctor diagnoses you with migraine, it may take a while to land on the treatment that's best for you. In the meantime, you can take steps to prevent migraine attacks and ease your symptoms.

Learning more about your condition can also help you take control of your health.

What to Do First
Make these changes to your daily life to lower your chances of a migraine headache:

Stop shorting yourself on sleep. You're more likely to have a migraine attack when you're short on sleep. Aim for 7-9 hours of rest each night. Try to go to sleep and wake up around the same times every day.

Create a nighttime routine to help yourself relax. A good book, warm bath, or time for meditation may calm you down. Stay away from electronics, caffeine, heavy exercise, and large meals before bed.

If you take a nap during the day, keep it shorter than 30 minutes so you don't have trouble falling asleep that night.

Start controlling your stress. Stress is one of the most common triggers for migraine. Some people are used to constant stress and get migraine attacks on weekends, when they finally relax. Migraine pain itself can cause stress, creating an unhealthy cycle.

To get a handle on stress, make a daily or weekly schedule that includes time for yourself. Don’t pack too many activities into one day. Think about what you can leave out.

Block off time for visits with friends, hobbies, exercise, or whatever helps you relax. At least 15 minutes of time away from work and chores each day can lower tension.

Deep breathing exercises or meditation may also help ease your stress.

Stop going hungry. Too much time between meals makes your blood sugar drop. That may spark a migraine attack or make your symptoms worse. Don't skip meals, and try to eat around the same time each day.

Start exercising regularly. When you work out, your body releases "feel-good" chemicals that help ease anxiety and depression. Since anxiety and depression can make migraine headaches worse, activity helps prevent or lessen them. But don't overdo it. Very intense exercise can actually trigger migraine.

Exercise can also prevent migraine by helping you maintain a healthy weight. Obesity raises your risk of frequent headaches.

Stop getting dehydrated. Dehydration can trigger an attack for about a third of the people who have migraine. Don't wait until you feel thirsty to drink. And carry water with you wherever you go.

Related:
Is It a Migraine or a Sinus Headache?
Learn Your Migraine Triggers
If you learn what sets off your migraine attacks, you'll better understand how to prevent them or keep them from getting worse. Everyone’s triggers are different. But there are a few things that affect most people with migraine:

Hormones. As many as 75% of women with migraine have menstrual migraine. That's when your period triggers a migraine headache. It happens because of changes in your estrogen and progesterone levels. Some birth control methods can prevent migraine attacks because they keep your hormone levels stable.

Certain foods. These vary from person to person. But in general, be careful with:

Chocolate
Cheese and other dairy products
Artificial sweeteners
Processed meats
Foods with MSG
Anything with an intense smell
Caffeine and alcohol. For many people with migraine, caffeine or alcohol worsens symptoms. Others say caffeine helps them feel better when they have a migraine headache. Some headache medications even contain caffeine. Keep track of what helps and what hurts. And know your limits for both of these substances.

Medication overuse. If you take pain medication on more than 10 days in a month, it can actually trigger more migraine headaches. Doctors call this medication overuse headache or rebound headache. You can get it with over-the-counter or prescription pain relievers.

If this happens to you, stop the drug and wait until it’s out of your system to feel better. Ask your doctor about a safe way to come off a prescribed medication.

Light. All kinds of light can trigger a migraine -- bright sunlight, fluorescent light, any flickering light. Keep sunglasses with you, and wear them whenever you're outside. Inside, sit near a window, and stay away from glare and flickering lights.

Smell. Some people with migraines are intensely bothered by smells. Certain odors trigger nerve receptors in your nasal passages and cause a headache or make your symptoms worse. Strong perfumes, chemicals, gasoline, or food smells can bring this on.

Tell your friends and family if you have scent triggers so they can go easy on the perfume and cologne.

Weather. Heat, storms, and barometric pressure changes are common migraine triggers. If weather affects your pain, stay inside or adjust your schedule according to the forecast.

Related:
Is It a Migraine or a Sinus Headache?
Start a Migraine Diary
The sooner you identify your personal triggers, the sooner you can get your migraine symptoms under control. A migraine diary is one of the best ways to do this.

Depending on how often you get migraine, you can write in the diary every day for a week, a month, or longer. Use a preprinted form, a smartphone app, or just take notes on your daily calendar.

Later on, you and your doctor can review the diary to see what's working and if you need to change your treatment plan.

To start, write down lifestyle information such as:

Sleep schedule and how well you sleep
When and how much you eat (note any missed meals)
Whether you had caffeine or alcohol
How much and what kind of exercise you do
What the weather's like
Your menstrual cycle, if you're a woman
Social and work activities
It's most important to capture what you did in the 6-8 hours before a migraine attack.

After you get a migraine headache, take notes about:

The time it began
All your symptoms, including details about head pain (throbbing, one-sided, etc.)
What you were doing when it started
How long it lasted
Anything that made your symptoms worse
Whether anything helped you feel better

Send a message to learn more

https://youtu.be/rXVxPKJ8iYg?si=AkcbASciq-3OjFWbMy lecture on Epidural Balloon Neuroplasty for Spinal Canal Stenosis at ...
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https://youtu.be/rXVxPKJ8iYg?si=AkcbASciq-3OjFWb

My lecture on Epidural Balloon Neuroplasty for Spinal Canal Stenosis at the ICRA 25(International Conference on recent Advances in Pain) held at Altair Boutique Hotel,Kolkatta, India
An honour to be invited as a faculty .

This youtube channel is the official youtube channel of Daradia: The Pain Clinic which is a pain relief clinic with an official website https://daradia.com. ...

View of Vatican city and the columns.Sistine chapel at the back.what a magnificent, religious  architecture .Simply brea...
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View of Vatican city and the columns.Sistine chapel at the back.what a magnificent, religious architecture .
Simply breathtaking to be here and feel the vibrations.i actually saw the police es**rt riders motorcade for the Pope outside the entrance gate .

My oldest patient todate i performed a succesfull interventional pain procedure for chronic low back pain.This Belgian g...
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My oldest patient todate i performed a succesfull interventional pain procedure for chronic low back pain.This Belgian gentleman has been living in Malaysia for more than 30 years.His age..97!!!!!!!
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Had a great tie in Rome, thanks to my good friends,Dr Stefano Meloncelli, famous interventional pain physician in Rome a...
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Had a great tie in Rome, thanks to my good friends,Dr Stefano Meloncelli, famous interventional pain physician in Rome and Simone, CEO pain device company ,Rome.Had an awesome authentic Italian lunch and later went on a bike ride with Stefano to see Rome city.Unforgetfull experience n memories .

Truly honoured and feel privileged to be invited as a chair person to this internationalpain meeting titled PAIN MEDICIN...
09/09/2025

Truly honoured and feel privileged to be invited as a chair person to this internationalpain meeting titled PAIN MEDICINE -A LONG JOURNEY organised by Fondazione Menarini along with IASP and European Pain Societies which will be held at the beautiful city of Florence, Italy.
My heart felt thank you to Professor Varrassi and Menarini for inviting me.This is a great milestone for me and a pivotal moment in my career as a Pain Physician.
Feeling excited to meet doyens of Pain Medicine at this meeting.

I am honored to receive the Pain Ambassador Award from Daradia Pain Foundation , Kolkatta,India.
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I am honored to receive the Pain Ambassador Award from Daradia Pain Foundation , Kolkatta,India.

Honoured to receive the Pain Ambassador award from Daradia Pain Foundation, Kolkatta  India.Thank you Dr.Gautam Dass
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Honoured to receive the Pain Ambassador award from Daradia Pain Foundation, Kolkatta India.
Thank you Dr.Gautam Dass

With fellow Pain Physician icons of India.Rajesh, Madhan and Anand.I am glad i met you guys.
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With fellow Pain Physician icons of India.
Rajesh, Madhan and Anand.I am glad i met you guys.

Invited faculty to ICRA 225,Kolkatta.Happy to be invited.looking forward to a great meeting .
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Invited faculty to ICRA 225,Kolkatta.
Happy to be invited.looking forward to a great meeting .

Happy to be invited faculty to ICRA 2025, International Congress on Recent Advances in Pain in Kolkatta, India.I am look...
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Happy to be invited faculty to ICRA 2025, International Congress on Recent Advances in Pain in Kolkatta, India.
I am looking forward to meeting many new and familiar faces.
Presenting 2 lectures .Hope for a succesful meeting

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