There are two approaches to preventive treatment, one by
reducing the sensitivity of the migraine generator by means of
drugs, and the other by reducing the number of impulses reaching
the migraine generator. All drugs have side effects and this
approach is only recommended if all else fails. In addition, the
drugs used to prevent primary headaches are often not effective.
It is preferable to make every effort to diagnose where
abnormally high numbers of impulses are coming from and why, and
to treat the cause or causes. In most primary headache
sufferers, it is possible to achieve effective prevention
without the use of drugs. The best way to get to the root of the
problem is by a “multidisciplinary” approach. There are so many
different structures in the head and neck, all of which can be
involved in the headache process, that no single specialist can
have all the knowledge necessary to make a comprehensive
assessment and diagnosis. For this reason, the expertise of
different specialists who would normally