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First Neurologist Visit for Migraine: What to Expect

Medically Reviewed by Hansa D. Bhargava, MD on October 30, 2020

Everyone gets a headache from time to time. But if you start to notice other symptoms along with your head pain, it may be a migraine. Your primary care doctor is probably your first appointment to help figure out what’s going on. They may refer you to a neurologist if they think your head pain could be from something more serious than just a regular headache.

Anyone at any age can have a migraine, even children. But they usually start in the teen years.

Tell your doctor if you have any other symptoms with your headaches like:

  • Seizures
  • Changes in your eyesight
  • Pain worsened by straining
  • Your headaches start suddenly
  • Your pain lasts for more than a day
  • Your headaches start early in the day
  • Nausea
  • Light sensitivity
  • Lightheadedness

If any of these symptoms disturb your daily schedule, you may need to make an appointment with a neurologist so they can check for migraines.

At Your Exam

During your first appointment with your neurologist, they will ask for your medical history, your symptoms, and if any of your relatives have migraines.

After, they might do a physical exam or neurological tests to rule out other causes of your pain. There are a few types of tests, and the one you get will depend on your symptoms:

MRI. If you’ve hurt your head recently, your neurologist might have you take an MRI to see if your headaches are caused by your injury. They may also use this test to check for structural issues or tumors.

CT scan. This can help your doctor figure out if your pain is from bleeding, spinal issues, or tumors in or near your head.

EEG. An electroencephalogram (EEG) measures your brain waves. Your neurologist will put electrodes, which are small metal discs, on your scalp. This will help your doctor look at your brain activity to see if your pain is from a brain disorder, brain damage, brain dysfunction, or sleep issues.

Your neurologist might also perform eye exams, X-rays of your sinuses, a spinal tap, blood tests, or urine tests to check for various health disorders that could cause your headaches.

How to Prepare for Your Appointment

Before your first neurology appointment, do these things to plan ahead:

Gather helpful information. You can organize your medical records or have them sent to your neurologist before your first appointment. Talk to your previous doctors so they can help you get copies of your documents.

You’ll also want to update your medical history. Make sure you can tell your neurologist about all your health conditions, medications (current and past ones, including those that needed a prescription and those that didn’t), supplements, surgeries, allergies, and your family’s history of head pain.

Be ready to talk about other lifestyle topics, like whether you smoke or drink, as well as your job. Openness can help your doctor better understand what you’re dealing with.

Explain your pain. You’ll need to describe your headache to your doctor. Be prepared to tell them what your headache feels like, where the pain is on your head, how long it lasts, when the issues happen, and if you know any possible triggers. You may want to keep a headache diary so that you can track these things. Bring it to your appointment for reference.

Bring questions. It can be hard to remember them, so write them down. Keep a list of things you want to ask your doctor. For instance:

  • What could be the causes or triggers of my migraine?
  • Will I need any tests?
  • What are the best types of treatment for me? Do they have side effects?
  • Are there alternative or complementary treatments I should consider?
  • Can I make any changes to ease my pain?
  • Is my pain temporary or permanent?
  • How can I deal with migraines and my other health concerns?
  • What websites or reading materials do you suggest?

Next Steps

If your neurologist finds that your pain is caused by migraines, they’ll recommend a treatment plan to stop your symptoms and help prevent them from coming back.

Doctors break up migraine medication into two main groups. You may use a drug to relieve your pain or medicine to prevent your pain.

Your migraine therapy depends on how many times you have a headache, how bad they are, what symptoms happen alongside your attacks, and what other medical conditions you have.

Your neurologist may also have advice about what to do, or not do, in your daily routine to help avoid your migraine triggers.

WebMD Medical Reference

Sources

SOURCES:


Beaumont Health: “Headaches and Migraines: When to see a Neurologist.”

University of Rochester Medical Center: “Neurology at Highland Hospital.”

Mayo Clinic: “Migraine,” “EEG (electroencephalogram).”

Columbia University Department of Neurology: “Migraine Headaches.”

American Migraine Foundation: “What to Expect From a First-Time Visit to a Headache Specialist.”

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