The Curbsiders Internal Medicine Podcast #341: Headache Update: Making Migraines Less Painful with Dr. Kevin Weber
Jun 20, 2022
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Weber's Background And Interests
- Dr. Kevin Weber trained at Ohio State, did fellowship at Cleveland Clinic, and returned to Ohio State as headache division director.
- He runs a sports concussion clinic and has twin toddlers and follows Detroit teams closely.
When To Image Headaches
- Do not image routine migraines with a normal neuro exam; follow the American Headache Society 'narrow imaging' guidance.
- Order MRI (not CT) for unusual, persistent, worsening, focal-neurologic, post-traumatic, or high-risk presentations.
Basic Workup And Trigger Review
- Check basic labs (CBC, CMP, TSH, B12, vitamin D) when headaches change pattern to exclude metabolic contributors.
- Also review sleep, hydration, meals, stress, and cervical spine as modifiable triggers.