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Getting Ahead of Headaches
Bayview News, Vol. 22, #3
August 2006

Migraine, tension, cluster, sinus—the types of headaches people experience are as varied as the people themselves. No matter what kind, headache sufferers agree—headaches are a real pain!

According to the American Headache Society, every 10 seconds someone in the United States goes to the ER with a headache or migraine. Though an ER visit may offer temporary relief, it’s best to see someone who understands the process and many varieties of headaches.

The new Headache Center, founded by Jason Rosenberg, M.D., assistant professor of neurology and director of the new Johns Hopkins Headache Center at Hopkins Bayview, provides a multidisciplinary approach featuring a broad range of treatments for the hundreds of types of headaches from which people suffer. Eleven physicians—with specialties in vascular medicine, pediatrics, anesthesia/pain control, neurosurgery, otolaryngology, hydrocephalus and psychiatry—will work with the center. To better coordinate these services, nurse practitioner Cynthia Schuster, CRNP and coordinator Beverly Wesko also have joined the staff.

According to Dr. Rosenberg, headaches are the illness for which patients are most frequently referred to the neurological department; that 12 percent of the U.S. population suffers from migraines, which have symptoms far worse than typical headaches; and that nearly one-third of young women have migraines. (Hormonal differences between the female and male brain may be one reason more women suffer from migraines; pregnancy and the influence of the menstrual cycle also can be factors). Most patients with chronic headaches are young, employed and become significantly disabled.

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Valerie Swartz used to get crippling migraine headaches on her job—which was in a physician’s office. Swartz, 55, worked for 30 years as a physician’s receptionist in Shippensburg, Pennsylvania, which is about 40 miles south of Harrisburg. Although she had suffered from headaches ever since grade school, in recent years they had become “unbearable,” she says.

“I had pressure on my temples, on the back of my head. I was incapacitated. I couldn’t do anything. I’d come home from work, say hello to my husband and go right to bed.”

Three years ago, her family physician “heard that Hopkins was performing miracles” with headache patients and recommended that she go to Baltimore for treatment. Once here, she was referred to Jason Rosenberg. “As far as I’m concerned, he did perform a miracle,” she says. Rosenberg weaned Swartz off of a strong headache medication that only was recommended for occasional use, but which she had been taking daily; put her on different medication less prone to causing “rebound” headaches, due to over-medication; and devised vitamin therapy and a diet aimed at reducing the potential triggers of her disabling headaches.

It has worked. Swartz still gets occasional headaches, but they are far more manageable and no longer disabling. “I feel like I’ve gotten my life back,” she says.

The now semi-retired mother of three and grandmother of five says she refers headache sufferers whom she meets to Rosenberg and hopes his new headache center will help others.

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