An In-Depth Guide to Intractable Migraines by Dr. Jasdeep Sidana

An In-Depth Guide to Intractable Migraines by Dr. Jasdeep Sidana

Intractable migraine is a debilitating condition that affects millions of people worldwide. Intractable migraines are a type of migraine that does not respond to conventional treatment, such as over-the-counter medication. Dr. Jasdeep Sidana, MD., an expert in chronic illnesses, emphasizes that it is essential to understand intractable migraines and how to treat them effectively.

Understanding Intractable Migraines

Intractable migraines are defined as migraines lasting more than 72 hours and do not respond to standard treatment. Intractable migraines are often accompanied by severe pain, sensitivity to light and sound, nausea, and vomiting. Dr. Jasdeep Sidana emphasizes that it is crucial to identify the causes and triggers of intractable migraines to manage them effectively.

Causes and Triggers of Intractable Migraines

Identifying the causes and triggers of intractable migraines is crucial for managing this condition effectively. According to Dr. Jasdeep Sidana, MD., the following factors can cause or trigger intractable migraines:

Hormonal Imbalances

Hormonal imbalances, such as those that occur during menstruation, pregnancy, or menopause, can trigger intractable migraines. According to Dr. Jasdeep Sidana, the drop in estrogen levels during the menstrual cycle can lead to the development of migraines. Additionally, the hormonal changes that occur during pregnancy can also cause migraines. Menopause is another time when women may experience migraines due to fluctuating hormone levels.


Stress is another common trigger for intractable migraines. Dr. Jasdeep Sidana notes that stress can cause muscle tension, leading to migraines. Additionally, stress can cause changes in neurotransmitters, which can trigger migraines. In some cases, stress can also cause a migraine to last longer than usual, leading to intractable migraines.

Food Triggers

Dr. Jasdeep Sidana explains that food triggers, such as caffeine, alcohol, and processed foods, can cause migraines. Additionally, certain foods, such as chocolate, cheese, and red wine, can trigger migraines in some people. Processed foods that contain additives, such as monosodium glutamate (MSG), can also cause migraines.


Genetics can also play a role in the development of intractable migraines. According to Dr. Jasdeep Sidana, individuals with a family history of migraines are likelier to develop migraines. Additionally, specific genetic mutations have been linked to an increased risk of migraines.

Symptoms of Intractable Migraines

Symptoms of Itractable Migraines

Intractable migraines are a type of migraine that does not respond to standard treatment and can last for more than 72 hours. According to Dr. Jasdeep Sidana, MD., the symptoms of intractable migraines include:

  • Intense pain on one or both sides of the head
  • Sensitivity to light and sound
  • Nausea
  • Vomiting
  • Dizziness

Diagnosing Intractable Migraines

Dr. Jasdeep Sidana emphasizes the importance of a proper diagnosis for intractable migraines. A healthcare professional must rule out other conditions that may cause similar symptoms, such as a brain tumor or meningitis. Diagnostic tests and procedures, such as a CT scan or MRI, may be necessary to diagnose intractable migraines accurately. Dr. Jasdeep Sidana notes that a differential diagnosis is essential for ruling out other possible conditions.

Treating Intractable Migraines

Intractable migraines can be debilitating and require effective treatment to manage symptoms. The following treatment options are available for intractable migraines:


Medication is often the first line of treatment for intractable migraines. Triptans, opioids, and anti-inflammatory drugs are commonly used to treat intractable migraines. However, medication may not always be effective in treating intractable migraines.

Non-pharmacological Treatments

Non-pharmacological treatments, such as acupuncture, massage, and cognitive-behavioral therapy, can effectively manage intractable migraines. These treatments can help reduce pain and improve overall well-being.

Complementary and Alternative Therapies

Complementary and alternative therapies, such as herbal remedies and supplements, may help reduce the severity and frequency of intractable migraines. However, it is essential to discuss the use of these therapies with a healthcare professional, as some may interact with other medications or have potential side effects.

Coping with Intractable Migraines

Coping with Intractable Migraines

Intractable migraines can be a challenging condition to manage, but there are strategies that individuals can use to cope with their symptoms. Dr. Jasdeep Sidana, MD., recommends the following tips and strategies:

  • Make lifestyle changes, such as getting enough sleep, staying hydrated, and avoiding triggers that can cause migraines.
  • Use psychological strategies like relaxation techniques and stress management, including deep breathing, meditation, yoga, and cognitive-behavioral therapy.
  • Seek support groups and resources, such as the National Migraine Association, to connect with others who understand what you are going through.
  • Work with a healthcare professional like Dr. Jasdeep Sidana to develop a comprehensive plan to manage your symptoms effectively and improve your quality of life.


Intractable migraines are a severe condition that can significantly impact an individual’s quality of life. Consulting with a healthcare professional, such as Dr. Jasdeep Sidana, MD., is essential for proper diagnosis and effective treatment. Intractable migraines can be challenging to manage, but with the right treatment and lifestyle modifications, individuals can find relief from their symptoms. If you suffer from intractable migraines, seek professional help and explore treatment options to improve your quality of life.