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Migraines Specialist

Pain Consultants of Michigan/ A & R Therapies

Interventional Pain and Regenerative Therapies & Aesthetics located in Saginaw, MI

The intense pain of a migraine is bad enough, but on top of that, you can also suffer through symptoms like nausea and sensitivity to light. When conventional medical care doesn’t relieve your pain, Lakshmana Madala, MD, FIPP, at Pain Consultants of Michigan/ A & R Therapies in Saginaw, Michigan, can help with interventional treatments that target the nerves causing your migraine pain. To learn more about your migraine treatment options, call the office in Saginaw, MI or have your physician refer you to our office.

Migraine Q & A

What triggers migraines?

Though all the causes of migraines aren’t fully understood, the experts agree that the trigeminal nerve is involved. There’s also no doubt that migraines are triggered by environmental, physical, and emotional stimuli. The trigeminal nerve may overreact to your triggers and send signals to your brain that result in a migraine.

The factors that trigger a migraine vary from one person to the next. However, some of the most common include:

  • Stress
  • Fatigue
  • Caffeine
  • Alcohol
  • Strong odors
  • Skipping a meal
  • Bright lights and sun glare
  • Hormonal changes 

Some people also find that eating certain foods triggers a migraine.

What are the stages of migraines?

Migraines are different from other types of headaches because they may cause symptoms that begin before a headache appears and continue after your pain is gone. The stages of a migraine are as follows:


In the day or two before your headache, you may develop subtle symptoms like mood changes, food cravings, and feeling more thirsty than usual.


It’s estimated that roughly one-third of all migraine sufferers experience aura about 30 minutes before their migraine begins. Most patients who have a migraine with aura have vision changes such as flashes of light, wavy lines, and blurry vision.


This is when your migraine pain begins. Migraines last at least four hours; many persist for days. Generally, you experience intense pain that’s concentrated near their temple and gets worse when you move. You may also experience nausea, vomiting, lightheadedness, and sensitivity to light, sounds, smell, and touch.


For about 24 hours after your pain stops, you may still feel confused, dizzy, or have ongoing sensitivity to light and sound.

How are migraines treated?

Conventional medical care includes medication to relieve pain or to prevent future migraines. If you have more than 15 migraines a month, a condition called a chronic migraine, you may be a good candidate for Botox® injections to reduce the frequency of your headaches.

As an interventional specialist, Dr. Madala offers treatment options for your migraines, such as:

Peripheral nerve block

Dr. Madala blocks nerves signals in your skull or temple by injecting a local anesthesia.

Sphenopalatine ganglion blocks

The sphenopalatine ganglion (SPG) is a cluster of nerves located behind your nose. The SPG is associated with the trigeminal nerve, which is involved in migraines. Your pain is diminished and you may prevent future attacks when Dr. Madala blocks the SPG with an injection of a local anesthetic.

If you suffer from the intense pain of migraines, let Dr. Madala and his team at Pain Consultants of Michigan/ A & R Therapies help. To learn more about the pain-relieving treatments available at Pain Consultants of Michigan/ A & R Therapies, call 989-752-1900 or have your physician refer you to our office.