General Anesthesia Can Play Havoc With a Migraine
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General Anesthesia Can Play Havoc With a Migraine
"On December 17, 2024, the very day I wrote my last post for Psychologytoday.com, I had just taken my puppy on a hike and was working to lure her down a very open stairway that led to my office. I had a piece of chicken, and she tentatively placed her paw on the second step and then brought it back. I coaxed her further, and she made a mad dash to the bottom of the staircase."
"At the same moment, I instinctively moved to the right to get out of her way and must have thought I was near the bottom step, as I planted my left leg, which ended up taking the full blow of a twelve-step fall. After being rushed to the trauma hospital, I had my first major surgery, leaving me 12 weeks non-weight bearing and six months of healing ahead."
A twelve-step fall produced complex tibia/fibula and tibial plateau fractures requiring major surgery and prolonged non-weight bearing. Initial healing stalled at four months, prompting a second surgery to remove and replace the rod and hardware to stimulate bone union. Four days after the revision surgery, migraine symptoms began during transfer to a rehabilitation facility. Rehabilitation personnel were unfamiliar with administering migraine medications and initially withheld them, later assigning control of migraine meds to the patient while other medications remained locked. Case studies suggest links between general anesthesia, opioids, and postoperative migraine. Strong patient advocacy and staff education are essential for postoperative migraine management.
Read at Psychology Today
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