Geesh! It was a great day yesterday, but in the evening, around 7:30, my left temple started to hurt. It wasn't but 30 min. and it was ramping up. Since it's still technically a menstrual migraine I decided to do the DHE injection and not let it get very far out of control...to the point where it wouldn't subside w/out a lot of drugs!
Like last time, first I took the compazine and waited 20 min. I got the syringe ready before my thinking diminished anymore and i wouldn't screw it up like last Thursday.
This time I put it in my right thigh and made sure I was extremely relaxed in that muscle, hoping that my leg wouldn't hurt so bad and for so long like it did on Monday.
It didn't hurt when the medicine was going in, but as soon as I pulled the syringe out my leg started to hurt. Man, that's the weirdest thing. Last night I could have used a pair of crutches, it would have been easier to get around.
I layed down and iced the site and pretty soon the muscle started twitching. Then, it started twitching all up and down the top part of my thigh. It felt like there was a baby inside kicking around in my leg.
I was a little nervous about it because I have started the beta blocker and all, and I can't see what's going on in there. I took 2 aleve to help with the migraine, the pain in my leg, and was hoping that it would help the jumpiness in my muscle. But, just to make sure, we called the Advice Nurse and she said it would be gone by the morning and that I had probably nicked or gotten closer to nicking a nerve. That made sense to me so I didn't worry about it. Within 2 -2 1/2 hours after the injection my migraine pain was gone, and within another hour my leg stopped hurting so I could walk on it. Also, this time I had no pain in my back and chest which had concerned me on Monday. So, all in all, pretty successful.
I did, however, wake up @ 2 a.m. and was still up @ 3. And, I felt wide awake, like it was morning or something. I decided that with just getting over the migraine that losing sleep would probably not help things any. I took 1 Ativan (anti-anxiety) to see if it would help me sleep and probably within a 1/2 hr. I was back in dreamy land.
My concern now, is that my menstrual cycle doesn't seem to be over yet. My DHE perscription says that the injections are for 2-3 x a month. I'm not counting the first one I did since I am positive I didn't have any medicine in it. So that makes 2x so far. But, since I just went off the Levlen (oral b.c. pill for menstrual migraine) it could take a while to get back on my regular cycle. All I'm supposed to be treating myself w/ is Aleve w/ either DHE or Frovatriptan, and those are to be used 2x week. I'm not worried about the 2x week so much right now because he said there'd be bad weeks and with the menstrual action going on, I'm definitely in that week. It's just that if the bleeding continues and I have to do one more injection in the next couple of days, I will pretty much be out of options of how I can help myself here and stay w/in my doctor's orders.
I would just e-mail him about this but he won't be back in the office for 5 more days. I will definitely need to contact him then. I could leave a message with one of his partners, but when I did that last week I never got a call back.
I don't want to annoy the people who are trying to help me (i.e. shoot my help in the foot) but at the same time I need to stay within the parameters that the PA gave me. I have a lot of questions because I have more than 2x a week, so what am I supposed to do on the other days I get one? If it's just pressure @ a 3-4 I can pretty much get by w/ staying home, using ice and heat, not doing any housework and using tiger balm and/or salonpas, peppermint oil. But, if it's the menstrual type, the ones that start up fast and feel more burning, then I can't not treat these. I know he knows that too and doesn't want to leave me hanging, I just didn't take the time to get clarification on how to attack these.
I think he was thinking that I would get IV magnesium sulfate in these in between circumstances. But, we didn't know that 1: I would have to go 40 min. to over an hour away 2. each time I get a treatment the doctor has to call it in and o.k. it first 3. the first time I tried it it didn't help.
I think I can make it until monday though. I really hope. Including today, it's just 5 days away. I cannot predict what will happen in 5 days but I'm sure even though it could be difficult that I can make it until then.
Thank God I'm feeling better today though. Shelley picked me up this morning in her new Honda Element and I went to Starbucks w/ my other friend Susan and their friend Cindy.
It's a small thing, but was so nice to have a little girl time. When I got home I started a fire in my woodstove so it's nice and toasty down there. I got 2 new books yesterday that the PA wanted me to read, so think I will take my TAZO Green Tea down there, curl up and start reading "50 Ways to Control Migraines" by Ceabert J. Griffith, N.D., P.A.-C.
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