Does Steroid Injections Really Help with Migraines? - Neurology

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Steroid injections can be a useful treatment option for certain types of headaches, including migraines, particularly when other treatments have not been effective. However, the effectiveness of steroid injections can vary from person to person, and they are typically not the first line of treatment for migraines.
In your case, it sounds like you have been suffering from migraines for many years and have relied on over-the-counter medications like acetaminophen (Panadol) to manage your pain. The decision to administer steroid injections, particularly in the neck area, may have been made in an attempt to reduce inflammation and alleviate headache symptoms. Corticosteroids can help reduce inflammation and may provide relief for some patients, but they are not without potential side effects.

The symptoms you are experiencing, such as numbness and pain in your right arm, dizziness, and overall discomfort, are concerning. While some patients may experience temporary side effects from steroid injections, including increased pain at the injection site, these symptoms should not persist for an extended period. The fact that you are still experiencing discomfort four days after the injection suggests that you may need further evaluation.
It is also important to consider that corticosteroids can affect blood pressure. If your blood pressure readings are on the higher side, it could be related to the steroid injection, especially if you have a history of hypertension or other cardiovascular issues. Corticosteroids can lead to fluid retention and increased blood pressure in some individuals, so monitoring your blood pressure is crucial.

In terms of recovery, it is difficult to predict how long it will take for you to feel better after receiving steroid injections. Some patients may experience relief within a few days, while others may take longer. If your symptoms do not improve or worsen, it is essential to follow up with your healthcare provider. They may need to reassess your condition and consider alternative treatments or further investigations to determine the underlying cause of your symptoms.

In summary, while steroid injections can be beneficial for some patients with migraines, they are not a guaranteed solution and can come with side effects. It is crucial to communicate openly with your healthcare provider about your symptoms and concerns, especially if you are experiencing persistent discomfort or changes in your health status after the injection. They can help guide you through the next steps and explore other treatment options that may be more effective for your specific situation.