Diagnosis and Treatment of Migraines – Insights from Dr. Omid

Migraines are a debilitating condition affecting millions worldwide. Despite their prevalence, they remain misunderstood and often misdiagnosed. In a recent podcast episode of the Headache Doctor, Dr. Omid, an ENT specialist from San Diego, shared his journey and insights into the complex world of migraines. Here’s a comprehensive look at what he had to say.

The Journey to Understanding Migraines

Dr. Omid’s fascination with medicine, particularly ENT (Ear, Nose, and Throat) conditions, began early in his career. However, it wasn’t until he faced his own struggles with migraines and observed similar challenges in his family that he delved deeply into this area.

According to Dr. Omid, there is a critical issue in the medical field: the tendency to overlook migraines due to their complex nature. Traditional ENT assessments often reveal normal results, leading to patients being dismissed without adequate treatment. The revelation for Dr. Omid was when he discovered that migraine treatments alleviate symptoms that seem unrelated to migraine, such as facial pain or dizziness.

The Comprehensive Approach to Migraine Treatment

Unlike conditions that have straightforward surgical solutions, migraines require a multifaceted approach. Dr. Omid emphasizes the importance of comprehensive care, including:

  • Diet and Lifestyle Changes: Identifying and avoiding triggers, maintaining a healthy diet, and managing stress and sleep are crucial steps.
  • Medication: While not the preferred long-term solution, medications can provide temporary relief and are often helpful in the short term.
  • Patient Education and Empowerment: Helping patients understand their condition and fostering a sense of hope and patience is vital.

The Challenge of Migraine Diagnosis

One of the significant hurdles in treating migraines is their diagnosis. There are no definitive tests; instead, diagnosis relies heavily on patient history and symptom patterns. This can lead to frustration, as both ENT specialists and neurologists often pass the patient back and forth, unsure of how to proceed.

Historically, neurologists and ENT specialists have struggled to find common ground in treating migraines. Neurologists excel in managing neurological aspects, while ENTs focus on surgical interventions. However, migraines often fall between these specialties, leading to patients not receiving the holistic care they need. Dr. Omid advocates for a more integrated approach, acknowledging the role both specialties play in managing migraines effectively.

Practical Steps for Patients

For those suffering from migraines, Dr. Omid offers several practical steps:

  1. Seek Comprehensive Care: Look for healthcare providers who understand the multifaceted nature of migraines and can offer a holistic treatment plan.
  2. Be Patient and Persistent: Migraine treatment is not a quick fix. It requires patience and a willingness to try different approaches to find what works best.
  3. Stay Informed and Involved: Educate yourself about your condition. Follow healthcare professionals on social media, join support groups, and stay engaged in your treatment plan.

A recurring theme in Dr. Omid’s discussion is the importance of maintaining hope. He stresses that patients should not become complacent or accept their condition as unchangeable. With the right approach and mindset, it is possible to achieve significant relief from migraine symptoms.


Migraines are a complex and often misunderstood condition, but with the right approach, significant relief is possible. Dr. Omid’s insights underscore the need for a holistic, patient-centered approach to treatment, combining medical intervention with lifestyle changes and patient education. For those struggling with migraines, hope and effective treatment are within reach.

(Dr. Omid is actively engaged on social media, particularly Instagram (@migraine.mentor), where he shares valuable insights and interacts with patients. For those in or planning to visit California, his practice, ENT Associates of San Diego, is a resource for comprehensive migraine care.)

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