Migraine Specialist

First Med Marin

Barry Landfield, MD

Family Medicine Practitioner located in Greenbrae, CA

If you’ve ever experienced a migraine, you know that it can significantly affect your quality of life and cause extreme pain. Barry Landfield, MD, at First Med Marin in Greenbrae, California, works with you to keep your migraines under control through comprehensive treatment and careful attention to your lifestyle. Schedule an appointment online or by phone today if you suffer from migraines.

Migraine Q & A

What is a migraine?

A migraine refers to a type of headache that can provoke severe, debilitating pain on either side of your head. Migraines often come with nausea and vomiting.

It’s unclear why certain people are more prone to migraines, but research has shown that it might have something to do with brain chemistry and the way your nerves and brain interact.

In some cases, various activities, foods, and environmental factors can contribute to the development of a migraine. If you’re going through your menstrual cycle, it can also make you more likely to develop a migraine.


How are migraines different from other headaches?

The main difference between headaches and migraines is that migraines develop in stages, though not everyone goes through all the stages of a migraine. The stages include:


Prodrome occurs a few days before the migraine hits. During this phase, you can experience mood swings, food cravings, or neck stiffness.


Auras refer to visual disturbances, like wavy vision or flashing lights. You can experience auras before or during the migraine.  


The attack is the apogee of the migraine. During the attack, you can experience pulsing or throbbing pain on one side of your head, which can last anywhere from four hours to three days. During this time, you might be sensitive to light or lightheaded.


Postdrome takes place after the attack has subsided. You might feel confused, weak, moody, or drained. This is normal and should go away within 24 hours.


What treatments are available for migraines?

The primary purpose of medical treatment is to stop pain and prevent the development of an attack. Dr. Landfield might recommend:

  • Triptans or ergots
  • Glucocorticosteroids
  • Over-the-counter pain relievers

If your migraines last longer than 12 hours, Dr. Landfield might recommend:

  • Cardiovascular medication
  • Antidepressants
  • Anti-seizure medication
  • Botox®

In addition to medication, Dr. Landfield can tell you which migraine triggers to avoid.


What can I do to prevent migraines?

During your appointment with Dr. Landfield, he can give you some pointers about what you can do at home to minimize your chances of getting a migraine.

He works with you to develop a healthy diet and regular exercise regimen. He might also help you identify ways in which you can manage your stress and sleeping schedule. You should even think about keeping a migraine diary to keep track of what triggers your migraines.

Call First Med Marin today or go online to schedule an appointment with Dr. Landfield and get your migraines under control.