Risk Factors Determining Progression From Episodic To Chronic Migraine


Non-modifiable risk factors are older age, female gender, Caucasian ethnicity, low educational level, low socioeconomic status, and genetic factors. Modifiable risk factors are obesity, snoring, head or neck injury, comorbid depression, stressful life events or major life changes. Only about 25% of patients achieved remission, specifically moving from more than 15 headache days a month to less than 10 headache days a month, over a period of 2 years. The most important factor that favors obtaining remission is a lower baseline of headache frequency. Recognizing risk factors leads to behavioral modifications such as weight loss, checking for sleep apnea, treating anxiety and depression. Using effective abortive therapy, mainly triptans and treating each headache early, is also helpful.

Dr. Florin is committed to treating all patients compassionately with state-of-the-art techniques while maintaining their dignity and independence. He views each patient encounter as a collaboration. Dr Florin has over 35 years of experience. He is Adjunct Clinical Professor at Keck School of Medicine (USC) and is the founder and medical director of the Fullerton Neurology and Headache Center. He has been recognized by the Orange County Medical Association as a Physician of Excellence in Neurology. US News and World Report ranks him in the top 10% of neurologists nationwide.

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