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Migraine Headaches

You want to have your migraines treated by someone who has migraines. 


Dr M Kathryn Schaefer MD, knows a lot about migraines, as she used to get them almost every other day.  Dr Schaefer has personally tried almost every medical migraine treatment available and knows what works and what doesn't.   Migraines are very common with 30% of American women, 6% of men, and 10% of children experiencing migraines.

Migraine headaches are a treatable condition - many of Dr Schaefer's chronic migraine patients who were incapacitated with 15 or more migraine headaches a month are now almost migraine free and have their lives back.  

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Migraine - Botox Oahu

The time to end your suffering is now! Pick up the phone and call or text to book an appointment at our office, we are open Monday, Thursday, and Friday. Don't let another day go by without taking charge of your well-being. Make the call and start your journey towards headache free living.

Many patients with Migraine headaches are misdiagnosed as tension or sinus headaches. Tension headaches are mild and get better with a Tylenol and Sinus headaches usually have green pus draining from your nose and a fever.  If you have severe headaches and you just want to lay down with the lights off and no noise, and possibly you feel nauseated - you are having Migraines.  80% of severe recurrent headaches are migraines. 

There have been significant advances in the management of migraine headaches.  Dr Schaefer will find a combination of medications that will be life changing for you.  Because Advil alone is not going to do squat for a bad migraine.  

Categories of medications that Dr Schaefer uses to treat Migraines


Botox (botulinum toxin type A) this migraine treatment involves between 27 Botox injections around the head and neck given once every three months.  This can be life changing, just imagine going from having a migraine almost every day to hardly ever.  Dr Schaefer is expert at knowing exactly where to inject to get the most benefit.  We are experts at getting migraine Botox approved through your insurance.  If you have private insurance you can use the to cover your copay allowing you to get the Botox with no extra out of pocket expense.  

More information from AbbVie about Botox for Migraines 



Serotonin agonist a unique class of medications specifically to treat migraines

  • Imitrex (sumatriptan)

  • Maxalt (rizatriptan)

  • Zomig (zolmitriptan)

  • Relpax (eletriptan)

Monoclonal Antibodies

Long acting Calcitonin gene-related peptide antagonist.  These are administered every 3 months by subcutaneous injection.  This new class of medications can decrease migraine frequency by up to 50%

  • Ajovy (fremanezumab-vfrm) injected once a month or once every 3 months

  • Emgality (galcanezumab-gnlm) injected once a month


Short acting Calcitonin gene-related peptide antagonist

Beta Blockers, Tricyclics, and Anticonvulsants 

Prophylactic medications - that help prevent migraines from occurring


Toradol (ketorolac) mixed with lidocaine injected intramuscularly.  This non-narcotic injectable pain medication works much better than morphine in treating an acute migraine pain that has gotten out of control and will save you a visit to the emergency room. It also works wonders to stop severe painful menstrual cramps. We can teach you how to safely self administer this injection to yourself at home. 

If you want to learn more about these drugs check out for a good source of info.

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Yelp! Review  ✭✭✭✭✭

I have been regularly seeing Dr. Schaefer for a year now and I can say without hesitation that she is as good as it gets. Dr. Schaefer practices medicine with the patients needs in mind first and foremost. She is clear, thorough, and incredibly smart. After seeing Doctor Schaefer I am continually wondering how she is able to come up with ideas and solutions where other doctors could not. What is commonplace for her is beyond the scope and ability of other doctors. To say she is good at what she does is a gross understatement. The icing on the cake is how amazing her front desk is. They are quick to apologize when a mistake is made, quick to forgive, and extremely proficient in everything they do. They get things done swiftly when you need them done, they call you back when you message them, and they are incredibly courteous and kind. I don't have enough time in the day to say how much I respect and appreciate Doctor Schaefer and her staff!


Yelp! Review  ✭✭✭✭✭

I have been to several doctors to receive Botox treatment for migraines as well as aging care, but no one compares to the treatment I received today. The whole office is incredible and I have never felt so valued when it came to my health, physical appearance and future appointments. I will be scheduling more appointments in the next few months for more injections because who doesn't want to try to look like a celebrity these days; not only look, but feel like one. :) I'm over the top excited about my future with this office and the well-being of my skin and anti-aging procedures. :)

Yelp! Review  ✭✭✭✭✭

Dr. K. Schaefer is great! I've been going to her for over 2 years and have had fantastic results. My migraines have subsided and life is much brighter!

Yelp! Review  ✭✭✭✭✭

I've been coming here for several years and wouldn't go anywhere else! Dr. Schaefer is wonderful. She has an excellent bedside manner and really, really knows her stuff. I see her for Botox to manage my migraines and for fillers, and I completely trust her with my face-for those of you who've had injections go wrong, you know what I'm talking about! Her staff is so helpful and friendly, the office is clean and comfortable, and there are a multitude of services offered.  Five stars for sure!

Migraine is an extraordinarily prevalent neurological disease, affecting 39 million men, women and children in the U.S. and 1 billion worldwide.

Everyone either knows someone who suffers from migraines or struggles with migraines themselves.

  • Migraine is the 3rd most prevalent illness in the world.

  • Nearly 1 in 4 U.S. households includes someone with migraine.

  • Amazingly, 12% of the population – including children – suffers from migraines.

  • 30% of American women, 6% of men, and 10% of children experience migraines.

  • Migraine is most common between the ages of 18 and 44.

  • Migraine tends to run in families. About 90% of migraine sufferers have a family history of migraine.


Most people don’t realize how serious and incapacitating migraines can be. 

  • Migraine is the 6th most disabling illness in the world.

  • Every 10 seconds, someone in the U.S. goes to the emergency room for a severe headache, approximately 1.2 million visits are for acute migraine attacks.

  • While most sufferers experience attacks once or twice a month, more than 4 million people have chronic daily migraine, with at least 15 migraine days per month.

  • More than 90% of sufferers are unable to work or function normally during their migraine.


Migraine is much more than a bad headache.

  • Migraine is a neurological disease with extremely incapacitating neurological symptoms.

  • It’s typically a severe throbbing recurring pain in the temple area, forehead, and back of the head. 

  • In some cases, other bothersome symptoms such as nausea, aura, stiff neck, or irritability are present without the head pain.

  • Attacks are often accompanied by one or more of the following symptoms: visual disturbances, nausea, vomiting, dizziness, extreme sensitivity to sound, light, touch and smell, and tingling or numbness in the extremities or face.

  • About 25% of migraine sufferers also have a visual disturbance called an aura, which usually lasts less than an hour.

  • In 15-20% of attacks, other neurological symptoms occur before the actual head pain.

  • Attacks usually last between 4 and 72 hours.


For many sufferers, migraine is a chronic disease that significantly diminishes their quality of life.

  • More than 4 million adults experience chronic daily migraine – with at least 15 migraine days per month.

  • Depression, anxiety, and sleep disturbances are common for those with chronic migraine.

There are many possible triggers for Migraine Headaches.  Knowing yours and avoiding them is important. 

  • Stress

  • Changes in sleep patterns such as getting too little or too much sleep

  • Changes in routine, traveling

  • Missing meals

  • Hormone changes due to menstruation or menopause

  • Caffeine in coffee, tea, or soda, or caffeine withdrawal

  • Alcoholic drinks, specially red wine or beer

  • Changes in the weather, especially changes in barometric pressure

  • Certain foods, especially those with nitrates, tyramine, or MSG

  • Dehydration

  • Light, including bright sunshine and indoor fluorescent lights, or glare

  • Smells like perfumes, chemicals, gasoline, bleach, or strong food odors

  • Computer use

  • Strenuous exercise or sexual climax


Migraine disproportionately affects women.

  • Migraine affects about 28 million women in the U.S.

  • 85% of chronic migraine sufferers are women.

  • They usually start in adolescence

  • Roughly 1 in 4 women will experience migraine in their lives.

  • Three times as many women as men suffer from migraine in adulthood.

  • About half of female sufferers have more than one attack each month, and a quarter experience 4 or more severe attacks per month.

  • More severe and more frequent attacks often result from fluctuations in estrogen levels.

For more information on Migraine Headaches check out WebMD

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