Urgent Care, rls and migraines

[AriaLittlhous]

Hi, I'm hoping folks, especially those who also suffer from migraines, will share their experiences with going to Urgent Care. I really need a plan. Several nights in the past month after being up for several nights, sometimes the whole night, I've been really hung up on deciding whether to go to Urgent Care. I'm thru the latest "trifecta" (migraine, rls & low back pain) and realize I need a plan. Trying to make this decision on very little sleep just isn't working. Thanks. Daria

[Rustsmith]

You really need to be under the care of a knowledgeable neurologist for those three conditions and not necessarily the same neurologist since migraines, RLS and lower back pain fall within three different sub-specialties of neurology.

Urgent care may be able to help you with the migraine. There are migraine relief meds that work quickly. They could either give you a cortisone injection or use one of the triptan meds, assuming that migraines are not something new for you and that the headache has lasted for more than 48 hrs. If this is a new type of headache and is unusual for you, they will probably insist on an immediate CAT scan to verify that it is "just" a migraine and not something more serious. If they decide that it might be something more serious, you would probably be loaded into an ambulance for a fast ride to the hospital.

As for the back pain and RLS, they may be related since some people with pinched nerves in their lower back also experience symptoms of RLS. Urgent care cannot do anything for these other than give you an NSAID for the pain and refer you to a neurologist.

[debbluebird]

I see a pain specialist for my back pain and my RLS. I get injections that are nerve blocks. They are helping both.