Migraine Specialist

Rita Koshinski, DO

Internal Medicine & Internal Medicine and Infectious Diseases Physician located in Monterey, CA

It’s estimated that nearly 38 million Americans suffer from migraine headaches, with many experiencing such debilitating pain if affects their quality of life. Dr. Rita Koshinski at Rita S. Koshinski DO Primary Care in Monterey, California, combines both traditional and alternative medicine to effectively manage your migraine pain. If you’re suffering from migraine headaches, call the office today or schedule an appointment online.


What is a migraine?

A migraine is a type of headache that causes severe, sometimes debilitating pain on one side of your head. Many people who have migraines also experience nausea and vomiting.

Researchers aren’t certain why some people get migraines and others don’t but theorize it may have something to do with brain chemistry and how your brain interacts with your nerves.

Over time, you may notice certain foods, activities, or environmental factors trigger a migraine, such as chocolate, wine, exercise, or loud sounds. Many women also experience migraines during their menstrual cycle.

How are migraines different from other headaches?

Unlike a headache, migraines occur in stages, although not everyone goes through all the stages. These stages include:


A few days before a migraine, you may experience changes in mood, neck stiffness, or have food cravings.


You may or may not experience auras, which are visual disturbances such as flashing lights or wavy vision. An aura can occur before or during your migraine attack.


Throbbing or pulsing pain that affects only one side of your head and can last anywhere from four hours to three days. You may also be sensitive to light or feel very lightheaded during an attack.


After your attack, you may feel drained, confused, weak, and moody. These symptoms may last up to 24 hours.

Treatment for your migraine may help prevent some of these stages or eliminate an attack altogether.

How are migraines treated?

Medical treatments for migraines are aimed at stopping pain and preventing an attack. Medications that may relieve your pain include:

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

If your migraine headaches are debilitating and last longer than 12 hours, Dr. Koshinski may recommend treatments to help prevent an attack from occurring. Common preventive treatments include:

  • Cardiovascular medications
  • Anti-seizure medication
  • Antidepressants
  • BotoxⓇ

Dr. Koshinski may recommend avoiding migraine triggers to help prevent the onset of pain.

What can I do to prevent migraines?

Making a few changes to your lifestyle may also help prevent the onset of a migraine. Dr. Koshinski recommends:

  • Eating a healthy diet
  • Getting regular exercise
  • Finding healthy ways to manage stress
  • Following a set schedule

She also recommends you get enough sleep and keep a headache diary to help you better identify your triggers.

For medical management of migraines, call Rita S. Koshinski DO Primary Care in Monterey, California, or use online booking to schedule an appointment.