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gym, jogging) Hair washing you may want to wash your hair the day before the appointment Skin cleansing in areas injected Massages and extreme heat such as spas The areas injected might feel bruised or tender for a few days and you may also notice your migraine symptoms are temporarily more severe or you may have a migraine attack in the days following the treatment

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Taking a detailed history is important to help guide investigations and management

breathing exercises (4-7-8 technique) to calm sympathetic activation and reduce central sensitization

doi: 10.1126/sciadv.abe1174 114 LeeHWChungWLeeHOJeongDEJoALimJEet al