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Timothy A. Collins, MD

Timothy A.  Collins, MDTimothy A.  Collins, MD

Assistant Professor of Medicine, Duke Medicine

Neurology

30 Answers36 Followers242 Helpful Answer Votes
 

Bio

Timothy A. Collins, MD, is an Assistant Professor of Medicine at the Duke University School of Medicine.

As a neurologist specializing in headaches and chronic pain, Timothy Collins takes a multimodal approach to providing pain relief, from traditional drug therapies to herbal supplements and behavioral changes. His approach to headaches and chronic pain is a signature of the Duke Pain and Palliative Care Clinic, a multidisciplinary service that includes a group of anesthesiologists, neurosurgeons, neurologists, and psychologists, all working to better manage patients’ pain.

Collins is a frequent contributing expert to local and national media outlets, including the Wall Street Journal, News & Observer, and ABC News OnCall.

Credentials

Organization Affiliations:
  • Duke Pain and Palliative Care Clinic
  • Duke Medicine
 

My Answers

A. Over the years, I've seen side effects from every medication we use for headaches. Verapamil seems to cause the least problems, as side effects...
A. If it is working for your headaches, its reasonable to stay on it for awhile. Usually I tell patients that after some time, we can gradually taper...
A. I'm not sure where you heard about this procedure, as it is not commonly done for migraines. There are no published reports that this even works for...
A. There are no published reports or studies suggesting that Adipex-P (phentermine) is in any way effective for migraine headache prevention. It is a...
A. Sounds like a venous anomaly--a slightly larger than usual vein that shows up on MRI scan. Its usually nothing to worry about...
A. This type of word-finding problem is pretty common with migraine. Tension headache doesn't normally do this (but stress can cause both tension...
A. Migraines cause dilation of some of the blood vessels in the head. There is also inflammation around some of these blood vessels, also directly...
A. Your headaches sound like a version of post-traumatic migraine -- many of the same medications used for "regular" migraines also work for...
A. Are your symptoms present all the time? Migraine can cause similar symptoms, (and painless migraines can cause them, too). If your symptoms just...
A. Usually rebound headaches are treated by a neurologist, and its better to find one that treats a lot of headaches. Almost any of the prevention...
A. Pineal cysts are small cysts in the middle of your brain, near the pineal gland. They are almost always a congenital "anomaly" meaning they...
A. Unfortunately there have not been any new medications for headache prevention in the last 3 years. There is a treatment (occipital nerve stimulator)...
A. There is a type of headache called occipital neuralgia that is just in the back of the head, usually with severe tenderness in the back of the head...
A. As far as I know, all the medications like citalopram have headaches listed as a possible side effect. I have seen patients with side effects from...
A. The problem with menstrual migraines is that the headaches are driven or caused by the change in hormones with your cycle. The only direct way to...