From Florissant the clinic is a straight run south, either down Lindbergh Boulevard or via I-270 and around the north side of the airport to Woodson Road.
The pattern we see most often from north county
A large share of people arriving with headaches that have become near-daily are not experiencing a worsening disease. They are experiencing a cycle their own medicine cabinet is sustaining, and no preventive treatment will outrun it until that is addressed.
The thresholds are lower than almost anyone expects. Butalbital combinations cross the line at about five days a month and opioids at eight. The full picture, including how a wean is actually structured, is in medication-overuse headache and medication stewardship.
Why people put off dealing with it
Because stopping the medication makes the headache worse before it makes it better, and that worsening reads as proof the medication was necessary. It is not — it is withdrawal, and it usually runs days to a couple of weeks. What makes it survivable is covering that window with treatment that does not feed the cycle.
Where to start
Count your treatment days for a month before your visit, honestly, including the mild days and the over-the-counter tablets. That single number changes the plan more than anything else you can bring. Why the count matters so much is explained in chronic or episodic migraine.
Common questions
Will you make me stop my medication straight away?
No, and an abrupt stop with nothing covering it is why people fail on their own. The approach is explained in medication stewardship.
I only take over-the-counter tablets. Does that still count?
It can. Simple analgesics cross the threshold at around fifteen days a month, and combination products much sooner. See medication-overuse headache.
How long before the headaches settle after a wean?
Usually days to a couple of weeks for the withdrawal itself, with improvement after that. Preventive treatment is started at the same time rather than afterwards — get in touch to talk through the sequence.