Dr. Howard Smith Oncall

Vidcast:  https://www.instagram.com/drhowardsmithreports/reel/DIxI1r7O17k/Breathing rapidly flowing room air at the onset of a migraine nearly doubles the chances of complete pain relief.  Cleveland Clinic neurologists presented the results of their preliminary clinical trials using a novel air pump called the Mi-Helper to the 2025 American Academy of Neurology meeting.By blowing room air about 20 degrees cooler than body temperature into the nose, the device targets the sphenopalatine ganglion, a nerve plexus deep in the side wall at the back of the nose.  The randomized phase 2 study involved 74 patients: 49 were treated with the device using 3 levels of air flow while 25 received sham treatments.  All received treatments for 10 minutes within one hour of noticing migraine onset.Those receiving air flow at 10 liters/min, the highest tested, obtained the most relief with 47% enjoying complete pain relief at 2 hours compared with only 16% in the control group.  In addition, 41% had sustained pain relief over