Tag Archives: Migraine Treatment

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How to Prevent and Treat Migraine Headaches

February 22, 2010 – 11:41 am

For the millions of migraine sufferers in the United States alone, any sort of migraine treatment is better than nothing. A migraine can come on with or without any sort of noticeable trigger and stay for hours or days at a time. The unspeakable throbbing in the head, sensitivity to light and sound, and debilitating consequences for daily life lead to interesting perspectives on prevention and treatment.

Traditional migraines can occur with or without an aura, meaning they can have (or not have) any visual disturbances. Such visual disturbances include blind spots, seeing colors, or shades of gray and/or black. An ocular migraine includes those types of visual “hallucinations” but they only occur in one eye. The changes to vision are not permanent in either situation, but often send most migraine sufferers to medical clinics. Lewis Carroll, of Alice in Wonderland fame, cited migraine hallucinations as primary sources for the creation of the classic children’s book. Migraines, with or without an aura, occur because of changes in the brain’s blood vessel. Blood vessels swell, causing inflammation, which then constricts the blood vessels even more. The optical changes noticed in traditional migraines are because of the occipital cortex perceiving changes in vision due to blood vessels and inflammation. With an ocular migraine, however, the visual changes occur in the retinal blood vessels, which are inflamed, and causing visual disturbances.

According to migraine experts, the most common triggers for migraine headaches include stress, lack of sleep, and skipping meals. Other triggers include weather or altitude changes, pollution, smells, any sort of sleep problems, and other senses, like lighting. Foods that include aspartame or MSG (monosodium glutamate) also have been identified as triggers to migraines. Another large trigger is smoking, as it constricts already small blood vessels. Migraines tend to effect women more so than men; estrogen increases the chances of migraines, research states. However, it is unclear how estrogen does this. Some women find that decreased levels of estrogen will cause migraines while others say that too much estrogen caused the problem. Many women find that their natural menses cycle will effect when their next migraine will occur.

Experts say that prevention is the easiest way to deal with a migraine. This means identifying your own pattern of migraine headaches and triggers. Some experts prescribe or recommend non-migraine medications daily in order to prevent migraine headaches. Doctors also state there is a distinct “window of opportunity” in which migraines are starting and can be most easily treated, without them running their course. This timeframe is limited to the first hour of the headache. However, experts admit most migraine sufferers do not want to bring on the unspeakable and convince themselves that they are only having a tension headache.

Once a migraine has started, several types of medication can be used to treat them. Over the counter medications, such as Tylenol or Advil, have helped some migraines while still others utilize other anti-inflammatory agents to treat migraines. These medications focus on helping the body deal with the pain of a migraine. New medications called triptans provide the treatment of the blood vessels, which essentially helps to stop the migraine at its root cause. Such medications include sumatriptan, zolmitriptan, and naratriptan. However, the triptan classification does not help with ocular migraines and could intensify the vision problems leading to vision loss. However, some migraine sufferers do not feel comfortable always relying on medications to prevent or treat migraines. Doctors suggest, and highly encourage, patients to stay on a consistent schedule for meals and sleeping; disturbances with those daily events could lead to more stress and/or migraines themselves. Others encourage utilizing supplements such as magnesium, riboflavin, and coenzyme Q10. However, they stress that correct dosages should be maintained for at least three months before its intended effects can be perceived. Doctors suggest 500 mg of magnesium, 400 of riboflavin (B-12), and 150 mg of coenzyme Q10. Other types of herbs have anecdotal evidence of assistance in preventative measures; those include butterbur or feverfew. Doctors do warn that there are limited enforcement procedures of herbs; one brand could be more potent than another, so doctors suggest caution and using a reputable brand name. Still other migraine sufferers use acupuncture to relieve migraine pressure and Botox, as its primary usage is paralysis of muscles. Studies are being done to support the anecdotal evidence suggested by Botox promoters. Doctors feel that ocular migraine patients could find sunglasses, either simple or prescription, based on which wavelengths they seem to be having difficulties with.

Despite the once widespread belief that migraines were “just another headache” many advances have been made to understand and treat the source of the problem. As always, consult your doctor for your individual case before adjusting your migraine treatment. Adverse side effects should always be communicated with your doctor.



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Guide to Headache Migraine Treatment

February 1, 2010 – 2:37 am

Migraine headaches are repeated or recurrent headaches, possibly caused by changes in the diameter of the blood vessels in the head. Migraine headaches are often classified in two main types — migraine with aura (formerly called classic migraine) and migraine without aura (formerly called common migraine). Most people with migraines do not have any warning before it occurs. However, in cases of “classic” migraine headache, a visual disturbance called an aura happens before the headache starts. Classic migraine is different from “common” migraines (which have no warning sign or aura) or “complicated” migraines (which occur with speech, movement, or other problems in the nervous system). Auras usually last less than an hour. The headache typically begins less than an hour after the aura ends. About two in 10 people who have migraines experience auras, which are sensory or motor disturbances that precede the actual headache. Most auras consist of visual disturbances, such as a blind spot or a flickering zigzag line or crescent in your field of vision. Another type of aura involves unusual sensations, such as numbness and tingling of the lips, lower face and fingers. A third type affects motor function, causing problems with movement or speech.

Migraine headaches are a common type of chronic headache. Migraine pain can be excruciating and may incapacitate you for hours or even days. Some people do experience a variety of vague symptoms before common migraines – mental fuzziness, mood changes, fatigue, and unusual retention of fluid. Migraines occur in women more than men, most often between the ages of 10 and 46 years. In some cases, they appear to run in families. Migraines without aura strike without the unmistakable warning sign of disturbed vision or sensation. Still, some people say more subtle symptoms, such as mood changes and loss of appetite, alert them to oncoming migraines. True migraine headaches are not a result of underlying brain tumors or other serious medical problems. The pain of a classic migraine headache is described as an intense throbbing or pounding felt in the forehead/temple, ear/jaw or around the eyes. Classic migraine starts on one side of the head, but may eventually spread to the other side. An attack may last one to two pain-racked days. Influences in a person’s life that tend to overload the nervous system are risks. Once identified in your life, you can counteract the negative effects of risks with the positive results of protective activities.

Migraine headaches constantly accommodates changes in hormones, emotions, and thoughts as well as the many chemicals in our food and beverages. Migraines are the most studied of all headaches, and there are various competing theories about what may actually cause them. Hormones seem to influence migraine development. Some women who take oral contraceptives or estrogen experience worsening headaches while others improve. Similarly, some women have an increasing headache pattern during pregnancy while others have diminished headache intensity. Other women develop migraines for the first time when they are pregnant. Headaches may increase in some women in the days before their menstrual period. Women who do not have migraines may develop migraines as a side effect to using Oral Contraceptive Pills (OCP). Many scientists now believe that migraines arise from problems within the central nervous system. These problems, which tend to run in families, affect the chemical messengers inside your brain — making you more sensitive to the types of triggers that can cause migraines. Many internal and external factors can trigger migraine such as ,Common foods — aged cheese, red wine, caffeine, chocolate, dairy products, pickled foods, lunchmeat, aspartame, MSG, peanuts, lima beans, bananas, raisins. Physical factors — fatigue, hormonal changes, missed meals, decreased sleep, oversleeping, stress

Guide to Headache Migraine Treatment Tips

1.Many medications can reduce the frequency of migraines such as ,Beta-blockers (e.g., propanolol) Anti-depressants (e.g., amitriptyline) Anti-convulsants (e.g., valproic acid) Calcium-channel blockers These medications are less useful and tolerable to patients with infrequent headaches.

2.Other medications are taken when there is the first sign of an impending migraine attack. In the case of classic migraine, Ergots (e.g., DHE-45) Serotonin agonists / triptans (e.g., sumatriptan) and Isometheptene.

3.Other medications are primarily given to treat the symptoms of migraine. Used alone or in combinations, these drugs can minimize pain, nausea, or emotional distress caused by the migraine.Anti-emetics (e.g., prochlorperazine) Sedatives (e.g., butalbital) Anti-inflammatories (e.g., ibuprofen) Acetaminophen Narcotic analgesics (e.g., meperidine)

4.Most patients with migraine can identify certain foods that are closely associated with their migraine headaches. To find out which foods are responsible, avoid all of the above-mentioned foods and then gradually work each food back into the diet.

5.Hormone therapy may help some women whose migraines seem to be linked to their menstrual cycle.

6.Stress management strategies, such as exercise, relaxation, biofeedback, and other therapies designed to help limit discomfort, may also reduce the occurrence and severity of migraine attacks.



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