“A migraine is like a tornado; it attacks fast without any warning and wreaks havoc. ”
Migraines usually start during the teenage years or early in adult life, affecting more women than men with a ratio of three to one. Migraines are caused from constricted (tightening) arteries that supply blood flow to the brain. When the arteries constrict, blood flow to the brain is reduced as well as the brains oxygen supply.
The brain reacts by dilating (enlarging) arteries to meet the brain’s need for energy. The dilation spreads to the arteries in the neck and scalp and is the culprit of the pain in migraines.
If you live with migraines, make sure to have your Doctor rule out an underlying illness or other medical conditions that mimic migraines with the appropriate tests: for example , x-rays determining sinus infection, EEG for seizure activity or a CAT scan to detect blood clots or a brain tumor. Your Dr . may determine a drug to help ease your pain.
Eight Migraine Triggers
1 . Cerviogentic Headache:
Some people who have a tender neck and suffer from sore bone and joint problems are diagnosed with this type
2 . Temporomandibular Migraine:
Triggered by teeth grinding
3. Sinus Migraine:
Triggered by allergies and caused by excessive mucous and often accompanied by a fever. If you have this type of migraine, you may experience pain around both eyes and also may feel nauseated and sensitive to light.
4. Genetic Migraines:
Studies have lined a gene to people affected with migraines. Often when the gene for migraines is passed on to the next generation, the recipient will also experience headaches around the same age as the person who passed on the migraine.
5. Stress Migraine:
Stress can be a major contributing factor to the onset of a migraine. Type A personalities are more likely to experience migraines. Type A is ambitious, bright, perfectionist, emotionally repressed, cautious and has a decreased ability to manage stress. However , this is the easiest type of migraine to treat because a type A personality can acquire the skills necessary to manage stress.
6. Hormonal Migraine:
Fluctuating hormones in women are often the cause of migraines and can happen during menstrual cycles.
7. Cigarette Migraine
An equal opportunity source of migraines is because the nicotine alters blood vessels. High carbon monoxide levels in a person who smokes or even inhales second hand smoke can lead to a migraine.
8. Food Migraines
Food allergies are another factor that leads to migraines. However , migraine sufferers are able to eat chocolate without falling prey to a migraine. Some patients actually report relief from eating chocolate.
Foods that Can Cause Migraines
1 . Aged cheese such as Roquefort, Stilton and Sharp Cheddar
2 . Fermented Dairy such as Sour Cream, Buttermilk and Yogurt
3. Citrus: Oranges or Grapefruit, including juice
4. Nuts: Peanuts, Walnuts or Pecans
5. Legumes: Peas, Beans and Soy product 6. Onions and Garlic
8. Pickled foods: picked herring is the most common instigator
9. MSG found in Chinese food
Now that you know the common triggers, also note that skipping meals also causes migraines. Skipping meals causes your blood sugar to drop, which in turn causes a migraine.
Six Ways to Kiss Your Migraine Goodbye
1 . Fioricet ( Butalbital APAP Caffeine )
Medicines have been used for centuries to treat migraines. Today Dr’s prescribe Beta Blockers to treat migraines by maintaining adequate dilation of blood vessels. Antidepressants: The brain chemical ‘serotonin’ plays a role in migraine attacks because the levels of serotonin may cause or relieve migraine and that’s why Drs sometimes prescribe antidepressants for migraines. Antidepressants reduce migraine frequency by regulating serotonin levels in the brain. Other drugs are triptans available as an injection or nasal spray. This type of drug shuts down the inflammation and transmission of migraine pain.
Fioricet contains a combination of acetaminophen, butalbital, and caffeine Acetaminophen is a pain reliever and fever reducer. Butalbital is in a group of drugs called barbiturates. It relaxes muscle contractions involved in a tension headache. Caffeine is a central nervous system stimulant. It relaxes muscle contractions in blood vessels to improve blood flow.
Fioricet is used to treat tension headaches that are caused by muscle contractions.
- Fioricet is a combination pain-reliever (analgesic) containing acetaminophen, butalbital, and caffeine.
- Experts aren’t sure exactly how acetaminophen works, but suspect it blocks a specific type of cyclo-oxygenase (COX) enzyme, located mainly in the brain.
- Butalbital belongs to the class of medicines called barbiturates. When used for pain due to tension headaches experts believe it works by relaxing muscle contractions and causing sedation via an enhancement of the inhibitory effects of GABA (a neurotransmitter that regulates communication between brain cells).
- Caffeine is thought to enhance the pain-relieving effects of acetaminophen by up to 40%. In addition, it has vasoconstrictive properties, narrowing blood vessels in the brain thereby decreasing blood flow and oxygen tension (before a headache or a migraine, blood vessels tend to enlarge). This also helps to relieve pain.
- Fioricet belongs to the class of medicines known as barbiturates because it contains butalbital. It may also be called a combination analgesic.
- Do not overuse Fioricet because you may become addicted to it and have difficulty stopping it.
- Over-use of Fioricet can also result in a medication-overuse headache (also known as a rebound headache) which occurs when analgesics are taken too frequently to relieve a headache.
- Never share your Fioricet with anybody else.
- May be administered without regards to food; although food may decrease any reported stomach upset.
- If you have been taking Fioricet regularly, or if you think you have become addicted to it, talk to your doctor about slowly withdrawing it, as sudden withdrawal may precipitate a withdrawal syndrome (symptoms include anxiety, dizziness, hallucinations, muscle twitching, nausea, seizures, sleeplessness, or tremor).
- Fioricet can cause sedation and affect your ability to drive or operate machinery.
- Do not drink more than two alcoholic drinks a day if you are a man or one alcoholic drink per day if you are women and taking Fioricet.
- Talk to your doctor if you have any side effects of concern. Seek urgent medical advice if you develop an allergic-type reaction (difficulty breathing or swallowing, rash, or facial swelling) soon after taking Fioricet.
- Not recommended for women who are pregnant or breastfeeding.
- Fioricet contains acetaminophen which may be “hidden” in other cough/cold medicines. The total dose of acetaminophen from any source should not exceed 4000mg per day (24 hours).
- Talk to your doctor or pharmacist before taking any other medications or natural products with Fioricet as it can interact with a large number of drugs.
2 . Surgical Treatment
Nerve stimulators have been used to control back and muscle pain and in 2003 a nerve stimulator was successfully used to treat chronic headaches. With nerve stimulation, one end of a wire is connected to a nerve that controls pain and the other is connected to a small battery powered generator. The patient controls the generator via a remote device. Once turned on, it disconnects the pain signal.
Not only do chronic migraine suffers face agonizing physical disabilities, they also have the psychological fear of not being able to earn a living or manage their home life because daily activities can suddenly become unbearable with the onset of a migraine.
3. Holistic Intervention
Rarely are people offered a non drug approach to treating migraines. Treating a migraine holistically not only can treat the migraine at onset but can also act as prevention.
Create a headache diary listing the 5 W’s.
A. Who were you with?
B. Where? Did someone irritate you? At work with glaring lights?
C. What? What medications were you on?
D. When? When did the headache start?
E. Why? Did some particular food or drink aggravate the situation? Did you get enough sleep?
4. Review your diary after 30 days and see if you can isolate the trigger.
5. Use heat to help dilate the blood vessels in the body. This must be done at direct onset of your migraine. Soak your hands in hot water for 20-30 minutes. As the migraine progresses and the blood vessels enlarge, apply ice to the back of the neck and forehead to help constrict capillaries that are pressing against the nerves.
6. Relaxation techniques
You can use relaxation techniques to manage stress. Research has found that people who consciously practice yoga daily for 30 – 45 minutes can learn to positively manipulate involuntary bodily responses like migraine pain. Studies have shown that relaxation practiced on a regular basis achieves a 45 to 80% reduction or elimination in both migraine severity and frequency. Yoga triggers a boost in the brain chemical serotonin, a neurotransmitter that is involved with your body’s anger, pain, sleep and migraine and can be a cure for headaches.
Frequent headaches are a sign that you are stressed out and it’s your body’s way of saying slow down and take care of me. Especially if you are a type A personality. My type A patients often say they can’t sit still and have a difficult time with the relaxation/mediation part of yoga. My reply? What’s more difficult to live with. Meditating daily or living with a migraine, a stroke or a heart attack? These are very real situations that afflict people with constricted arteries and that’s why it’s vital that you make time for your health.
Unfortunately for my patients, I often meet them after they’ve suffered from a condition of vascular abnormality. They are very motivated to participate because they have experienced what happens when blood flow to the heart or brain is compromised. Consequently they practice my techniques daily to reduce a recurrence. Why not make time now? There are 1440 minutes in a day.
45 minutes a day practicing yoga is a wise investment in your health that offers a positive life style with increased energy without the use of toxic drugs polluting your liver and fewer Doctor visits which equals fewer co-payments. Yoga Chi for Energy DVD includes medically engineered relaxation techniques with an 11 minute meditation by a crackling fireplace.