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Biofeedback has been used successfully by some to control migraine symptoms through training and practice. (2005). A device called a nociceptive trigeminal inhibiter (NTI) takes advantage of a reflex limiting the force of clenching. Acephalgic migraine is also referred to as amigrainous migraine or optical migraine or scintillating scotoma. More. Typically this advice is accompanied by a list of trigger factors. * All text is available under the terms of the GNU Free Documentation License (see Copyrights for details). Diagnosis of migraine headache is made by establishing the history of the migraine-related symptoms and other headache characteristics as well as a family history of similar headaches. [edit] History The human side of migraine has been expertly captured in Oliver Sacks's book Migraine, although the book was last revised in 1992 and the science in the book is no longer current.

Now we know that aura is due to transient changes in the activity of specific nerve cells. Tests such as the CT scan and MRI are useful to confirm the lack of organic causes for the headaches. Scientists have devised one theory of migraine which explains these blood flow changes and also certain biochemical changes that may be involved in the headache process. Supervision by a neurologist is advisable. Butorphanol (Stadol®) is available for intranasal administration and is not typically associated with dependency problems, but may result in dependency if used regularly for pain relief. 14, 2005 * Cathy Wong, ND. Burden of migraine in the United States: disability and economic costs. Many factors can trigger migraine attacks, such as alteration of sleep-wake cycle; missing or delaying a meal; medications that cause a swelling of the blood vessels; daily or near daily use of medications designed for relieving headache attacks; bright lights, sunlight, fluorescent lights, TV and movie viewing; certain foods; and excessive noise. Physiol.

All are available in tablet form. Br. The prevention and treatment of acephalgic migraine is broadly the same as for classical migraine. [edit] Treatment * Pearce, J. Where possible, see a doctor to determine if the headaches are a symptom of something else. The annual net savings in reduced health care costs and lost productivity, over the increased cost of triptan therapy, has been estimated at between $114 and $540 per patient; thus the use of these pharmaceuticals represents a cost savings as well as an improvement in the patients’ quality of life. It is possible to have a migraine attack marked by other symptoms and no headache at all, which is called acephalgic migraine. Excedrin® Migraine (a combination of aspirin, acetaminophen and caffeine) is indicated for migraine and its associated symptoms. 1 Migraine triggers o 9.

Diagnosis of migraine headache is made by establishing the history of the migraine-related symptoms and other headache characteristics as well as a family history of similar headaches. They are known as trigger factors and may include diet, sleep, activity, psychological issues as well as many other factors. In children, migraine has some distinct features: headache is more often bilateral or difficult to localize, the patient is unable to describe the symptoms with significant accuracy; in infants, migraine attacks may be manifested by periods of somnolence or irritability. Biofeedback As an alternative to drug therapy, this training uses special equipment that monitors physical tension to teach the patient how to control the physical processes that are related to stress. 13, 93-97, replicated Turville's work. Serotonin acts as a powerful constrictor of arteries, further reducing the blood supply to the brain. Med Interface 1995;June:134-141. * Stewart WF, Lipton RB, Celentano DD. (1956) Migraine.

chronic migraine

The average reduction in lost productivity has been estimated at $1,249, at a cost of $25 per day of disability avoided. Sometimes the migraine occurs with no apparent 'cause'. 4 Epidemiology * 10 External links [edit] Signs & Symptoms Migraine with aura is a neurological disease characterized by flare-ups generally referred to as 'migraine attacks. Hemiplegic migraine may have periods of one-sided paralysis. Undiagnosed migraine headaches: a comparison of symptom-based and reported physician diagnosis. Stay tuned for a possible Migraine Awareness Art Exhibition Closing and book signing in January or early February, 2006, with another opportunity to meet author & MAGNUM Support Advisor Teri Robert, Ph. Headache 1994;34:319-328. Migraine patients have long been advised to try to identify personal headache triggers by looking for associations between their headaches and various suspected trigger factors. Improvement in migrainespecific quality of life in a clinical trial of rizatriptan.

' 'Aura' refers to the non-headache features of migraine that often happen before, or in the place of, the actual headache. [edit] Preventive drugs Patients who have more than two headache days per week are usually recommended to use preventatives and avoid overuse of acute pain medications. A cold or hot shower directed at the head, less often a warm bath, or resting in a dark and silent room may be as helpful as medication for many patients, but both should be used when needed. The mechanism of any association is unclear, but chronic abnormalities of cerebral blood vessel tone may be involved. [edit] Epidemiology * M Etminan et al (2005). Migraine headaches are usually characterized by severe pain on one or both sides of the head, an upset stomach, and at times disturbed vision. A cold or hot shower directed at the head, less often a warm bath, or resting in a dark and silent room may be as helpful as medication for many patients, but both should be used when needed. Pain can also occur in the face, sinus, jaw or neck area. 8, 62-89, contains a good review of the literature and theories existing in 1934, and includes the vascular theory of migraine that is popular today.

It is thus seen to be a particular burden on working and childbearing age women. An update on the epidemiology of migraine. The artificial sweetener aspartame (NutraSweet) has not been shown to trigger headache, but in a large and definitive study monosodium glutamate (MSG) in large doses (2. Sufferers of acephalgic migraine are more likely than the general population to develop classical migraine with headache. Pharmacotherapy 2000;20: 1356-1364. (1956) Migraine. Fewer than 1% reported any side effects. Authors who in 2005 reviewed the medical literature [2] found that the available information about dietary trigger factors relies mostly on the subjective assessments of patients. 7 fewer missed workdays within the first six months, as well as a reduction in the number of days spent working while symptomatic.

Some patients find relief from taking Benadryl or other anti-nausea agents. Diet, visualization, and self-hypnosis are also important alternative treatments and prevention approaches. A meta-analysis of several such studies published in the British Medical Journal in 2005 appeared to confirm this association, with young adult sufferers and women taking the oral contraceptive pill at particular risk. 2 Symptomatic control to abort attacks o 3. * Mayo Clinic Staff. Migraine characteristics include: * Pain typically on one side of the head * Pain has a pulsating or throbbing quality * Moderate to intense pain affecting daily activities * Nausea or vomiting * Sensitivity to light and sound * Attacks last four to 72 hours, sometimes longer * Visual disturbances or aura * Exertion such as climbing stairs makes headache worse Approximately one-fifth of migraine sufferers experience aura, the warning associated with migraine, prior to the headache pain. The workplace model of 9-5/ 7 days a week may not be viable for a migraine sufferer. Butterbur, Co-enzyme Q-10, Melatonin, Folic Acid [edit] Triptans * Cohen JA, Beall D, Beck A, et al. Some suspected dietary trigger factors appear to genuinely promote or precipitate migraine episodes, but many other suspected dietary triggers have never been demonstrated to trigger migraines.

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