Your Doctor And Your Migraine
If you are unsure about the cause or nature of your headache, need assistance in managing migraine, or if the pattern of your condition changes, it is important you consult a doctor. Sometimes, changes in the nature of your headache or migraine could signify the presence of a more dangerous neurological disorder.
Migraine has been recognised by the World Health Organisation as one of the most disabling chronic illnesses, so its important to recognise the impact it is having on your life and address it accordingly. To communicate the impact of migraine to your doctor a migraine diary is important. Ideally your migraine diary documents:
- When you experience migraine attacks
- The nature of the pain and accompanying symptoms
- Potential triggers
- Work days or social events missed due to migraine
All these factors will help your doctor understand the scope of your migraine, and help to recommend the best treatment for you.
Temporomandibular Joint Dysfunction Disorder
Temporomandibular Joint Dysfunction is often caused by a variety of factors, including daily habits, your teeth alignment, and even stress. It usually affects one side of the jaw, but in some people it can affect both sides. People with TMJ dysfunction will typically experience pain on one side of the face that is worse with chewing, yawning, or other movements of the jaw. With some simple changes in your daily habits and other at-home treatments, most people with TMJ dysfunction will experience relief of their symptoms within weeks.
Treatment for temporomandibular joint dysfunction usually includes avoiding eating hard foods or foods that require a lot of chewing. Good posture and relaxation techniques may help relieve tension in the muscles that connect to your temporomandibular joint. In people who clench or grind their teeth, a mouth guard worn at night may also help relieve your symptoms. Pain relievers, like ibuprofen , can also help.
Top Symptoms: dizziness, pain, restricted movement, and clicking sounds from jaw, history of headaches, jaw pain, pain in the back of the neck
Symptoms that always occur with temporomandibular joint dysfunction disorder: pain, restricted movement, and clicking sounds from jaw
Urgency: Primary care doctor
When To Get Medical Advice
You should see a GP if you have frequent or severe migraine symptoms that cannot be managed with occasional use of over-the-counter painkillers, such as paracetamol.
Try not to use the maximum dosage of painkillers on a regular or frequent basis as this could make it harder to treat headaches over time.
You should also make an appointment to see a GP if you have frequent migraines , even if they can be controlled with medicine, as you may benefit from preventative treatment.
You should call 999 for an ambulance immediately if you or someone you’re with experiences:
- paralysis or weakness in 1 or both arms or 1 side of the face
- slurred or garbled speech
- a sudden agonising headache resulting in a severe pain unlike anything experienced before
- headache along with a high temperature , stiff neck, mental confusion, seizures, double vision and a rash
How Can I Lower My Stroke Risk
Given that migraine with aura is a vascular risk factor, the best thing people with migraine can do is be extra-engaged in reducing the risk factors for stroke that everyone should pay attention to, says Liberman.
You can lower your risk of stroke by following a healthy diet, maintaining a healthy weight, being physically active, quitting smoking if you smoke, and avoiding drinking too much alcohol if you drink. Working with your doctor to control any medical conditions you may have such as high blood pressure, high cholesterol, obesity, diabetes, or heart disease will also help to lower your risk of stroke. And your doctor can help you quit smoking.
Women of childbearing age who have migraine will want to discuss their stroke risk with their doctor when choosing a method of contraception. While older formulations of birth control pills, with higher amounts of estrogen, were known to raise stroke risk particularly among women who smoke the use of low-dose hormonal contraceptives in otherwise healthy women with migraine does not appear to pose additional risk, according to a review in Current Headache and Pain Reports.
Diagnosis: Tests And Scans
Cervicogenic facial pain refers to facial pain arising from causes within the cervical region. However, as mentioned previously, facial pain can be caused by a number of disorders that affect the trigeminal nerve or brain functions. Cervical region is not always involved in these cases. Therefore, diagnosis of cervicogenic facial pain depends on excluding the other probable causes of facial pain. MRI of cervical spine, CT scan of brain, and EEG can be performed to check for the causes of facial pain.
Trigeminal neuralgia and epilepsy are relatively common conditions that can cause facial pain. Therefore, one must first exclude the presence of these conditions before considering bulging cervical discs as the potential cause of facial pain. This strategy of basing diagnosis on exclusion of other common diseases is based on the fact that many people with bulging cervical discs do not have facial pain.
Only in some cases, facial pain is caused by a bulging of the intervertebral discs in the cervical region. In fact, it was assumed earlier that bulging cervical discs are not related in any way to facial pain, and patients were labeled as overly sensitive. Sometimes, these patients were also accused of feigning pain in order to get insurance claims.However, many studies have now documented the occurrence of pain, numbness and tingling in the face in patients with bulging cervical discs. Pain in the neck may or may not occur along with facial pain in these cases.
Why You Should Never Ignore Tingling In Head And Face
The sensation of tingling in head and face that people sometimes experience can be connected with some causes and the tingling may involve the top or numbness in the back of the head or may affect the whole head scalp or may appear as tingling in the face. The medical name for tingling in the body is paresthesia, and this condition can cause a range of sensations from pins and needles to numbness.
Paresthesia is usually felt in the legs or feet, but can also affect other body parts, such as your head. Head paresthesia does not just cause tingling on the top of your head and scalp, tingling sensation in the head scalp. You could also have scratchy, prickling, burning, or tickling feeling in your cheeks, forehead, and around your eyes.
Hemiplegic Migraine With Numbness And Tingling
People who experience hemiplegic migraine, where one-sided weakness accompanies migraine, numbness and tingling are common symptoms.3 These can last hours to days, and in rare cases, weeks. Most of the time the symptoms resolve on their own.
Occasionally, the numbness is so severe that the person with migraine feels they cant move that part of the body. The tingling skin sensation may be in only one specific part of the body, such as feeling weak or numb in only one finger, or a small part of the face.
Community Experiences With Numbness And Tingling
Migraine.com advocates write about their various migraine numbness and tingling symptoms. Our advocates who experience hemiplegic migraine attacks have shared that pain can be accompanied by numbness and tingling on one side of the body. Others experience the numbness spreading throughout their body. In this video, one advocate describes tingling and pain in her hand that moved up her arm. It\’s always important to talk to your doctor if you experience any new and intensifying symptoms.
What Is A Migraine Headache
A migraine is a group of neurological symptoms that typically include a severe throbbing headache, usually on one side of the head. Researchers and doctors do fully understand the causes of migraine headaches; however, most think that they may be caused by changes in the chemicals in the brain, which causes inflammation, or the condition may be genetic .
When It Is An Emergency
Seek emergency treatment if you suddenly experience the following.
- Numbness or tingling in the face or body: Especially if it comes on suddenly or is only on one side
- Facial droop: Particularly if only on one side
- Confusion or disorientation
If the tingling in your face is due to mild anxiety, try the following.
- Take deep breaths
What Are The Most Common Causes Of Facial Numbness
Facial numbness can be caused by a variety of factors. The most common cause of this symptom is disruption or compression of the facial nerves. Conditions that affect these nerves include stroke, trauma, and tumors. Numbness may also be experienced in the face due to drug side effects, neurological phenomena, and some medical conditions, such as diabetes and neuropathy.
The most common cause of facial numbness is a stroke. A stroke causes damage to the brain from deprivation of oxygen and blood. A stroke will often cause numbness in some part of the body, depending on which parts of the brain were affected by the lack of oxygen. If the nerves connected to the face are deprived of oxygen, full or partial facial paralysis will result.
Nerve damage is another very common cause of facial numbness. Nerves are what tell the brain what sensations to experience and where. When nerves are damaged, they can cause pain or complete failure to produce sensation. Nerve damage can come about in a number of ways. Trauma from a blow to the head or neck can cause damage to the facial nerves severe enough to lose feeling. Certain medical conditions such as diabetes and neuropathy can also cause numbness in the face.
Treatment Of Cervicogenic Facial Pain
The treatments for cervicogenic facial pain are directed at the cervical spine. Medications and surgery are the two main treatment modalities for this condition. In the majority of cases of cervicogenic facial pain, medications are able to provide sufficient relief from the painful symptoms. However, in some cases, surgery is the preferred option. Medications for treatment of cervicogenic facial pain include:
- Muscle relaxant drugs such as thiocolchicoside and tizanidine.
- Antiepileptic drugs such as gabapentin, carbamazepine, and topiramate.
- Antidepressant drugs such as duloxetine and venlafaxine.
- Botox is also being considered for treating this condition.
Surgical options include discectomy, spinal fusion, and laminectomy. It is an option for patients who need long-term sustained relief from the pain.
Prevention And Risk Factors
Attacks of hemiplegic migraine often start in childhood or young adulthood. Youre more likely to have this type of headache if it runs in your family.
If one of your parents has hemiplegic migraine, you have a 50 percent chance of also getting these headaches, according to the Stroke Association.
You may not be able to prevent hemiplegic headaches if they run in your family. However, you can take medication to help reduce the number of headaches you get.
Another way to help prevent these migraine attacks is to avoid any factors that trigger your headaches.
What Are The Types Of Headaches What Type Of Headache Is A Migraine
There are over 150 types of headaches, divided into two categories: primary headaches and secondary headaches. A migraine is a primary headache, meaning that it isnt caused by a different medical condition. Primary headache disorders are clinical diagnoses, meaning theres no blood test or imaging study to diagnose it. A secondary headache is a symptom of another health issue.
Causes And Treatments Of Facial Numbness With Migraine
Hemiplegic migraine is an uncommon type of migraine.
Like various other sorts of migraine, hemiplegic migraine causes:
- extreme and throbbing pain
- sensitivity to light and sound
It can also create a temporary, weak point, numbness and tingling, and paralysis on one side of the body.
These symptoms start before the headache. Hemiplegia indicates paralysis.
Hemiplegic migraine impacts a small number of people that get migraines with aura. The aura consists of visual signs and symptoms, like flashes of light and zigzag patterns that happen before or throughout a migraine.
Aura also includes various other sensory issues and difficulty speaking. In people with hemiplegic migraine, the weak point or paralysis occurs as part of the aura.
There are two kinds of hemiplegic migraine. Which type you have is based upon your family members history of migraine:
Familial hemiplegic migraine affects at least two close loved ones in the same relatives. If you have FHM, each of your kids has a 50 percent chance of inheriting the condition.Sporadic hemiplegic migraine impacts people that do not have any family history of the condition.
A hemiplegic migraine creates symptoms like confusion and trouble talking, which are similar to those of a stroke.
Seeing a neurologist or headache expert for tests can aid you get the best diagnosis and treatment option.
Table of Contents
- Calcium channel blocker .
What Are The Symptoms Of A Migraine
Individual migraines are moderate to severe in intensity, often characterized by a throbbing or pounding feeling. Although they are frequently one-sided, they may occur anywhere on the head, neck and face or all over. At their worst, they are typically associated with sensitivity to light, noise and/or smells. Nausea is one of the most common symptoms and it worsens with activity, which often results in patient disability. In many respects, migraines are much like alcohol-related hangovers.
Migraine pain can be felt in the face, where it may be mistaken for sinus headache or in the neck, where it may be mistaken for arthritis or muscle spasm. Complicating the diagnosis of migraine is that the headaches may be accompanied by other “sinus like” symptoms, including watering eyes, nasal congestion and a sense of facial pressure. Most patients who think they have sinus headache in fact have migraines.
In up to 25 percent of patients, the migraine headache pain may be preceded by an aura, a temporary neurological syndrome that slowly progresses and then typically resolves just as the pain begins. While the most common type of migraine aura involves visual disturbances , many people experience numbness, confusion, trouble speaking, vertigo and other strokelike neurological symptoms. Some patients may experience auras without headaches.
Is Your Nose Numbness Caused Anxiety Multiple Sclerosis Or Other Things
Nose numbness results due to a condition are known as Raynauds phenomenon. This condition occurs when blood flow to your fingers, toes, ears or nose is restricted or interrupted, according to Healthline.com
According to reports from National Institute of Arthritis and Musculoskeletal and Skin Diseases, women are more prone to develop this condition especially those between the age of 15 and 25 years.
Also, those individuals who live in cold areas are susceptible to Raynauds phenomenon than those in warmer climates.
The article provides useful information about the causes and symptoms and I hope it will be of help for you.
Who Gets Migraines What Are The Risk Factors
Its difficult to predict who may get a migraine and who may not, but there are risk factors that may make you more vulnerable. These risk factors include:
- Genetics: Up to 80% of people who get migraine headaches have a first-degree relative with the disease.
- Gender. Migraine headaches happen to women more than men, especially women between the ages of 15 and 55. Its likely more common in women because of the influence of hormones.
- Stress level. You may get migraines more often if youre high-stress. Stress can trigger a migraine.
What Is The Prognosis For People With Migraines
Migraines are unique to each individual. Likewise, how migraines are managed is also unique. The best outcomes are usually achieved by learning and avoiding personal migraine triggers, managing symptoms, practicing preventive methods, following the advice of your healthcare provider and reporting any significant changes as soon as they occur.
Migraine Without Head Pain
Also called a Silent or Acephalgic Migraine, this type of migraine can be very alarming as you experience dizzying aura and other visual disturbances, nausea, and other phases of migraine, but no head pain. It can be triggered by any of a persons regular triggers, and those who get them are likely to experience other types of migraine, too. The International Headache Society classifies this type as typical aura without headache.
Whats A Migraine Journal
- Keeping a migraine journal is not only beneficial to you, but it helps your healthcare provider with the diagnosis process. Your journal should be detailed and updated as much as possible before, during and after a migraine attack. Consider keeping track of the following:
- The date and time of when the migraine began specifically when the prodrome started, if youre able to tell its happening. Track time passing. When did the aura phase begin? The headache? The postdrome? Do your best to tell what stage youre in and how long it lasts. If theres a pattern, that may help you anticipate what will happen in the future.
- What are your symptoms? Be specific.
- Note how many hours of sleep you got the night before it happened and your stress level. Whats causing your stress?
- Note the weather.
- Log your food and water intake. Did you eat something that triggered the migraine? Did you miss a meal?
- Describe the type of pain and rate it on a one to 10 scale with 10 being the worst pain youve ever experienced.
- Where is the pain located? One side of your head? Your jaw? Your eye?
- List all of the medications you took. This includes any daily prescriptions, any supplements and any pain medication you took.
- How did you try to treat your migraine, and did it work? What medicine did you take, at what dosage, at what time?
- Consider other triggers. Maybe you played basketball in the sunlight? Maybe you watched a movie that had flashing lights? If youre a woman, are you on your period?
Preventative Medication And Therapies
If you experience frequent migraines, your GP might discuss preventative medication options with you.
It is important to note that preventatives for migraines are not pain medication, but help to reduce the number of migraines. They take time to work, so the minimum time period required may be three to six months. Contact your GP or specialist for further information. All of these treatments have their advantages and disadvantages and some of the medications might not be suitable for everybody.
You might find that this medication reduces the frequency and severity of your attacks but does not stop them completely. You will need to continue your other migraine treatments when you experience an attack.
National Institute for Health and Care Excellence recommends that GPs and specialists should consider the following drugs and therapies if they think you might benefit from preventative treatment:
Beta blocking drugs
These drugs are traditionally used to treat angina and high blood pressure. It has been found that certain beta-blockers prevent migraine attacks. Beta-blockers are unsuitable for people with certain conditions.
This drug is typically prescribed for the treatment of epilepsy but has also been found to help reduce the frequency of migraines. Again, it is not suitable for everyone. In particular, women who are pregnant or thinking about getting pregnant should be advised of the associated side effects.
Botulinum toxin type A
How Do I Know If Its A Stroke Or Migraine Attack
Migraine is a neurological disorder characterized by repeated episodes of symptoms, called attacks, that usually include head pain accompanied by nausea, vomiting, and sensitivity to light, touch, smell, or sound. The chain of events that occurs in the brain as a migraine attack unfolds is complicated and not fully understood. One theory, described in April 2015 in the Journal of Neuroscience, is that it involves hyperexcitable neuronal networks in the brain that, when triggered, cause the release of a variety of chemicals known as neuropeptides. Neuropeptides, in turn, cause the dilation and contraction of blood vessels that leads to the symptoms associated with migraine.
A stroke is an episode of decreased blood flow in part of the brain. A stroke can be caused by a blockage in a blood vessel called an ischemic stroke or by bleeding from a blood vessel called a hemorrhagic stroke. In either case, the part of the brain normally served by that blood vessel is starved of oxygen and nutrients, causing tissue injury or death of that portion of the brain. Stroke can also be fatal, particularly if it affects the part of the brain that controls breathing and other major organs, such as the heart.
Other Numb Face Causes
Numbness in face can also be linked to anxiety, stress, depression, and many autoimmune diseases in addition to multiple sclerosis. Infections that may cause numbness include rabies, leprosy, canker sores, and acquired immune deficiency syndrome . Patients with blood disorders, connective tissue disorders, heredity disorders, and fibromyalgia may also experience facial numbness.
What Can I Do To Prevent Migraines
One of the best ways to prevent migraines is to try to avoid the things that might trigger your attacks. Most people benefit from trying to get stable sleep, eating regular meals, drinking plenty of fluids to keep hydrated, and trying to manage stress. Taking regular exercise may also help prevent migraines since it helps with breathing, improving blood sugar balance and maintaining general wellbeing. Although you should take care not to engage in very strenuous activity that your body is not used to as this can sometimes act as a migraine trigger.
Keeping a diary of your migraines can be a useful way to record when and where you experience attacks, check for any patterns, and try to identify your triggers. Take the diary when you see your GP so you can communicate your symptoms with them and they can find the best way to help you.
Tingling In Head And Face
According to WebMD paresthesia can be acute or chronic. When it is chronic it doesnt go away, or if it does, it comes back regularly, and it can be a sign of a medical condition or nerve damage.
Getting rid of the prickly, itchy sensation in your head requires addressing the underlying issues. Sometimes just resting is enough to soothe the pins and needles that tingle your head. For more serious health concerns, a doctor will help manage the chronic head tingling. This article looks at the many causes of tingling in head and face and looks at various ways to treat this condition naturally.
Infection Of The Salivary Duct
The ducts that create saliva can be infected by bacteria and is typically found after surgery in the mouth and in the elderly that take medications that slow saliva production.
Top Symptoms: fever, chills, swelling on one side of the face, pain on one side of the face, swollen jaw
Urgency: Hospital emergency room
Causes & Risk Factors
Migraine can be caused by a number of different biological mechanisms and environmental factors. The biology behind migraine is complex and not fully understood. It involves the activation of trigeminovascular pathways and central parts of the brain including the brain stem . The trigeminovascular system controls sensation in your face and jaw which is why trigeminal disorders cause head pain. The brain is thought to be in an altered state of excitability, which can also lead to disruptive symptoms like nausea, light sensitivity and aura .
Neurotransmitters are chemical messengers that communicate between neurons. These play a very important role in brain function . When the brain is more sensitive, neurotransmitters can become overactive and trigger pain signals.
Neurotransmitters also control things like hunger, wakefulness, anxiety and focus. This causes many of the prodromal symptoms , and also causes nausea, photophobia, and phonophobia during an attack. The difficulty in migraine treatment arises because there are often many different neurotransmitters active during an attack. Some patients may be more responsive to treatment that addresses their serotonin neurotransmitters, while others might find treatment more effective if it inhibits calcitonin gene-related peptides .