Why Surgery For Migraine
Migraines have long been associated with the compression and irritation of key nerves in your face and head. These triggers may be chronic, may have genetic causesjust the way your personal anatomy is put together, or may be the result of changes that take place over time. Surgically relieving the pressure on compressed nerves may reduce the frequency, severity and duration of headaches, or even eliminate them altogether.
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.
Classes Of Prophylactic Drugs
The classes of medications that are effective for migraine prevention include:
Calcitonin gene-related peptide inhibitors
Antiepileptics, antidepressants, and antihypertensives may be considered initially since they are more affordable. For any of these initial prophylactic agents, prophylaxis should not be considered a failure until it has been given at the maximum tolerable dose for at least 30 days.
Antiepileptics are generally well tolerated. The main adverse effects of topiramate are weight loss and dysesthesia. Valproic acid is useful as a first-line agent. It is a good mood stabilizer and can benefit patients with concomitant mood swings. However, it can cause weight gain, hair loss, and polycystic ovary disease therefore, it may not be ideal for young female patients who have a tendency to gain weight.
Valproic acid also carries substantial risks in pregnancy it may be best suited for women who have had tubal ligation and who cannot tolerate calcium channel blockers because of dizziness. Data for other antiepileptics are limited in migraine.
Topiramate is approved in the US for migraine prophylaxis in adults and adolescents aged 12 years or older. The safety and effectiveness of topiramate in preventing migraine headaches in adolescents were established in a clinical trial of 103 participants. Frequency of migraine decreased by approximately 72% in treated patients, compared with 44% in participants receiving placebo.
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Butterbur Is Sometimes Used For Migraine Prevention
Extracts from the leaves and roots of the butterbur plant have been used for the treatment of migraine.
A review of evidence on natural remedies published in March 2016 in Headache concluded butterbur was effective in helping prevent migraine. The analysis included a trial in which the supplement reduced the frequency of migraine by 48 percent, compared with 26 percent in the control group.
On the basis of those studies, the American Headache Society, the Canadian Headache Society, and the American Academy of Neurology all recommended butterbur for use in preventing migraine.
The American Academy of Neurology later retracted its recommendation because of concerns about liver toxicity.
According to the National Center for Complementary and Integrative Health, butterbur products that contain chemicals called pyrrolizidine alkaloids may damage the liver, lungs, and blood circulation, and possibly cause cancer. Consumers should therefore consider using only products that are certified PA-free.
Butterbur is usually taken orally and, according to an article in StatPearls, the recommended dose is between 50 and 150 mg. Since butterbur can interact with certain drugs, its advised that you talk with your doctor before taking it or any other herbal supplement.
Migraine Surgery Options You Should Consider
Frequent sufferers will confirm that few things in life can compare with a full-blown migraine, and that relief is often elusive and only partial at best. Alternative treatments are showing signs of promise, however. Migraine surgery is a fairly new option that is gaining ground as an effective treatment for patients when almost everything else has failed. If this describes your situation, you might be a candidate for surgery.
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Whats A Migraine What Does A Migraine Feel Like
A migraine is a common neurological disease that causes a variety of symptoms, most notably a throbbing, pulsing headache on one side of your head. Your migraine will likely get worse with physical activity, lights, sounds or smells. It may last at least four hours or even days. About 12% of Americans have this genetic disorder. Research shows that its the sixth most disabling disease in the world.
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.
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Nux Vomica For Migraine With Gastric Troubles
Nux Vomica is a very effective remedy for migraine with gastric troubles. Migraine due to indigestion, flatulence, constipation and piles shows great recovery with use of Nux Vomica. Nux Vomica also helps where migraine headaches get worse after taking coffee, spicy food and alcoholic drinks. The headache may be located in any part of the head. The person feels the need to press the head against something hard for relief.
Types Of Migraine Surgery
The tissue surrounding a nervethe muscle, fat, or other structurescan impinge or compress the nerve and trigger migraine pain. Since a number of different nerves can be triggers, there are several different types of corrective surgeries. The surgery that may work for you depends on many factors such as the location of your personal triggers and pain.
- Supraorbital nerve compression . The supraorbital nerve is a network of tiny nerve endings in the forehead. Its a common site where nerve compression can trigger migraines. Surgery is done endoscopically through tiny incisions in the scalp and around the eyebrows normally within the hairline. The goal is to alleviate pressure on this specific nerve. Sometimes it could be pressure from the corrugator muscle, or the little tiny hole the nerve pierces through. It could be scar tissue. Patients usually describe severe pain in the back of their eye. They often rub the area around their eye brow for relief. People describe it as ice picks jabbing their eye, and light sensitivity is very common .
Both M.I.S.O.N. and M.I.G.O.N.E. surgeries are minimally invasive, performed using HD cameras, and are generally performed as outpatient procedures.
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Homeopathic Medicines For Migraine
Homeopathic remedies for migraine are reliable and safe. They offer effective treatment for migraine. In fact, they work wonders for acute migraine attacks or even chronic migraine. These medicines for migraine are selected as per individual case. Individual symptoms are studied in detail and the appropriated medicine prescribed. They identify and attack migraine at the root. Migraines with or without aura respond very well to natural medicines.
Are There Any Migraine Treatments
There is no permanent cure for migraine headaches. However, with treatment, you can
- Prevent the attacks
- Get relief from the symptoms
These treatments include:
- Pain relievers:Over-the-counter pain relievers, such as acetaminophen, aspirin, caffeine and ibuprofen, work well in relieving your headache temporarily. Be careful when you take OTC pain relievers because using them too much can give you rebound headaches.
- Triptans: You might get a pill to swallow, tablets you dissolve on your tongue, a nasal spray, an injection, or a skin patch.
- Dihydroergotamine: This can be used as an injection or as a nasal spray.
- Reyvow : This is a newly approved drug to relieve the signs and symptoms of migraine.
- Calcitonin gene-related peptide receptor antagonists: These are prescribed if other medicines fail to provide you relief.
If other treatments do not work and you have four or more migraine days a month, your doctor may suggest medicines to prevent them or reduce their severity. These include
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Is Migraine Curable Permanently
Yes, Migraine can be cured permanently by treating the underlying reasons. Permanent Cure for migraine needs positive lifestyle changes along with ayurvedic medicines, A few cases may require body detoxification by panchakarma therapies also. This will balance chemicals in the brain and hence one can live without headaches.
Patients With Migraine Are Often Concerned That The Disorder Will Lead To Permanent Damage This Fear Is Exacerbated When A Brain Scan Shows Lesions Dr Peter Goadsby Explains Why This Fear Is Unfounded
Dr. Peter Goadsby is a neurologist, a professor of neurology and director of the NIHR Wellcome Trust at Kings Clinical Research Facility in London, a professor of neurology at the University of California, San Francisco, and will be the president-elect of the American Headache Society. He spoke with AHS to clear up common misconceptions about migraine and long-term brain damage.
Many patients with migraine fear permanent brain damage due to the severity of their head pain. What does your research tell us about the development of brain lesion in migraine patients?
Many of the patients I see with migraine are concerned that the migraine attacks or the disease is causing permanent damage. To the best of our understanding, thats completely wrong. Migraine patients do not have to be worried about long-term brain damage. It simply doesnt happen.
How do you know its wrong, and what can be done to set the record straight?
There are two very good studies which address this problem. One is called the CAMERA Study.
The other big study is called the EVA Study. Its a French population-based study where patients born between 1922 and 1932 were scanned. Their history was taken. They werent examined. They were diagnosed with migraine with and without aura, and of course there were the controls. They had a battery of 10 cognitive tests, including tests of brain function. There was no correlation with the brain changes and any cognitive dysfunction.
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Know Your Triggers Prevent Headaches
The more you know about what causes your headaches, the better prepared you are to prevent and stop them.
Many headaches, especially migraines, are triggered by certain foods, activities or changes to your environment. If you know your triggers, you can work to avoid them. Common triggers include:
Changes in your normal routine
Regular exercise and drinking plenty of water can help prevent headaches. Exercise reduces stress and helps relieve muscle tension.
Treatments and research
Treatment For Pregnant And Breastfeeding Women
In general, migraine treatment with medicines should be limited as much as possible when you’re pregnant or breastfeeding.
Instead, trying to identify and avoid potential migraine triggers is often recommended.
If medicine is essential, your GP may prescribe you a low-dose painkiller, such as paracetamol.
In some cases, anti-inflammatory medicine or triptans may be prescribed.
Speak to a GP or your midwife before taking medicine when you’re pregnant or breastfeeding.
Page last reviewed: 10 May 2019 Next review due: 10 May 2022
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Why Do Migraines Happen
Migraine happens due to chemical changes in the brain. According to Ayurveda, there is a disturbance in the balance of 3 basic physiological factors named Vata, Pitta, and Kapha. This imbalance if lies within the brain can lead to different patterns of headaches. Chemical Changes in the brain itself has many reasons. It can be due to hormonal changes, mental stress, sleep disturbances, weather changes, irregular food habits, addictions, etc.
What Medications Are Used To Relieve Migraine Pain
Over-the-counter medications are effective for some people with mild to moderate migraines. The main ingredients in pain relieving medications are ibuprofen, aspirin, acetaminophen, naproxen and caffeine.
Three over-the-counter products approved by the Food and Drug Administration for migraine headaches are:
- Excedrin® Migraine.
- Advil® Migraine.
- Motrin® Migraine Pain.
Be cautious when taking over-the-counter pain relieving medications. Sometimes overusing them can cause analgesic-rebound headaches or a dependency problem. If you’re taking any over-the-counter pain medications more than two to three times a week, report that to your healthcare provider. They may suggest prescription medications that may be more effective.
Prescription drugs for migraine headaches include:
Triptan class of drugs :
- Co-enzyme Q10.
Drugs to relieve migraine pain come in a variety of formulations including pills, tablets, injections, suppositories and nasal sprays. You and your healthcare provider will discuss the specific medication, combination of medications and formulations to best meet your unique headache pain.
Drugs to relieve nausea are also prescribed, if needed.
All medications should be used under the direction of a headache specialist or healthcare provider familiar with migraine therapy. As with any medication, it’s important to carefully follow the label instructions and your healthcare providers advice.
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Gelsemium When Headache Is Attended With Dim Sight
It is prepared from the bark of the root of plant Gelsemium Sempervirens This plant belongs to family loganiaceae. It works well when dim sight occurs with a headache. In some cases temporary blindness precedes onset of headache. In most cases the pain is felt in the back of the head . With this a sensation of band around the head may be present. Heaviness of eyelids can also be there. Other than above its use is also made when headache worsens from mental exertion. Pressure may give relief in pain when it is needed.
Migraine Symptoms And Causes
According to modern science, the exact causes of migraines are not clear. A few stimulating factors include hormonal changes, alcohol and tobacco consumption, indigestion, mental stress, bright lights, certain foods like chocolates, cold drinks, strong smells, changes in sleeping patterns, and changes in the environment.
As for the symptoms, the person suffering from migraine has sudden pulsing attacks that are synonymous to intense headaches. The patient also faces unnatural sensitivity to light, sound, and heat. If the attack gets too much to bear, the patient may pass out temporarily.
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What Is The Best Thing To Do For A Migraine
If you get migraines, you can ease the pain immediately by simple measures that include:
- Resting with your eyes closed in a dark, quiet room
- Putting an ice pack on your forehead
- Hydrating yourself by drinking plenty of liquids
You can talk with your doctor and try complementary or alternative treatments along with other medications. These include:
- Biofeedback: This method helps to identify stressful situations that could trigger migraines. By modifying your bodyâs reaction to stress, you can prevent migraine attacks.
- Cognitive behavioral therapy : A specialist can teach you changes peopleâs attitudes and their behavior.
- Progressive muscle relaxation : A therapist will teach how to tighten and relax your body muscles to relieve the stress that triggers your migraine.
Top Homeopathic Medicines For Migraine
Migraine is a disorder characterised by headache, specifically affecting one side of the head . Migraine headaches are mostly throbbing or pulsating in nature. The top-ranked homeopathic medicines for migraine are Belladonna, Glonoinum, Iris Versicolor, Epiphegus and Nux Vomica.
Common accompanying symptoms are nausea, vomiting and sensitivity to light and noise. The intensity of a migraine headache may vary from moderate to severe.
In some cases some warning symptoms may be experienced before the onset of headache or with the headache, known as an aura. The symptoms of aura may be related to vision like flashes of light or spots or different shapes before eyes and sometimes temporary loss of vision. Other symptoms of aura may relate to sensation. It include tingling or prickling sensation on face, arms or legs. Sometimes difficulty in speech may be a symptom of aura.
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Migraines May Protect Against Type 2 Diabetes
But maybe there is some good news. A recent study suggests that, at least in women, having a diagnosis of active migraine is somewhat protective against the development of type 2 diabetes. In this study, which followed nearly 75,000 women for 10 years, women with active migraine were 20% to 30% less likely to develop type 2 diabetes over the course of the study than women with no history of migraine. In addition, if the migraine condition improved and the headaches lessened, the chances of developing diabetes went up. This supports the notion that migraine is protective against developing diabetes, and this is not simply a chance association.
Headache specialists had long observed that their migraine patient populations did not develop diabetes as frequently as the general population, so this finding was not entirely unexpected. The reason for this relationship, though, remains unclear after all, what could it be about having a headache that could make your blood sugar and insulin function improve? Looked at the other way around, one consideration could be that elevated blood sugar levels are somehow protective against developing a headache. Yet another explanation may have to do with CGRP, a protein molecule in the body that is active in both conditions and may be the factor that links them.
What Causes Chronic Migraine
Its not fully understood what causes chronic migraine, although there is evidence of changes in the brains of people with chronic migraine.
For a lot of people chronic migraine develops gradually with migraine attacks becoming more frequent over time. Around 2.5 out of 100 people with episodic migraine will develop chronic migraine each year.
The pattern of chronic migraine will vary depending on your individual circumstances. For some people it may return to episodic migraine, some people find it stays the same and others find that it gets worse.
There are some factors that can exacerbate your tendency to have migraine. These include:
- other pain conditions such as Fibromyalgia
- other conditions such as sleep apnoea or Postural tachycardia syndrome
Managing these can help with managing migraine and the effectiveness of migraine treatment.
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