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Treatment of Nerve And Muscle Disorders
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Migraine Clinical Picture
What Symptoms Occur During a Migraine Attack? •
Migraineurs have recurrent, severe, and disabling attacks of headache, often unilateral and pulsating, along with symptoms of sensory disturbance, such as light, sound, and odor sensitivity. Nausea and neck stiffness are other common symptoms, and symptoms can be aggravated by movement.
• Some patients experience dizziness during attacks.
• About 20–30% of patients experience aura and neurological symptoms (e.g., visual disturbances), which usually precede the headache phase of an attack.
• Premonitory symptoms such as yawning, irritability, tiredness, cravings, and difficulty concentrating sometimes precede headache onset.
What Is Migraine Aura, and What Symptoms Can Occur?
• An aura is any neurological symptom that occurs shortly before the headache attack. Visual symptoms (e.g., flickering lights or zigzag phenomena), somatosensory symptoms (e.g., paresthesias), speech problems, and rarely, motor symptoms can occur during aura.
• Symptoms usually last >5 and <60 minutes.
• Before migraine can be diagnosed, other possible neurological deficits must first be excluded.
• Cortical spreading depression (see below) is thought to be the pathophysiological cause.
What Can Trigger a Migraine?
• Shortness of sleep, irregular sleep, or too much sleep
• Stress (or in some patients, relaxation from stress)
• Alcohol (e.g., red wine)
• Caffeine (e.g., coffee, chocolate)
• Foods containing glutamate or aspartame
• Vasodilating drugs (e.g., nitrates) Epidemiology
How Many People Are Affected by Migraine?
• Women: about 13–18% of the population
• Men: about 5–10% of the population
• Numbers may be lower in Asian populations Chronic Migraine About 4% of the adult population experiences chronic headache, i.e., headache on 15 or more days a month. About half of this group has chronic migraine, and the other half has chronic tension-type headache Disorders/Abnormalities That Can Be Comorbid with Migraine
• Back pain
• Stroke and cardiac disease
• Childhood vomiting
ONLY HOMOEOPATHIC MEDICINES CAN CONTROL THIS
I am a diabetic patient I take daily 6 tab of glynase mf regularly, take green tea, 1/2 hr walking daily then also I get numbness on leg fingers pl. Advice.
Hello doctor. My suffering from autism from 14 years [since his birth] he is not getting any particular treatement now a days he hits everyone badly and breakes things he is very loud. Please give me some suggestions regarding this nd reply as soon as possible thnks.
My Father is 62 years old. He is having numbness in his feet from the past few days. Blood and other tests were normal though deficiency in Vitamin B12. The doctor has given Vitamin B12 injection on Thursday and today but the problem persists. Should we consult a neurologist?
Hello doctor I am feeling full right arm numbness and pain (mild) from last one month. Both Numbness and pain are not continue kindly suggest what to do.
I am suffering migraine from 10 years. Already tried various types of medicine but not getting cure. It very difficult to bear such type of pain. What to do.?
Hi doctor I am rana from Kolkata I have insomnia problem I used to take ayurveda medical please help Thanks.
Hi, I am 21 years old. I am suffered from hand tremor since 2 years. At that time hand will be shake during exam time. But now when I will do any work my hands fine shaking. And also when I excited then my hands shake and my pulse rate increase. Then I met a doctor he suggested vitamin b12. And also I met another doctor he suggested to meet ophthalmologist for slit lamp examination for k.f. Give me a valuable suggestions to prevent my hand tremor as early as possible.
6 Magical Tips to Cope with Migraine Attacks
Migraines affect up to 18 percent of women and 6 percent of men in the United States. Today, migraines affect as many as four out of every five people in America. Doctors are still unraveling the mysteries of migraines. Most doctors believe a combination of things that cause people to have migraines. The causes of migraines range from genetics to neurovascular imbalances in the brain.
Why Do Most People Experience Weather Related Migraines?
It is not entirely clear why some people experience more migraines around the change of weather. Even though the cause of weather related migraines has not been identified, there are ways to decrease the severity, reduce and prevent migraines from occurring.
In a recent survey by the National Headache Foundation, headache sufferers were given a list of possible causes. They were asked to rank them in terms of what commonly brought on their migraines. Three out of every four respondents said that weather triggered their headache pain.
Specific weather triggers included:
- Changes in humidity
- Changes in temperature
- Extremely dry conditions
Most people have an idea of what causes their migraines, but the real question is what can you do to help reduce the amount of migraines, decrease the severity or prevent the migraines from occurring? Below are six tips to help you cope and find a solution to preventing your migraines.
6 Tips on How to Cope With Your Migraines
Tip # 1 – Keep a Diary of Your Migraines:
Keeping a diary is the first step toward finding a solution, so your migraines do not disrupt you and stop you from having a healthy, happy and productive life. The first step is to try to figure out what triggers your migraines. One way to do that is to keep a diary of all your migraines. If you think weather is a reason for your migraines then record any of the common weather and environmental factors that may have initiated your migraines. Keep a detailed diary and bring this diary to your doctor, so your doctor can figure what the best treatment is for you.
In your diary, you should include:
- What part of the brain do you feel the pain?
- What does the pain feel like?
- The time your headache began and when it ended
- Any changes in the weather, such as storms, high winds, or high humidity
- Any warning signs – symptoms before the migraine occurred
- Any treatment you tried, and whether it helped or made the migraine worse
Tip # 2 – Making Changes in Your Daily Regimen:
Making changes in your everyday life can help reduce the number and severity of migraines you are experiencing. Here are some changes you can incorporate into your life that can help improve the number of migraines you are experiencing.
- Sleep: Make sure you get enough of sleep and try going to sleep around the same time each night. Interruptions in your sleep schedule, getting too much or too little sleep, can trigger a migraine.
- Exercise regularly: Research has shown that regular, moderate aerobic exercise may reduce the severity, duration, and number of migraines in many people. Regular exercise also helps control stress, another migraine trigger.
- Eat regular meals: Eating healthy meals regularly are important to maintain level blood sugar. A drop in blood sugar can trigger a migraine.
- Drink plenty of water: Make sure you drink plenty of water to avoid dehydration, which can trigger migraine.
- Limit stress: For many migraine sufferers, stress is plays a big factor. Take time each day to relax. Find something that helps you relax like listening to soothing music, taking short walks, meditating or doing yoga.
- Try complementary therapies: Try using complementary therapy to help prevent migraines. For example, you may be able to manage stress and prevent migraines through acupuncture, massages and cognitive behavioral therapy.
Tip # 3 – Incorporate Certain Foods into Your Diet:
If you are a migraine sufferer like me, you are constantly looking for prevention ideas. Certain foods can help fight off and prevent migraines. These foods include:
- Cayenne: Cayenne peppers are widely recognized as culinary ingredients that add intense heat and flavor to southwest American, Caribbean, Indian and Asian dishes. However, this pepper may also offer healing benefits. Capsaicin, the chemical that gives cayenne peppers their heat, may help reduce blood vessel constriction. This may help prevent rapid blood pressure fluctuations that can trigger migraine headaches.
- Coffee: When it comes to coffee, caffeine can give you migraine relief. It is a major ingredient in many headache medications. However, if you consume too much, it can actually cause migraines. Moderation is key!
- Flaxseed and Fish: An anti-inflammatory diet is beneficial to preventing migraines. Flaxseeds and fish are packed with omega-3s and fiber can actually help prevent migraines.
- Riboflavin-rich Foods: Riboflavin, also known as vitamin B-2, is one of eight B vitamins necessary for the metabolism of nutrients and protection of your central nervous system. A deficiency of this vitamin may also contribute to headaches, particularly migraines. Adding foods high in riboflavin may help stop recurring migraines by correcting deficiencies. Eggs, avocados, broccoli, romaine lettuce, alfalfa, asparagus, walnuts and mushrooms are abundant sources of riboflavin.
- Magnesium-rich Foods: About 60 percent of migraine sufferers may have magnesium deficiencies. Magnesium is a trace mineral that may help normalize nerve impulses in your brain that transmit pain signals. This may help stop intense pain associated with migraine headaches. It may also help regulate the production of serotonin, a neurotransmitter chemical that may contribute to sudden changes in blood pressure – a contributing factor of migraines. Increase your magnesium intake by consuming foods such as kale, tofu, lima beans, kelp, garlic, apples, bananas and apricots.
Tip # 4 – Consider Dietary Supplements:
- Magnesium: This is probably the most important one as it contributes to relaxing the brain blood vessels that cause the pain. Magnesium penetrates cell membranes, including the mitochondria. Some of the best drugs used to treat migraines are calcium channel blockers.
- Vitamin B2: (riboflavin) – Riboflavin, which is vitamin B2, converts energy from carbohydrates. The riboflavin gives your brain more energy, which makes it less likely to be bothered by migraine triggers.
- Vitamin B6: Vitamin B6 is needed so the body can properly use serotonin and dopamine. These neurotransmitters are necessary for normal nerve cell communication. Researchers have found lower levels of serotonin in people with migraine headaches. Therefore taking Vitamin B6 may help the body better use these crucial chemicals and it is thought be a key vitamin for migraine aura and a natural remedy for migraines.
- Vitamin B12 & Folic acid: Vitamin B-12 supplements may also be effective for migraine relief if taken along with vitamin B6 and folic acid. A study published in “Pharmacogenetics & Genomics” in June 2009 showed that participants who took all three supplements together saw a reduction in migraine headache frequency and the severity of their pain.
Tip # 5 – Consider the Possibilities of Herbal Supplements:
For centuries, many people have used alternative therapies to help or cure common conditions. Certain herbs have been used to help reduce or prevent migraines. Some can be just as strong or effective as prescription drugs. Therefore, it is important to remember, if you consider using any type of herbal supplements, consult your doctor first. Make sure it does not conflict with any medications you are currently taking. You should not take any herbal supplements or drugs unless your doctor says it is OK and if you are pregnant, you should not take any herbal supplements because it may harm the baby.
Herbal supplements used to reduce and prevent migraines include the following:
- Alfalfa Leaf
- Barberry Root
- Bay Leaf
- Brazilian Guarana
- Dong Quai
- Evening Primrose
- Ginger Root
- Green Tea
- Griffonia Seed
- Hawthorne Leaf
- Kola Nut
- Lemon Balm
- Passion Flower
- Peppermint Leaf
- Valerian Root
- White Willow Bark
- Wood Betony
Tip # 6 – Prescription Medications:
Not all experts would recommend using medication to prevent temperature-change-related migraines. However, if you have tried natural, holistic and alternative therapies to try to eliminate your migraines and nothing seems to be effective then you should focus on other alternatives such as prescription medications specifically made to help people suffering from migraines.
Below are some prescription medications for patients suffering from migraines:
- Antiepileptic drugs: Certain medications used to control seizures are also effective for preventing migraines as well. These drugs may work by calming the neurons in the brain. Neuron “hyperexcitability” plays a role in migraine and epilepsy. Up to 20% of people with epilepsy also suffer from migraines including myself. Anti – seizure medications that help migraines include:
- Depacon (valproate)
- Depakote (divalproex)
- Topiragen, Topamax (topiramate)
- Beta-blockers: These medications are frequently used to treat high blood pressure and heart disease. It is not clear how they help prevent migraines. Nevertheless, beta-blockers improve the blood flow and this may be significant reason why beta-blockers help prevent migraines. Beta-blockers that have been proven effective for the prevention of migraines include:
- Blocadren (timolol)
- Inderal, Innopran XL (propranolol)
- Lopressor, Toprol XL (metoprolol)
- Antidepressants: These medications affect the level of the brain chemical serotonin. Research has shown that Elavil (amitriptyline) and Effexor (venlafaxine) work well for preventing migraines.