The Mechanism of Migraine
What is happening physiologically when a migraine headache occurs? It seems the origin of a migraine headache is in the brain stem. The brain stem is a small bit above the spinal cord, but beneath the cortex of the brain. The migraine “control center” in the brain stem emits signals to the blood vessels lining the brain, requesting these blood vessels to dilate and expand. In the process, pain signals are sent going back to the “control center”.
Migraine Contrasted with other Headaches
What is the difference between a migraine and a regular headache? Migraine headaches are for the most part one-sided, with concomitant nausea, reduction of appetite and vomiting. Often, light sensitivity accompanies the migraine headache. Contrast this with the common tension headache, which is distributed over the entire head. Also, the routine headache isn't as severe as a migraine headache. Migraine is best described as a throbbing headache, whereas a tension headache merely has a dull, constant ache.
Different Types of Migraines
There are normal migraines and classic migraines. Classic migraines commence with a “aura” that involves changes in visual perception. The auras persist roughly 10-30 minutes and are associated with flashing lights and/or colors, and perhaps a temporary loss of vision. You may feel a burning or unusual prickly feeling, and perhaps feel irritable and restless.
A common migraine doesn't involve an aura. A common migraine begins more slowly than a classic migraine and the pain may only be unilateral. However, a common migraine lasts longer than a classic one, and might interfere more extensively with your usual activities.
Alternative Treatmnents
Certain non-traditional treatments have proven effective. These include chiropractic manipulation, acupuncture and biofeedback therapy. Magnetic therapy in addition has been used with success. Magnetic therapy initiates increased electrical activity in the brain. This increases neural conductivity which then stimulates in the brain the secretion of the hormones serotonin and melatonin. Serotonin controls moods and depression tendencies. Magnetic therapy treatment usually involves either:
- A magnetic pillow pad
- A magnetic head band
- A magnetic eye mask
A natural treatment procedure includes employing an ice pack on the back of the neck close to the base of the skull. This reduces the flow of blood to the head, resulting in reduced pressure in the head. Make sure there is a barrier between the ice pack and the skin, like a wet cloth.
Some herbal remedies have been used. These include feverfew, chamomile, valerian, white willow and skullcap. These following supplements also may help individuals suffering from migraines:
- Coenzyme Q10
- Magnesium
- Multivitamins/multi-minerals
- Vitamin B12
- Vitamin B2
Finally, some additional remedies include extra magnesium in one's diet, regular physical exercise, and relaxation techniques like yoga or transcendental meditation. Recently, a new form of migraine treatment called Transcutaneous Electrical Nerve Stimulation (TENS) has been developed. TENS sends a mild shock of electricity, avoiding the body from obtaining migraine pain signals.
Migraine Triggers
Certain environmental triggers seem to initiate a migraine attack. These triggers include some foods, stressful lifestyles, and exposure to bright lights or loud sounds. Commonly, particular foods such as red wine, cheese, chocolate, meats cured with nitrates, and MSG are able to induce migraine headaches. Additional triggers include anger and/or stress, too little sleep, menstruation, and weather changes. Withdrawal from caffeine and ergotamines can also trigger migraine headaches. The reason why foods like cheese, chocolates and alcohols can trigger migraines is the presence of amines that act on the vascular system by causing venal constriction through release of catecholamines.
Migraine Treatments
There is an extensive range of treatments for migraines. They vary from medications like the triptans (sumatriptan, zolmitriptan, naratriptan, rizatriptan, almotriptan, frovatriptan) to consuming healthful foodstuffs, to avoiding particular stressful lifestyles to relaxation approaches. Migraine headache intensity varies from one individual to the next, and no clear cut remedy currently exists.
Specific prescription medications might ease the symptoms of migraines. These include Imitrex, Maxalt, Zomig, Relpax, Midrin, and Migranal. They exert their action by causing cerebral vasoconstriction.
Migraine Symptoms
The following is an incomplete directory of migraine symptoms:
- Auras (light spots)
- Nausea
- Vomiting
- Sensitivity to light and sound
- Significant pain in the head
- Numbness
- Difficulty in speaking
- Throbbing or pulsing headache (largely unilateral)
Migraine attacks frequently recur, and the symptoms will differ from person to person.
Migraine Complications
Many symptoms of migraines disappear after a few days. If migraines are left untreated, yet, they can induce strokes, aneurysms, permanent vision loss, and even comas.
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