Relief for Chronic Headaches & Migraines
Upcoming SlideShare
Loading in...5
×
 

Relief for Chronic Headaches & Migraines

on

  • 2,189 views

Those who suffer from migraines and chronic headaches know that the pain can be more than physical. These life-affecting burdens change the way you work, make plans, even spend time with your ...

Those who suffer from migraines and chronic headaches know that the pain can be more than physical. These life-affecting burdens change the way you work, make plans, even spend time with your family…and it seems like relief only comes in the temporary form of painkillers. Sean Valenti, DC discusses ways to put the pills—and pain—away.

Statistics

Views

Total Views
2,189
Views on SlideShare
1,299
Embed Views
890

Actions

Likes
0
Downloads
28
Comments
0

2 Embeds 890

http://www.springfieldclinic.com 888
http://accessibility_checker.siteimprove.com 2

Accessibility

Categories

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

Relief for Chronic Headaches & Migraines Relief for Chronic Headaches & Migraines Presentation Transcript

  • Relief for Chronic Headaches & Migraines Sean Valenti, DC, Chiropractic www.SpringfieldClinic.com
  • Headache Statistics
    • According to the National Headache Foundation, over 45 million Americans suffer from chronic, recurring headaches and of these, 28 million suffer from migraines. About 20% of children and adolescents also have significant headaches.
    • In the United States in the year of 2001 alone, there were 9,876,000 visits to doctors by patients seeking some sort of relief for their headache pains
  • Types of Headaches
    • 4 Primary Headaches
    • Migraines
    • Cluster
    • Tension
    • Trigeminal
    • International Headache Society
  • Most Common Treatments
    • Acetaminophen (Tylenol) – liver & kidney disease
    • Aspirin – internal bleeding, stomach ulcers, kidney dysfunction
    • Ibuprofen (Motrin, Advil, etc.)– heart disease, stroke
  • What Are Possible Causes and How can we treat them with less negative side effects
  • Causes and Affective Treatments
    • Dietary Issues
    • Neuromuscular
  • Dietary Issues
    • Magnesium Deficiency
    • Dehydration
    • Artificial Sweeteners
    • Food Allergies
  • Magnesium
    • Magnesium (  / mæɡˈniːziəm / mag- NEE -zee-əm ) is a chemical element with the symbol Mg
    • Magnesium is the 11th most abundant element by mass in the human body ; its ions are essential to all living cells .
    • Magnesium compounds are used medicinally as common laxatives , antacids (e.g., milk of magnesia ), and in a number of situations where stabilization of abnormal nerve excitation and blood vessel spasm is required.
  • Red Blood Cell Magnesium Levels in Migraine Patients
    • “ In comparison with normal subjects, migraine patients with and without aura had significantly lower red blood cell magnesium levels”.
    • Low red blood cell magnesium levels could be a peripheral expression of the reduced brain magnesium concentration observed in migraine patients
    • Cephalalgia April 1993 vol. 13 no. 2 94-98
  • Serum and Salivary Magnesium Levels in Migraine and Tension-Type Headache. Results in a Group of Adult Patients
    • We measured, by atomic absorption spectrophotometry, serum and salivary magnesium levels in drug-free migraine patients with and without aura and in tension-type headache patients
    • Migraine sufferers with and without aura and tension-type headache had significantly lower levels of serum and salivary magnesium concentrations in the interical periods than a group of healthy young individuals
    • Cephalalgia February 1992 vol. 12
  • Serum and Salivary Magnesium Levels in Migraine and Tension-Type Headache. Results in a Group of Adult Patients
    • Serum magnesium levels tended to be further reduced during attacks in all patient groups studied .
    • Serum magnesium levels and to a lesser extent salivary magnesium levels might express indirectly the lowering of brain extracellular magnesium concentration which occurs in migraine patients .
    • Cephalalgia February 1992 vol. 12
  • STUDY : Relationship between serum magnesium level and migraine attacks
    • Study determining serum magnesium levels in individuals and migraines attacks
      • 26 males, 114 females enrolled
      • Compared to 140 healthy people
      • Results: Patient with headaches had approximately 20% lower serum magnesium levels.
      • There was a significant linear relationship between the amount of serum magnesium and the frequency of headaches.
    Neurosciences Research Center, Department of Neurology, Tabriz University of Medical Sciences, Tabriz, Iran.
  • Chronic Dehydration and Headaches
    • Water is a critical element of the body. 75% of the bodies weight is made up of H2O.
    • We lose water when we breath, sweat, and eliminate waste.
    • We need approx 65oz. for a 150lbs person.
    • Approx . 2-3oz. Per pound
  • Food Allergy/ Intolerance
    • A food allergy is an adverse immune response to a food protein. They are distinct from other adverse responses to food, such as food intolerance .
  • Food Allergy/ Intolerance
    • IgG. IgG antibodies are found in all body fluids. They are the smallest but most common antibody (75% to 80%) of all the antibodies in the body. IgG antibodies are very important in fighting bacterial and viral infections. IgG antibodies are the only type of antibody that can cross the placenta in a pregnant woman to help protect her baby (fetus).
    • IgE. IgE antibodies are found in the lungs, skin, and mucous membranes. They cause the body to react against foreign substances such as pollen, fungus spores, and animal dander. They may occur in allergic reactions to milk, some medicines, and some poisons. IgE antibody levels are often high in people with allergies.
  • Diet restriction in migraine, based on IgG against foods: A clinical double-blind, randomized, cross-over trial
    • Introduction: It is well-known that specific foods trigger migraine attacks in some patients. We aimed to investigate the effect of diet restriction, based on IgG antibodies against food antigens on the course of migraine attacks
    • Methods: Following a 6-week baseline, IgG antibodies against 266 food antigens were detected by ELISA. Then, the patients were randomized to a 6-week diet either excluding or including specific foods with raised IgG antibodies, individually.
    • Cephalalgia July 2010 vol. 30 no. 7 829-837
  • Diet restriction in migraine, based on IgG against foods: A clinical double-blind, randomized, cross-over trial
    • Results: The average count of reactions with abnormally high titre was 24 ± 11 against 266 foods. Compared to baseline, there was a statistically significant reduction in the number of headache days (from 10.5 ± 4.4 to 7.5 ± 3.7; P  < 0.001) and number of migraine attacks (from 9.0 ± 4.4 to 6.2 ± 3.8; P  < 0.001) in the elimination diet period.
    • Conclusion: This is the first randomized, cross-over study in migraine patients, showing that diet restriction based on IgG antibodies is an effective strategy in reducing the frequency of migraine attacks.
    • Cephalalgia July 2010 vol. 30 no. 7 829-837
  • STUDY: Migraine headaches caused by Food Allergies?
    • Found – allergic food elimination greatly reduced intensity, frequency and duration of migraine headaches in patients
    • Gluten – was a frequent culprit.
    Cephalalgia - 2010 Jul;30(7):829-37. Epub 2010 Mar 10. Pub Med. Gov:   http://www.ncbi.nlm.nih.gov/pubmed/20647174
  • Artificial Sweeteners
    • ELIMINATE!
  • Artificial Sweeteners
    • Aspartame
    • Sucralose
    • Acesulfame potassium
    • Saccharin
    • Stevia*
  • Neuromuscular
    • Nerves
    • Muscles
  • Cervicogenic Headache – What is it?
    • a chronic, hemicranial pain syndrome in which the primary source of the pain is in the cervical spine but the pain is perceived in the head 
  • STUDY : Spinal Manipulation vs. Amitriptyline
    • A Randomized Clinical Trial for treatment of Chronic Tension-type Headaches
      • 6 weeks of drug therapy compared to chiropractic adjustments
    Boline PD, Kasaak K, Bronfort G, Nelson C, Anderson AV,   J Manipulative Physiol Ther. 1995 (Mar-Apr); 18 (3): 148-154  
  • STUDY : Spinal manipulation vs. Amitriptyline
    • Results:
      • Drug Therapy
        • Slightly more effective however 82% of patients had side effects including:
          • Drowsiness, weight gain, dry mouth
          • Cardiac problems & Glaucoma were also associated with use
        • After 4 weeks – patients reported having headaches again
    Boline PD, Kasaak K, Bronfort G, Nelson C, Anderson AV,   J Manipulative Physiol Ther. 1995 (Mar-Apr); 18 (3): 148-154  
  • STUDY: Spinal manipulation vs. Amitriptyline
    • Results:
      • Spinal manipulation
        • Side effects
          • Slight neck stiffness in the first 2 weeks (5 % of patients)
        • After 4 weeks – patients still expressed headache relief, as well as higher energy & vitality
    Boline PD, Kasaak K, Bronfort G, Nelson C, Anderson AV,   J Manipulative Physiol Ther. 1995 (Mar-Apr); 18 (3): 148-154  
  • STUDY : Migraine Changes Following Manipulative Therapy Trial
    • 4 cases – responded dramatically to spinal care
    • Episodes were reduced by 90%
    • Length of headache reduced by 38%
    • Medicine use dropped 94%
    • Symptoms were reduced including nausea, vomiting, photophobia and phonophobia.
    Tuchin PJ.   Australasian Chiropractic & Osteopathy 1997 (Nov); 6 (3): 85-91
  • STUDY : Chronic Episodic Tension type Headaches in Males
    • Study conducted at Palmer College of Chiropractic – West Outpatient Clinic
      • 11 men between ages 18-40 who suffer from headaches
      • Adjustments used along with:
        • Myofascial trigger point therapy
        • Moist hot packs
      • Patients reported reduction in the frequency and duration of headaches
    Mootz, RD, Dhami MSI, Hess JA, et al.   Journal of the Canadian Chiropractic Association, September 1994; 38(3): 152-159.
  • STUDY : Spinal Curvatures – Visceral Disturbance in Relation to Thereto
    • Per Ussher – spinal abnormalities could be causing visceral disorders and that X-rays could be a help in diagnosing the spine/internal organ relationship.
    • Ussher urged “A careful neurological examination of the spine” as part of differential diagnosis.
    Ussher NT. California and Western Medical Journal , 1933, 38:423. 
  • STUDY : Manipulation for Headaches with Upper Cervical Joint Dysfunction
    • 26 patients (16 males, 10 females)
    • All having chronic headaches with upper cervical joint dysfunction
    • Results: significant diminishing of the severity and frequency of headaches reported
    Whittingham, W, Ellis WB, and Molyneux TP,   J Manipulative Physiol Ther. 1994 (Jul-Aug); 17 (6): 369-375
  • STUDY : Spinal Manipulation in the Treatment of Cervicogenic Headache
    • Consisted of 53 patients out of 450 who fit the criteria for CGH according to the IHS and suffering from frequent headaches
    • 28 patients received Spinal Manipulations
    • 25 patients received massage and low-level laser.
    • Patients were treated 2x’s/wk for 3wk’s
    Nilsson N, Christensen HW, Hartvigsen J.   J Manipulative Physiol Ther. 1997 (Jun); 20 (5): 326-330
  • STUDY : Spinal Manipulation in the Treatment of Cervicogenic Headache
    • Results
      • Use of analgesics decreased 39% in the manipulation group, unchanged in the LLL and Massage group
      • Duration decreased 69% manipulation and 37% in Massage/LLL
      • Intensity decreased 36% manipulation and 17% in Massage/LLL
  • STUDY : Spinal Manipulation, Amitriptyline and Combination
    • For Prophylaxis of Migraine Headache
      • Study compared the effectiveness of
        • chiropractic care alone,
        • with antidepressant/antianxiety drug amitriptyline (Elavil),
        • Or combination of both.
    Nelson CF, Bronfort G, Evans R, et al.   J Manipulative Physiol Ther. 1998 (Oct); 21 (8): 511-519
  • Spinal Manipulation, Amitriptyline and the Combination of both therapies
    • Results
      • The headache diary kept by each patient showed Chiropractic to have reduced severity and frequency of headaches as well or better than the combined therapy or the Amitriptyline alone at each stage of the study.
    Nelson CF, Bronfort G, Evans R, et al.   J Manipulative Physiol Ther. 1998 (Oct); 21 (8): 511-519
  • STUDY : Occipital Headaches – Treatment of Vertebragenous Headache
    • 332 patients received an average of 8.6 chiropractic adjustments
    • Results
      • 80% of patients had excellent (pain-free) and good (almost pain-free) outcomes
    Droz JM, Crot F.   Swiss Annals Vlll, 1985; 127-36.
  •  
  • Images
    • QUESTIONS