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9 out of 10 Americans suffer from headaches. Inform people on how they are caused and what can be done to stop their suffering.

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  1. 1. HEADACHES Dr. Michael Vanella
  2. 2. <ul><li>“Lord, how my head aches! </li></ul><ul><li>What a head have I! </li></ul><ul><li>It beats as it would fall </li></ul><ul><li>In twenty pieces.” </li></ul><ul><li>~Romeo & Juliet </li></ul>
  3. 3. Headache Facts <ul><li>If you have a headache you are not alone. </li></ul><ul><li>9-10 Americans suffer from headaches. </li></ul><ul><li>Some are occasional, some are frequent. </li></ul><ul><li>Some are dull, throbbing, and some cause debilitating pain and nausea. </li></ul>
  4. 4. Headache Facts <ul><li>Headaches are more common in adults </li></ul><ul><li>However they can develop anytime in life </li></ul><ul><li>4 out of 5 children have headaches at some point </li></ul><ul><li>Adult sufferers report having their first headache in childhood </li></ul>
  5. 5. Headache Facts <ul><li>Symptoms usually begin gradually </li></ul><ul><li>A sudden onset may signify a serious condition </li></ul>
  6. 6. Headache Facts <ul><li>Usually described as achy, dull, or throbbing </li></ul><ul><li>Begins at the base of the skull/upper part of neck </li></ul><ul><li>May radiate into the eye(s), the temple(s), or other locations </li></ul><ul><li>May be felt on one side or both sides of the head </li></ul>
  7. 7. Headache Facts <ul><li>Loud noises or bright lights may make them worse </li></ul><ul><li>Patients may become nauseated </li></ul><ul><li>Experience odd smells, sounds, or sights </li></ul><ul><li>All before and during the headache attack </li></ul>
  8. 8. How is a Headache Evaluated?
  9. 9. How is a Headache Evaluated <ul><li>Early diagnosis and treatment are important </li></ul><ul><li>There maybe a serious underlying condition </li></ul><ul><li>An in-depth history and physical examination can usually tell </li></ul><ul><li>X-rays, laboratory tests, and advanced imaging may be necessary </li></ul>
  10. 10. Recording a Headache Diary <ul><li>Day and time of headaches </li></ul><ul><li>Headache location </li></ul><ul><li>What the headache feels like </li></ul><ul><li>What were you doing when the headache began </li></ul><ul><li>How long the headache lasts </li></ul><ul><li>What makes it better or worse </li></ul><ul><li>Anything else you notice before, during, and after the attack </li></ul>
  11. 11. Signs of a Serious Headache
  12. 12. Signs of a Serious Headache <ul><li>You should call your doctor or seek emergency care if: </li></ul><ul><li>You have a stiff neck and a fever along with your headache </li></ul><ul><li>It is painful to bend your head to your chest </li></ul><ul><li>Your speech is slurred </li></ul><ul><li>You have vision changes </li></ul>
  13. 13. Signs of a Serious Headache <ul><li>You feel numbness or weakness in your arms or legs </li></ul><ul><li>Your headache last longer than 3 days </li></ul><ul><li>You recently injured your head and your headache will not go away </li></ul><ul><li>You often get headaches in the morning </li></ul><ul><li>You have a sudden headache although you normally don’t have them </li></ul>
  14. 14. Other Signs of Seriousness <ul><li>The worse headache you ever had </li></ul><ul><li>Worsening or more frequent headaches </li></ul><ul><li>Headaches that wake you from your sleep </li></ul><ul><li>Personality changes along with the headache </li></ul><ul><li>Early morning vomiting without a headache </li></ul>
  15. 15. General Information
  16. 16. Triggers <ul><li>Environmental stimuli (noises, lights, stress, etc.) </li></ul><ul><li>Behaviors (insomnia, excessive exercise, blood sugar changes, etc) </li></ul>
  17. 17. Food Triggers <ul><li>Avoid caffeine. Foods such as chocolate, coffee, sodas, and cocoa contain high levels of the stimulant. </li></ul><ul><li>Avoid high salt or sugar foods. May cause migraines resulting in a sensitivity to light, noise, or abrupt movements. </li></ul><ul><li>Avoid drinking alcoholic beverages. These can dehydrate you. </li></ul><ul><li>Suffers also want to avoid high protein foods, dairy products, and red meat. </li></ul>
  18. 18. Secondary Headaches <ul><li>5% of all headaches are a warning sign caused by physical problems </li></ul><ul><li>These are secondary headaches and result from some other condition </li></ul>
  19. 19. Secondary Headaches <ul><li>Head injury </li></ul><ul><li>Concussion </li></ul><ul><li>Blood vessel problems </li></ul><ul><li>High blood pressure </li></ul><ul><li>Medication side effects </li></ul><ul><li>Infections in the head or sinuses </li></ul><ul><li>Tumors </li></ul><ul><li>Toxic substances </li></ul><ul><li>Certain food additives such as MSG </li></ul>
  20. 20. Primary Headaches <ul><li>95% of all headaches are primary such as migraine, tension, and cluster. They are not caused by disease. </li></ul><ul><li>Also in this group are sinus headaches and headaches from poor vision </li></ul>
  21. 21. Primary Headaches <ul><li>Most primary headaches are caused by </li></ul><ul><li>problems with the neck muscles </li></ul>
  22. 22. Prevention
  23. 23. What Can You Do <ul><li>If you spend a lot of time </li></ul><ul><li>in one position. Take a </li></ul><ul><li>break and stretch every 30 </li></ul><ul><li>minutes. The stretches </li></ul><ul><li>should take your neck and </li></ul><ul><li>head through a </li></ul><ul><li>comfortable range of </li></ul><ul><li>motion. </li></ul>
  24. 24. What Can You Do <ul><li>Low-impact exercises may help relieve the pain. </li></ul><ul><li>However if you are prone to dull, throbbing headaches. Avoid heavy exercise. </li></ul><ul><li>Engage in walking and low-impact aerobics. </li></ul>
  25. 25. What Can You Do <ul><li>Avoid teeth clenching. </li></ul><ul><li>Upper teeth should never touch the lower unless swallowing. </li></ul>
  26. 26. What Can You Do <ul><li>Drink at least eight 8 </li></ul><ul><li>ounce glasses of </li></ul><ul><li>water a day to avoid </li></ul><ul><li>dehydration. </li></ul>
  27. 27. What Can You Do <ul><li>Avoid slouching </li></ul><ul><li>Avoid reading with your neck bent </li></ul><ul><li>Keep your computer monitor at eye level </li></ul><ul><li>Try a low-fat, high-complex carbohydrate diet </li></ul>
  28. 28. Chiropractic Treatment <ul><li>Perform chiropractic adjustments to improve spinal function and alleviate the stress on your system. </li></ul><ul><li>Provide nutritional advice, recommending a change in diet and perhaps the addition of vitamins. </li></ul><ul><li>Offer advice on posture, ergonomics (work postures), exercises and relaxation techniques. This advice should help to relieve the recurring joint irritation and tension in the muscles of the neck and back. </li></ul>
  29. 29. Thank you