Non-invasive chiropractic way of migraine headache treatments is gaining wide recognition and applause. Dr.Spine is pioneering that movement in India, with its chiropractic based migraine treatment clinic in Bangalore.
Migraine disease is characterized by pain along the headaches that might disturb your life completely. There must be special care done to properly manage the Migraine headaches that can be a result of rising tension, stress, from exertion, cluster or rebound that requires treatment on regular basis. These Migraine headaches are often associated with corresponding neck and shoulder pain that will require you to visit a professional chiropractor. Most of these are triggered by a change in environment with change in weather, added pressure and stress that result in lack of sleep which might further cause recurring Migraine headaches. This continues headaches might result in vertebrate dysfunction.
A headache is one of the most common presenting complaints in an out-patient setting. It is rarely associated with some underlying neurological pathology. Headaches tend to be ignored by the patients.
According to the Global Burden of Disease statistics, migraine is ranked 3rd major cause of disability in individuals below the age of 50 years.
The prevalence of migraine headaches is about 17% in women and 9% in men in the USA.
According to an epidemiological study conducted in the year 2017 by the Neurological Society of India, on incidence and prevalence of a migraine, it was found that:
• India had the second highest prevalence rate among all Asian countries. Individuals in the age group 18-65 years were found to be commonly affected.
• The prevalence rate was higher in women, as compared to men. The maximum burden was in the age group of 30-34 years of age. This indicates a role of hormones as well as psychological factors.
• A major factor which influenced statistics was a diagnosis of tension headaches as a migraine.
• Among all the triggering or aggravating factors identified, leading causes were sun exposure (80%), sleep deprivation (71%) and long distance traveling (61%).
• Other factors were a change of climate, stress and anxiety, strong odors or scents, fasting, alcohol and certain food substances.
• 42% of females in the study experienced a migraine due to menstruation.
• Among the individuals studied, maximum patients had a migraine without aura.
A migraine is a complex neurological condition characterized by a unilateral headache with or without aura. It is often associated with photophobia, nausea, and vomiting.
• Throbbing, one-sided headache
• Nausea and vomiting
• Photophobia or sensitivity to light
• Vertigo or dizziness may be present
• Symptoms of aura may be present which includes blurred vision, tingling in extremities, and sensation of pins and needles, flashing of light, confusion or difficulty in speaking. Aura occurs about few minutes before the attack of a migraine
Prodrome – the presence of vague symptoms about 24 hours before an actual migraine headache. Irritability, stress anxiety or fatigue may be present.
Aura – this is different from prodrome, because during aura visual, sensory or language disturbances may occur. Aura occurs about 30 minutes prior to a headache.
A migraine with aura is called “a classical migraine” and a migraine without aura is termed “a common migraine”.
A migraine headache – characteristic unilateral headache associated with photophobia, nausea and vomiting. Symptoms of aura disappear when a migraine headache spears. Without any treatment, headache may last for about 48-72 hour.
Occasionally, headache subsides but symptoms of aura persist. This type of a migraine is called “complicated migraine”.
Post-drome phase – in this phase, the headache stops completely or ceases gradually, but the patient feels lethargic. The patient may go into deep sleep.
When limb weakness is associated with a migraine is called hemiplegic migraine. In some cases, a transient phase of loss of speech may be present.
Recovery – in this phase there is absolutely no attack of a migraine. Recovery differs in different persons.
A migraine is a clinical diagnosis. It may be acute or chronic depending upon its onset and duration.
There are no investigations to prove that a person is suffering from a migraine. However, when attacks are severe and persistent or increase in nature, certain investigations need to be done to rule out neurological pathology.
Migraine headaches are classified under the term primary headaches. This is to say, that migraine does not occur due to any structural, infectious, pathological or inflammatory cause.
As discussed earlier, anything and everything under the sun, including the sun can trigger an attack of a migraine. Sometimes, more than one factor may also trigger a migraine attack.
The frequency and intensity of a migraine can be different in different individuals. The attacks may also be different in the same individual. Migraine attacks may not always be disabling. Its presentation varies each time.
Symptoms of a migraine with aura are quite similar to that of epilepsy and it is also documented that if a person has a migraine, he/she is more likely to have epilepsy too.
Certain possible mechanisms which operate in triggering a migraine include:
• Dysfunction of ion channels in the body which leads to rapid excitation and depression of neurological activity. Spasmodic constriction followed by relaxation of blood vessels.
• Family history is considered as a major risk factor – indication a genetic predisposition.
• The higher rate of affection in females especially before and during menses indicates hormonal influence. Consumption of oral contraceptives may also trigger an attack of a migraine.
• When psychological stress is a causative factor – migraine usually occurs after a period of stress.
• Dietary factors included irregular food timings, cheese, and chocolates.
• The primary step in the management of a migraine is identification and avoidance of triggering or aggravating factor.
• An acute attack of a migraine can be managed by a dose of analgesic, paracetamol or aspirin. Ergotamine is prescribed for severe headaches.
• An anti-emetic is usually required as vomiting is a common feature of a migraine.
• Women should be educated as to the use of oral contraceptives as they increase the risk of stroke. Especially if they have a migraine with aura.
• Ways to alleviate stress like psychotherapy, yoga, regular exercise, and massage or acupuncture therapy or some recreation.
• Behavioral counseling to improve dietary and sleep habits, cutting out on caffeine and management of emotions like anger and irritability.
• Essential oils like lavender, rosemary or peppermint. These are available commercially in combinations as well.
Alternative modes of therapy like Ayurveda and homeopathy having growing popularity. Patients, who realize limited role and side effects of long-term use of analgesics and anti-sickness medications, tend to opt for these alternative therapies.
Plenty researches and studies support the role of ayurvedic medicines in managing migraine.
Homeopathy, on the other hand, has found to be effective in managing acute attacks of a migraine, reducing the intensity of attacks and also increasing the duration between attacks. Research papers in homeopathy indicate effective constitutional as well as therapeutic approach in managing migraines.
At Drspine you are entitled to receive the prime care from our migraine specialists for your issues since they are a qualified practitioner who can deliver the right service so pain can be managed easily. We look for the cause of the pain rather than treat the symptoms. There might be X-ray or ultrasound done to analyze the pain arising areas accordingly. Some of the Migraine treatment services that we offer at our Bangalore clinic are:
• Spine Stretching and natural movement for better flexibility
• Removing stiffness in the neck and shoulder area to alleviate Migraine pain
• Use of special tools to give stimulation to specific pain areas
• The better non-surgical way of pain management rather than living with painkiller
Migraines can create a lot of irritation along with pain in your head, neck and shoulders considerably; this is where a chiropractor can bring the right relief for your issues. First of all, they look for pain triggers around the area and diagnose the specific area that needs the proper attention. Then using their spinal adjustment techniques try to provide the effective stimulation that releases the stress from that point. These gentle messages, touches, pushes, and tools have proven a lot of success with a patient that shows Migraine problems. There are sensitive trigger points in the neck and back areas of your body that are treated to provide relief to your whole body.