migraine
TRANSCRIPT
Dr. Angelo Smith M.DWHPL
Missed ≥ 1 day of work/school 25%
Work/school productivity reduced by ≥ 50% 28%
Did no household work 48%
Household productivity reduced by ≥ 50% 34%
Missed family or social activity 29%
School, Work, and Social Impact in Previous 3 Months
A neurological disorder characterized by hyper excitability of the nervous system
You don’t get migraines, you have migraine
Your body is more sensitive to stimuli that can cause a
headache attack Defining characteristics
Recurrent headache attacks lasting 4-72 hours
One-sided, pulsating, moderate-to-severe pain
Presence of 2 of 3 key characteristics: inability to function,
photophobia/phonophobia, nausea/vomiting
1Migraine originates deep within the brain
2Electrical impulses spread to other regions of the brain
3Changes in nerve cell activity and blood flow may result in visual disturbance, numbness or tingling, and dizziness
4Chemicals in the brain cause blood vessel dilation and inflammation of the surrounding tissue
5The inflammation irritates the trigeminal nerve, resulting in severe or throbbing pain
Type How common?
Migraine without aura 70%
Migraine with aura 25%
Migraine variants and complicated migraine
5%
scotoma (blind spots) Fortification (zig-zag patterns) Scintilla (flashing lights) Unilateral paresthesia/weakness Hallucinations Hemianopsia (blindness in one half of the
visual field)
Hormonal fluctuation plays an important role in migraine for many women
60% of women with migraine experience “menstrual
migraine”
Headaches are associated with changes in estrogenlevels right before menses and most often occur upto 2 days before or during menses
Oral contraceptives may either exacerbate or alleviate
the frequency, severity, and duration of headaches
Menstrual migraine differs somewhat fromother migraine
Pain may persist longer and be more severe
Headache attack is more likely to be accompaniedby nausea or vomiting
Headache occurs more frequently
Menstrual migraine is more difficult to treat
Recent online survey by NHF showed thatmigraine is the most common headachediagnosis in men (36%)
Yet, many men do not discuss migraine withtheir healthcare practitioners Nearly 1/3 of men suffering from headache have
not been diagnosed Nearly 1/4 did not visit their doctor because they
felt they should “tough it out”
Relaxation training Hypnotherapy Biofeedback training Cognitive/behavioral management Acupuncture
Nutritional supplements (B2 and others)
Physical therapy and/or massage