Migraines & Headaches Resource Center

If you are like a lot of people, you sometimes or often get headaches that are horribly debilitating but you just muddle through them. You take some over the counter migraine medication and instead of easing the headache, sometimes it makes the headache worse.

I have suffered from migraines for years. I won’t say how many years, but let’s just say that it has been over 35 years! I have taken non-prescription medicine, put ice on my head and neck, tried to rest in a dark, quiet room and a few other things. Most didn’t work. The ones that did work didn’t work well.

Like you, I could feel the symptoms coming on, and no matter what symptoms I had, I knew that there was a migraine on the way. Lightheadedness, pain in the back or side of the head, nausea and more. No matter what the symptom, I always knew that these were not just regular headaches.

Since I wasn’t getting these headaches every day or even every week, I didn’t run to the doctor. In addition, isn’t it very iteresting that we almost seem to get all the big stuff at night – especially during the middle of the night – or at a party or wedding or important event. If it got really bad, I’d end up in the emergency room and they would give me a shot or two so I could go home and sleep it off.

Over the years, dealing with migraines for most people, there have been many changes and improvements in treatment and medications to choose from that can be used on a regular basis, either daily, weekly, or at the time of the headache. Sometimes I have had to use different medications because some do a better job than others. If you are suffering with these headaches don’t wait – see a doctor. It could be a migraine or other headache, but it could be a headache that could cause an aneurysm or a seizure.

Regardless, the best symptom of a migraine is the feeling of it fading away when the medication works.

Migraines have ong been a trouling source of pain. These debilitating headaches are triggered by numerous causes, and for many individuals are a problem daily or nightly.

I am a migraine sufferer and have been for years. Some weeks they are not too bad. Others, I have them most days or nights. If I get one during the day, I lie down in a darkened room, take some medication and hope I fall asleep so that when I wake up, usually the mgraine is over, or at least a lot better. That’s a wonderful feeling. The only problem is that once I have taken medication and sleep – especially deeply – during the day, I find myself sitting up in the middle of the night waiting to get tired.

The doctors have given me sleeping pills in the event that this happens, however, when taking a sleeping pill, it is hard to get up in the morning to do what I have to do. That starts a different cycle. Sometimes it creates another migraine, but usually it leaves me extremely tired and needing to sleep more.

When the situation happens backwards and the migraine happens at night, it doesn’t seem so bad. Trust me, it isn’t fun, but when you take the migraine medication and lie down in a dark room and the medication works, usually – at least if the medicine works – I am able to wake up in the morning usually feeling better. Sometimes I take a sleeping pill at the same time since the migraine pill (which is not meant to be a tranquilizer or sleeping pill), and that way I am able to sleep and wake up feeling better – ready to do what I have to do for the day.

Researchers have discovered that because of all the troubles the world is going through these days, especially because of the incredible financial issues that are affecting everyone, migraines are on the rise. People who never or rarely got migraines before are getting them a lot more these days simply due to stress, which then leads to lack of sleep. Working on both and trying to focus on the positive – no matter how small – will help keep the number and intensity of migraines down and your sleep more regular and peaceful.

If you are a migraine sufferer, there may be good news for you. Researchers have discovered that regular intake of Vitamin B2, ?which is also known as riboflavin, may help you have fewer migraines.

Riboflavin is a type of B vitamin. All B vitamins are water soluble. It is extremely important in converting carbohydrates into sugar. The eight B vitamins, which are also known as vitamin B complex, are necessary to metabolize fat and proteins. They help keep the muscles in good tone and are necessary for the overall health of the digestive and nervous system. They are also necessary for the skin, hair, mouth and liver to stay healthy..

If we have a deficiency in vitamin B or riboflavin, there can be harm to the body, some of it extreme.
There are some serious impacts if we do not get sufficient riboflavin. Headaches, fatigue, visual disturbances, digestive problems, cracks in the mouth, and sensitivity to light are just a few of the impacts.

Riboflavin is found in a sufficient quantity in many foods. Green leafy vegetables, liver, legumes, eggs, milk, cheese, dairy products and fortified cereals are some of the food items which contain riboflavin. The most common reason of riboflavin deficiency is insufficient amount of the vitamin in the diet. Though it is best to get as much riboflavin from food as a source if possible. If it is not possible to do this through diet, a combination of food and vitamin supplements, or even just vitamin supplements without much riboflavin-rich foods will at least help avoid the dficiency or at least make it less severe.

Riboflavin deficiency is a problem for many people of various ages. It is also an unusually severe problem for the elderly.

Riboflavin can be destroyed by light, so any food which contains riboflavin or riboflavin supplements should be kept away from bright light. Also, since riboflavin is a soluble vitamin, it’s benefits can be lost in water when foods are cooked. This can be counteracted by retaining the water which is used to boil vegetables and use the water in cooking other items. There are a number of fortified flours which have riboflavin added to them, as well, however they do not help the body to the extent that whole foods and vitamin supplements do..

If you choose to take supplements, take them with food, usually a meal, so that your body can absorb and use the supplements better. Check with your doctor regarding the level of riboflavin to take, especially if you are taking medications, since various medications can affect the riboflavin and the riboflavin can affect whether the medications and how the medications work. Some of the medications that can have negative interactions with riboflavin include:

Tricyclic antidepressants
Anti-malaria drugs
Various antipsychotic medications
Birth control pills
Doxorubicin (chemotherapy used for some cancers)
Methotrexate
Phenytoin
Probenecid (for gout)
Selegiline (for Parkinson’s disease)
‘Sulfa’ medications – certain antibiotics
Thiazide diuretics
If you are taking riboflavin there are possibilities of allergic reactions. One main side effect (which is not harmful) is that riboflavin may result in urine becoming an orange red color. Allergic reactions in some patients may take place. Avoid overdosing yourself with any supplement containing riboflavin. Ask your family physician or a nutritionist on proper advice.

Studies and testimonies from patients and doctors are showing that there are many people who have been suffering from Migraines who, since taking riboflavin daily, have eliminated most -if not all – of these terrible, painful and debilitating headaches.

My grandmother had several strokes while I was growing up. This was in the early 1960’s and I had no idea what a stroke was and why she was so sick. The problem is that the doctors didn’t now what the do either. Somehow, they managed to keep bringing her around, get her stable, bring her home let her rest for a few weeks and then hope for the best. They would keep her on a bunch of medication – some for her heart, some for her blood pressure and a few other pills that were for other things that I was never knew what it was for. They looked like a stack of skittles. My grandmother started having strokes when she was in her 50’s. She died of a stroke and a massive hemmoraghe at age 62. She was active until the day she died. The day before she died, whe was on a ladder hanging curtains, happy and singing. You would never know that there was anything wrong with here for a day in her life – certainly not a history of strokes.

A stroke is not a sign of old age. My grandmother proved that. Anyone can have one, no matter your age — and, a new study says this is especially true if you suffer from migraines. Those who suffer from what’s called “migraine with aura” have double the risk of stroke or heart attacks. The headache’s preceded by slurred speech, forgetfulness, feeling hot or cold — and then aura. Out of 175 people, nearly one third of those with migraines had signs of blood vessel damage — which can lead to a stroke.

Beth Leslie had gotten occasional migraines for years. She thought of them as a painful imposition, nothing more. Then, one day two years ago, her world tipped sideways. “Everything was spinning. I just kept my eyes closed, because whenever I’d open them I’d get dizzy,” says Leslie, a 24-year-old veterinary technician who lives in Bowling Green, Ohio. “It really freaked me out.”

She went to the hospital, where a doctor told her she’d probably come down with some sort of virus. After two days, Leslie’s condition hadn’t improved, and her boyfriend started pressing the doctors. They agreed to give her a brain scan, and found she’d suffered a stroke, one that centered on her cerebellum, the part of the brain in charge of balance.

Leslie was shocked. Like most people, she’d thought of stroke as a disease of old age. But for those who get migraines, the rules appear to be different. Until recently, scientists saw migraine suffering as a physiological thunderstorm that left few lasting effects. But new research suggests some migraines aren’t so innocuous.
Recent studies show those who suffer from something called migraine with aura have double, or perhaps triple, the risk of stroke or heart attack, compared with people who don’t get migraines at all
In these people — Leslie is one of them — the headache is preceded by a range of symptoms: slurred speech, forgetfulness, feeling hot or cold, and ghostly lights blinking across the field of vision. That last one is the aura. A third of those who experience migraines have these symptoms; generally, this sub-group also has more frequent, and more excruciating, migraines.

“I don’t think migraine is seen as a serious disorder. That’s a mistake,” says migraine researcher David Dodick, a neurologist at the Mayo Clinic in Phoenix. “Headache is just one manifestation of migraine. It’s a systemic illness.”

The mysteries of migraines
Thirty-five million Americans — 1 in 10 of us — get migraines. They tend to occur regularly, with severe pain on one side of the head. Migraine attacks often include other symptoms, such as nausea and sensitivity to light and sound. Researchers disagree on whether people who get migraines without aura are at higher risk for strokes and heart attacks. So far, almost all of the research of migraine and cardiovascular risk has occurred in those who get auras.

No one knows for sure what accounts for the higher rates of strokes and heart attacks in those who do suffer from migraine with aura, but scientis have several theories that may offer insight. Some researchers blame migraines on chronic exposure to certain neurotransmitters. Most scientists think migraine sufferers’ brains are hyper-excitable — that is, their neurons tend to start firing uncontrollably, with the outburst spreading across the brain over the course of a few hours. This electrical storm causes the brain to release several neurotransmitters, including two chemicals called Substance P and Calcitonin Gene-Related Peptide (CGRP), that produce inflammation and pain in the blood vessels surrounding our brains.

Researchers suspect that over years of repeated migraines, the inflammation from Substance P and CGRP may weaken blood vessels, not only in the head but throughout the body. This damage may raise the risk of stroke or heart attack. During a stroke, the vessels that supply the brain rupture or become blocked; during a heart attack the same thing happens to the vessels around the heart.

In a study of 175 people completed last year, University of Toledo neurologist Gretchen Tietjen — who treated Leslie after her stroke — found that nearly a third of those with migraines had signs of blood vessel damage, almost five times higher than the controls. Tietjen says that while there’s no conclusive proof that Leslie’s migraines played a role in her stroke, they easily could have.

But another group of scientists think the culprit isn’t neurotransmitters, but the vascular system itself. Dodick and others argue that the blood vessels of people who get migraines are inherently dysfunctional, contracting and expanding abnormally in reaction to physical and emotional stress. “People with migraine probably have unusually reactive blood vessels,” says neurologist Richard B. Lipton, a leading migraine researcher at the Albert Einstein College of Medicine in the Bronx. In the head, these vascular spasms could trigger migraines. When the veins and arteries in the temple and skull expand and contract too much, they may press on nerves, leading to the excruciating pain. In people who get migraines, these blood vessel seizures may occur throughout the body, without patients much noticing. Over years, these spasms may damage the vascular system.

Over the past five years, scientists have found that PFOs seem to occur in more than half of people who get migraines. In some migraine patients, closing the PFO with surgery seems to lead to a disappearance of headaches. Some researchers suspect the unpurified blood leaking through the PFO contains inflammatory molecules, which set off that electrical storm when they travel up to the brain. (This may be why people with migraine get headaches after eating certain foods like red wine, olives and chocolate. These “trigger” foods may contain the offending chemicals, which in normal people are constantly removed from the blood.)

Kurth, who has spent several years examining connections between migraine and stroke, thinks there may be several lines of connection between stroke, heart disease and migraine.

At the same time, he says, even those who get frequent migraines shouldn’t panic. In the general population, stroke and heart attack are quite rare. They’re even less common if you’re young and healthy. While the stroke risk might double from 15 per 100,000 in the general population to 30 per 100,000 for those who experience migraine with aura, the risk is still relatively small, pointed out Lipton in the journal Neurology Today.

But if you get migraines, and you smoke, are overweight, or have untreated high blood pressure, then your risk climbs significantly. And each risk compounds the others exponentially. In a 2007 study published, Kurth found that women who have migraine with aura, smoke and take oral contraceptives (also a stroke hazard), were 10 times more likely to have a stroke than women without these risks. Leslie, for example, was taking birth control pills when she had her stroke.

Even without a clear causal link, the new findings may change how doctors treat migraines. Rather than seeing the condition as a painful but harmless hassle, doctors are increasingly trying to prevent it, just as they do obesity or high blood pressure. A range of medicines, including blood pressure drugs and antidepressants, can help prevent headaches. And many patients also find relief through changes in lifestyle and diet.
But if you get migraines, and you smoke, are overweight, or have untreated high blood pressure, then your risk climbs significantly. And each risk compounds the others exponentially.

In a 2007 study published, Kurth found that women who have migraine with aura, smoke and take oral contraceptives (also a stroke hazard), were 10 times more likely to have a stroke than women without these risks. Leslie, for example, was taking birth control pills when she had her stroke.

Changes in treatment
Even without a clear causal link, the new findings may change how doctors treat migraines. Rather than seeing the condition as a painful but harmless hassle, doctors are increasingly trying to prevent it, just as they do obesity or high blood pressure. A range of medicines, including blood pressure drugs and antidepressants, can help prevent headaches. And many patients also find relief through changes in lifestyle and diet.

Although there’s no clear proof, some scientists, including Tietjen, suspect that in migraineurs, preventing headaches could lower the risk of stroke and heart attack.

“I think there’s ongoing, progressive damage to the cardiovascular system,” she says. “If you can treat patients early on, maybe you can keep it from progressing.”

Leslie, who has since fully recovered from her stroke, is now in this minority. She takes Elavil, an anti-depressant, for migraine prevention. She no longer takes oral contraceptives, and last year she had surgery to close a PFO doctors discovered after her stroke. She almost never gets a headache. “It still surprises me that I had a stroke,” she says. “But I’m doing everything I can to stay healthy now. I’ve come a long way.”

more information about DST Health Solutions, contact 800.272.4799, e-mail inforequests@dsthealthsolutions.com or visit www.dsthealthsolutions.com.

Web Site: http://www.dsthealthsolutions.com/

My grandmother had several strokes while I was growing up. This was in the early 1960’s and I had no idea what a stroke was and why she was so sick. The problem is that the doctors didn’t now what the do either. Somehow, they managed to keep bringing her around, get her stable, bring her home let her rest for a few weeks and then hope for the best. They would keep her on a bunch of medication – some for her heart, some for her blood pressure and a few other pills that were for other things that I was never knew what it was for. They looked like a stack of skittles. My grandmother started having strokes when she was in her 50’s. She died of a stroke and a massive hemmoraghe at age 62. She was active until the day she died. The day before she died, whe was on a ladder hanging curtains, happy and singing. You would never know that there was anything wrong with here for a day in her life – certainly not a history of strokes.

A stroke is not a sign of old age. My grandmother proved that. Anyone can have one, no matter your age — and, a new study says this is especially true if you suffer from migraines. Those who suffer from what’s called “migraine with aura” have double the risk of stroke or heart attacks. The headache’s preceded by slurred speech, forgetfulness, feeling hot or cold — and then aura. Out of 175 people, nearly one third of those with migraines had signs of blood vessel damage — which can lead to a stroke.

Beth Leslie had gotten occasional migraines for years. She thought of them as a painful imposition, nothing more. Then, one day two years ago, her world tipped sideways. “Everything was spinning. I just kept my eyes closed, because whenever I’d open them I’d get dizzy,” says Leslie, a 24-year-old veterinary technician who lives in Bowling Green, Ohio. “It really freaked me out.”

She went to the hospital, where a doctor told her she’d probably come down with some sort of virus. After two days, Leslie’s condition hadn’t improved, and her boyfriend started pressing the doctors. They agreed to give her a brain scan, and found she’d suffered a stroke, one that centered on her cerebellum, the part of the brain in charge of balance.

Leslie was shocked. Like most people, she’d thought of stroke as a disease of old age. But for those who get migraines, the rules appear to be different. Until recently, scientists saw migraine suffering as a physiological thunderstorm that left few lasting effects. But new research suggests some migraines aren’t so innocuous.
Recent studies show those who suffer from something called migraine with aura have double, or perhaps triple, the risk of stroke or heart attack, compared with people who don’t get migraines at all.

In these people — Leslie is one of them — the headache is preceded by a range of symptoms: slurred speech, forgetfulness, feeling hot or cold, and ghostly lights blinking across the field of vision. That last one is the aura. A third of those who experience migraines have these symptoms; generally, this sub-group also has more frequent, and more excruciating, migraines.

“I don’t think migraine is seen as a serious disorder. That’s a mistake,” says migraine researcher David Dodick, a neurologist at the Mayo Clinic in Phoenix. “Headache is just one manifestation of migraine. It’s a systemic illness.”

The mysteries of migraines
Thirty-five million Americans — 1 in 10 of us — get migraines. They tend to occur regularly, with severe pain on one side of the head. Migraine attacks often include other symptoms, such as nausea and sensitivity to light and sound. Researchers disagree on whether people who get migraines without aura are at higher risk for strokes and heart attacks. So far, almost all of the research of migraine and cardiovascular risk has occurred in those who get auras.

No one knows for sure what accounts for the higher rates of strokes and heart attacks in those who do suffer from migraine with aura, but scientis have several theories that may offer insight. Some researchers blame migraines on chronic exposure to certain neurotransmitters. Most scientists think migraine sufferers’ brains are hyper-excitable — that is, their neurons tend to start firing uncontrollably, with the outburst spreading across the brain over the course of a few hours. This electrical storm causes the brain to release several neurotransmitters, including two chemicals called Substance P and Calcitonin Gene-Related Peptide (CGRP), that produce inflammation and pain in the blood vessels surrounding our brains.

Researchers suspect that over years of repeated migraines, the inflammation from Substance P and CGRP may weaken blood vessels, not only in the head but throughout the body. This damage may raise the risk of stroke or heart attack. During a stroke, the vessels that supply the brain rupture or become blocked; during a heart attack the same thing happens to the vessels around the heart.

In a study of 175 people completed last year, University of Toledo neurologist Gretchen Tietjen — who treated Leslie after her stroke — found that nearly a third of those with migraines had signs of blood vessel damage, almost five times higher than the controls. Tietjen says that while there’s no conclusive proof that Leslie’s migraines played a role in her stroke, they easily could have.

But another group of scientists think the culprit isn’t neurotransmitters, but the vascular system itself. Dodick and others argue that the blood vessels of people who get migraines are inherently dysfunctional, contracting and expanding abnormally in reaction to physical and emotional stress. “People with migraine probably have unusually reactive blood vessels,” says neurologist Richard B. Lipton, a leading migraine researcher at the Albert Einstein College of Medicine in the Bronx. In the head, these vascular spasms could trigger migraines. When the veins and arteries in the temple and skull expand and contract too much, they may press on nerves, leading to the excruciating pain. In people who get migraines, these blood vessel seizures may occur throughout the body, without patients much noticing. Over years, these spasms may damage the vascular system.

Link between migraine and heart defect?
Then there’s the hole-in-the-heart theory. Researchers have known for years that having a gap in the wall between two chambers of the heart — a surprisingly common defect (it occurs in 10 to 20 percent of people) — increases the risk of stroke. It’s not clear why: The defect, known as a patent foramen ovale, or PFO, may allow blood to bypass the lungs, which constantly filter small clots and impurities from the blood. These clots may end up lodged in veins and arteries in the head, triggering strokes.

Over the past five years, scientists have found that PFOs seem to occur in more than half of people who get migraines. In some migraine patients, closing the PFO with surgery seems to lead to a disappearance of headaches. Some researchers suspect the unpurified blood leaking through the PFO contains inflammatory molecules, which set off that electrical storm when they travel up to the brain. (This may be why people with migraine get headaches after eating certain foods like red wine, olives and chocolate. These “trigger” foods may contain the offending chemicals, which in normal people are constantly removed from the blood.)

‘A very complex system’
But none of these hypotheses have been proven, and the links between migraine and cardiovascular disease remain murky.

“There’s no clear mechanism that convinces me,” says Tobias Kurth, a neuro-epidemiologist at the Harvard University School of Public Health. “It’s likely a very complex system.”

Kurth, who has spent several years examining connections between migraine and stroke, thinks there may be several lines of connection between stroke, heart disease and migraine.

At the same time, he says, even those who get frequent migraines shouldn’t panic. In the general population, stroke and heart attack are quite rare. They’re even less common if you’re young and healthy. While the stroke risk might double from 15 per 100,000 in the general population to 30 per 100,000 for those who experience migraine with aura, the risk is still relatively small, pointed out Lipton in the journal Neurology Today.

But if you get migraines, and you smoke, are overweight, or have untreated high blood pressure, then your risk climbs significantly. And each risk compounds the others exponentially. In a 2007 study published, Kurth found that women who have migraine with aura, smoke and take oral contraceptives (also a stroke hazard), were 10 times more likely to have a stroke than women without these risks. Leslie, for example, was taking birth control pills when she had her stroke.

Even without a clear causal link, the new findings may change how doctors treat migraines. Rather than seeing the condition as a painful but harmless hassle, doctors are increasingly trying to prevent it, just as they do obesity or high blood pressure. A range of medicines, including blood pressure drugs and antidepressants, can help prevent headaches. And many patients also find relief through changes in lifestyle and diet.

“A doubling of risk sounds scary, but in absolute terms, it’s still low,” says Dr. Stephen Silberstein, a migraine specialist at the Jefferson Headache Center in Philadelphia.

But if you get migraines, and you smoke, are overweight, or have untreated high blood pressure, then your risk climbs significantly. And each risk compounds the others exponentially.

In a 2007 study published, Kurth found that women who have migraine with aura, smoke and take oral contraceptives (also a stroke hazard), were 10 times more likely to have a stroke than women without these risks. Leslie, for example, was taking birth control pills when she had her stroke.

Changes in treatment
Even without a clear causal link, the new findings may change how doctors treat migraines. Rather than seeing the condition as a painful but harmless hassle, doctors are increasingly trying to prevent it, just as they do obesity or high blood pressure. A range of medicines, including blood pressure drugs and antidepressants, can help prevent headaches. And many patients also find relief through changes in lifestyle and diet.

Although there’s no clear proof, some scientists, including Tietjen, suspect that in migraineurs, preventing headaches could lower the risk of stroke and heart attack.

“I think there’s ongoing, progressive damage to the cardiovascular system,” she says. “If you can treat patients early on, maybe you can keep it from progressing.”

Leslie, who has since fully recovered from her stroke, is now in this minority. She takes Elavil, an anti-depressant, for migraine prevention. She no longer takes oral contraceptives, and last year she had surgery to close a PFO doctors discovered after her stroke. She almost never gets a headache. “It still surprises me that I had a stroke,” she says. “But I’m doing everything I can to stay healthy now. I’ve come a long way.”

For more information about DST Health Solutions, contact 800.272.4799, e-mail inforequests@dsthealthsolutions.com or visit www.dsthealthsolutions.com.

There is so much research going on regarding migraine headaches and there is progress being made regarding medication, treatment, prevention and more. The only problem is that there are still many people who suffer from migraines and have not found the cure or even treatment or relief.

The following is a story of one of the people who has not found the right treatment or cure yet. She is working with two doctors at the Wasser Pain Management Center. Here is her story, partially reprinted from the communications team at Mt. Sinai Hospital in Toronto, Canada.

At times, Mary-Anne McDermott’s crippling migraine pain gets so bad that it invades almost all her senses. “I used to mostly suffer from light sensitivity. Now it’s light, sound, smell and I become very nauseous which on occasion leads to vomiting,” says McDermott, a patient of the Wasser Pain Management Centre at Mount Sinai Hospital. “I now have six to seven migraines a month, most lasting between three to five days.”

McDermott has suffered from migraine pain since elementary school. Now 30, she has endured a significant increase in the pain she experiences. After a recent visit to the emergency room following five straight days of pain, McDermott decided it was time to see a headache specialist at Mount Sinai Hospital.

The Wasser Pain Management Centre sees 800 to 1,000 new patients each year for everything from nerve pain to pelvic pain. Women make up about 70 per cent of its patients.

Migraine headaches, which affect approximately three times more women than men, can be devastating and lead to disability, dysfunction, missed work or even the loss of a job. Migraine is one of the most common types of pain and yet, physicians can only speculate why women are disproportionately affected.

“At present, we don’t know exactly why migraines are more prevalent in women than in men,” says Dr. Allan Gordon, Director of the Wasser Pain Management Centre and a specialist in the treatment and management of migraine pain. “A number of studies found that pre-pubescent males and females experience a similar rate of migraines, leading to the conclusion that hormones are a significant factor in the cause of the pain.”

During pregnancy, for example, hormonal changes can affect the frequency and severity of migraine headaches in women. About two-thirds of migraine sufferers endure the same level of pain or worse during their pregnancy, while one-third will experience decreased pain or none at all. Like the hormonal ups and downs however, these changes are temporary. For those with reduced pain, migraine symptoms almost always return after pregnancy.

Treatment options for women considering pregnancy are severely reduced. “Many of the pharmacological treatments available for migraines should not be used during pregnancy or for anyone contemplating pregnancy as they may affect fertility and the health of the fetus,” explains Dr. Gordon. “Men do not have to worry about fertility issues and the impact of medication during conception, pregnancy or breastfeeding.”

While women may face more obstacles than men in managing migraine pain, the Wasser Pain Management Centre offers a variety of pharmacological and alternative treatment options such as relaxation therapy, mindfulness and biofeedback. “In managing patients it’s important to address a person’s overall health,” Dr. Gordon says, highlighting the centre’s focus on mental, emotional and physical health.

Dr. Gordon started McDermott on new medication in January 2009 that has helped reduce the number of episodes. For now, this treatment is working well for McDermott and she finds encouragement in Dr. Gordon’s successes. “I’ve heard from many other patients that he is very good and I’m feeling hopeful about my situation,” she says.
Kalin Moon and Michael Power are members of the communications team at Mount Sinai Hospital in Toronto.

There have been studies of every type trying to find the causes of migraine headaches. The studies have been being conducted for years and have discussed and involved everything from food to medicaion to sleep and excercise – and how all of these things interact wth the body to create or trigger migraines.

One of the most current migraine studies has taken a close look at fat around the middle of the body and how it might be triggering migraine headaches. The study shows that overweight people between the ages of 20 and 55 who are overweight – especially around the middle of the body – have a higher risk of experiencing migraine headaches.

Over 22,000 individuals who were part of the research and who were overweight, were asked if they had migraine headaches. In the age range between 20 and 55, those individuals who had larger waistlines also experienced many more migraine headaches than the people of the same ages but with smaller waistlines.

To measure obesity, measurements were taken by circumference and total body obesity. This was calculated by using a person’s Body Mass Index (BMI) using weight and height.

Thirty seven percent of women between 20 and 55 with excessive abdominal fat reported getting regular migraines compared to 29% of those without excessive abdominal fat. As for men in the same situation, 20% with excess abdominal fat reported regular migraines vs. only 16% of those without excessive abdominal fat reporting migraines.

These results strongly suggest that it would be helpful for those men and women who have excess abdominal fat and get migraines to try to lose weight, thereby eliminating the number and the severity of migraines they experience. If you find yourself in this situation, trying to lose some weight might be your greatest source of relief.

It wasn’t too long ago when doctors and other healthcare professionals thought of migraine headaches as an inconvenience rather than a serious healh issue. In the 1990’s research yielded various medications and other treatment for migraines. They realized that it was important to catch migraines before they turned into full-blown debilitating headaches. If medicine could ease the symptoms of a migraine, then for some people the migrine would disappear. For others, the migraine might not disappear completely, but there would be relief.

There are the usual home remedies a person can use to help relieve the symptoms. These include various herbs and spices, ice packs. accupressure and more. Other treatments include chiropractic care, accupuncture and lying down in a dark, quiet room.

In addition there are those prescription meds. Prescription meds for migraines have become better and better. Many of the meds have improved during the last few years. Some meds that took an hour or more to start working in the past now take 10 or 15 minutes to start turning the syptoms around and stopping them.

Researchers have started the process of putting together the figures showing how much money could be saved in many ways if migraies were diminished or eliminated. When an individual gets a severe migraine and has to miss work, it costs the employee part of their paycheck and it costs the employer time and money to get the work done or to get it caught up. In addition, there are doctor’s expenses.

There is continuous research being done to try to find adequate medication and treatment for migraines. Having suffered from migraines myself, I know that treatment is getting better because my migraine episodes are fewer and further between. Hopefully this is happening in your case, too or it will be soon.

There has been a great deal of controversy regarding migraines and work. Everyone from the Department of Labor to individual employers has an idea about how much time migraines cause employees to take off work and how much money is lost each year because of these debilitating headaches.

In a survey of large employers released by the non-profit Midwest Business Group on Health, 91 percent of respondents recognize that migraine headaches impact productivity. Most of these employers also stated that they have not gauged how much money is lost because of absences from work due to migraines and they don’t know how well their health plans are managing migraines for their employees who have to deal with them.

The National Headache Foundation (NHF) has come up with some figures estimating that U.S. industry loses $50 billion per year due to absenteeism, lost productivity and medical expenses caused by migraine headaches, especially chronic ones.

. “Migraine is a serious, neurological, chronic condition that non-sufferers often view as only stress-related and easily treated. The reality is that it results in lost productivity and causes significant disruptions to migraine sufferers’ work and personal lives, according to Larry Boress, MBGH President and CEO.

According to the NHF, nearly 30 million Americans — or one in eight workers — suffer from migraine, which is often accompanied by a variety of symptoms, including sharp throbbing pain on one or both sides of the head, nausea or vomiting, visual disturbances and sensitivity to noise and light. With the help of a health care provider, migraine headaches can be effectively managed and patients can identify and alleviate their symptoms with an appropriate treatment regimen.

Migraine sufferers know that it is hard to find real answers regarding causes and treatment for migraines.  When an individual suffers from migraines, especially chronic ones, there are few answers, and too often, it is difficult, if not impossible to get support from the person’s doctor.

When doctors are at a loss as to what to do about migraines and your doctor basically throws up their hands in frustration, it is difficult for both of you.  More and more medications have become available to offset migraines, but finding the right one can often take months, and there are questions regarding the safety of many of the medications.  Sometimes there are no medications that work well for a person at all, making the situation even more frustrating for all involved. 

Many individuals suffering with migraines prefer natural treatment but aren’t always able to find them, so they resort to prescription medication when there is no other alternative.  They are worried about side effects and drug interactions.  Plus, not all treatments work for everyone, so it becomes a case of hit or miss.

It is estimated that in the UK alone, there are nearly 200,000 migraine headaches suffered every single day.  Over 6 million people suffer from migraines in the UK on a regular basis. 

Research in conjunction with Migraine Action, the national migraine awareness organization in the UK has revealed the results of studying thousands of migraine sufferers and found that ginger has helped relieve symptoms in 63% of the people studied.  Ginger is natural and it has been used for many ailments.  Ginger – as in ginger ale – has been proven to help alleviate stomach problems including nausea and stomach pain from flu, food poisoning and other digestive issues.  Ginger is also said to help control blood pressure, ease sinus problems and help alleviate headaches, so using it for migraines isn’t a stretch.  In fact, since nausea often accompanies migraines, even if ginger doesn’t stop the headache, it can help with the nausea.

With so many questions about migraines unanswered, and with so many individuals looking for relief from migraines, ginger could be a remedy to try. It couldn’t hurt.  After all, it just might help get rid of the pain and help your health at the same time.

There can be a lot of confusion when it comes to migraine headaches.  In the past, many doctors didn’t believe they were real – they were considered to be a figment of your imagination, especially if they were suffered by women.

Migraines are also debilitating, and there have been a variety of treatments suggested to deal with them, especially in the past when medication was scarce.  There was ice, aspirin, lying in a dark, quiet room and a few other ideas, including somehow trying to get some sleep.  Of course, usually the doctors that suggested these ideas probably never had a migraine headache themselves.

Migraines are confused for eye problems and other health issues.  Sometimes eye problems do cause headaches, and often, misdiagnosis of eye problems results in the individual getting glasses only to find that the headaches continue.

Many times a migraine sufferer hears that “it’s just a sinus headache” which can be partially true.  Clogged and aching sinuses can cause severe headaches.  People talk about sinus problems and allergies as the cause for the headaches, but even after using sinus remedies to clear the sinuses, the headaches often still persist, pointing to a different cause for the headaches.

Hormones are also another easy thing to blame for migraines.  Sometimes they are part of the cause of headaches, however, when hormones are erroneously blamed for migraines, not only are the migraines not eliminated with hormone treatment, but, in addition, the hormone treatment can do long lasting harm to the body.

Quite often, if a person is under stress this is singled out as the cause of a migraine.  Medication is prescribed and may take the edge off; however, usually the headaches do not stop.

Because there are so many misconceptions migraines can often continue, increase in frequency and worsen over time.  It is important not to ignore these severe headaches because they can be a symptom of migraines or of other serious health issues including high blood pressure, possible aneurysm or a precursor to a stroke. 

If you find yourself at the point where your routine is disrupted on a regular basis or you can’t stand the pain any longer, it’s time to call your doctor in order to get help from a professional who is experienced in the diagnosis and treatment of migraine headaches.

There have always been many ideas about what migraines are and what to do to help relieve the symptoms of these debilitating headaches.  Everything from ice, aspirin, and a few other ideas, including somehow trying to get some sleep, have been touted as remedies.  Of course, usually the doctors that suggested these ideas probably never had a migraine headache themselves.

Some of the health issues that migraines are confused for are eye problems, for one.  Sometimes eye problems cause headaches, and often, the misdiagnosis results in the individual getting glasses only to find that the headaches continue.

Often you are told that it’s just a sinus headache.  People talk about sinus problems and allergies as the cause for the headaches, but even with the normal sinus remedies, the headaches often persist.

Hormones are also another issue blamed for migraines.  Sometimes they truly are part of the cause of headaches, however, when hormones are erroneously blamed for migraines, not only are the migraines not eliminated with hormone treatment, but, in addition, the hormone treatment can do harm – long lasting harm – to the body.

Stress is often blamed as the cause of a migraine.  Often, medication is prescribed and may take the edge off; however, usually the headaches do not stop.

Because there are so many misconceptions, migraines can often continue, increase in frequency and worsen over time.  It is important to address debilitating headaches if you have them.  If your routine is disrupted on a regular basis or you can’t stand the pain any longer, it’s time to get help from a professional who is experienced in the diagnosis and treatment of migraine headaches.

There are more and more issues that insurance doesn’t cover, the list is growing longer, and it seems that nearly every day we hear of something else that has limited or no coverage.  While the list of the “not covered” or “just barely covered” is growing, the other list – of things that most people feel are necessary when it comes to health coverage – is dwindling.  To make matters worse, monthly premiums for health insurance coverage has skyrocketed to the point where too many people cannot afford to buy coverage at all. It is a sad state of affairs which leaves too many people too vulnerable for too many conditions that need to be treated.

One of the latest casualties when it comes to insurance limitations is migraine headaches.  Years ago, there was much to be learned about migraines, so these debilitating headaches were treated with various forms of pain medication and/or tranquilizers and muscle relaxers which were relatively inexpensive to pay for out of your own pocket. 

During the 80’s and 90’s newer prescription medications were developed specifically for the treatment, control and relief of migraines.  Sometimes they were used alone and sometimes in combination with pain medication and other medications.  The good news is that numerous medications specifically for migraines are available to migraine sufferers in many places throughout the U.S. and beyond.  The bad news is that many of these medications cost an arm and a leg and are covered in only a limited amount or not covered at all by heath insurance

Some migraine sufferers are limited to ten or twelve pills per month by their health insurance.   Because of this limitation, they have to make difficult decisions as to which migraines to treat, even though they should really be using this medication on every migraine they have.  If they run out of pills during the month and have to re-order, the insurance won’t help, so it becomes an out-of-pocket expense.  The expense for some of these medications is astonishing and migraine sufferers simply can’t afford to pay for them so they continue to suffer, even though they faithfully pay their insurance premiums.

It is unfortunate that now that a variety of migraine medicines are available, the insurance companies make it difficult, if not impossible, for people to get the medications they need.  Migraine sufferers seem to be the latest casualty of insurance cuts.   Will something be done to get better coverage to help migraine sufferers get the medication they need?

A migraine is a type of headache that is usually more severe and debilitating than a normal headache. Migraines are often accompanied by throbbing and/or pulsating pain, and have been described as feeling like a hot knife inside the head.  Other symptoms that accompany a migraine include sensitivity to light and sound plus nausea.

There are two types of migraines: one with aura beforehand and one without. An “aura” usually involves seeing flashes of light, zigzag lines in a person’s field of vision, blind spots or tingling in an arm or leg. These symptoms usually arrive before pain begins, giving the sufferer fair warning that it’s time to take their medication. The migraines that have no aura begin without warning and the pain gradually builds up.
There are various triggers to migraines.  Some involve food allergies, others can be hormonal issues. There are various treatments including medication taken on a regular basis, some when you feel the aura or pain beginning and others on a daily basis to prevent migraines from appearing at all.   Biofeedback, ice treatments, meditation, acupuncture and acupressure are also used for treatment.  The rule of thumb is that if you take over the counter medication and it stops your headache, it probably isn’t a migraine.

You can take over-the-counter, pain-relieving drugs once you experience the first signs or symptoms of a migraine. However, if you are taking over-the-counter medications for them more than eight times a month you should look into seeing your doctor about a prescription treatment. Another way to address migraines is to do an activity you find relaxing.  These could include lying down in a dark room or taking a hot bath or shower.  This might lessen the effects of a migraine.
 
Regardless of what type of remedy you choose for dealing with a migraine or other headache, if you are experiencing headaches on a regular basis – especially more than 8 per month – you should consult your doctor to find the best form of treatment for you.

Migraines have been around for quiet some time and have been increasing.  In the past, the best doctors could do for a migraine sufferer, especially a chronic migraine sufferer, was to basically tell them to “take two aspirin and call me in the morning.”  You know the drill.  They would tell you to rest, decrease stress if possible and use Tylenol or Advil if the aspirin doesn’t work.  In addition, ice packs were also common treatments.  Most of these treatments didn’t work – and still don’t work – against debilitating and chronic migraines.

Because of continuous research by leaders in the medical field, such as the Mayo Clinic, National Institutes of Health and The National Headache Foundation, there have been many new medications developed and many new uses for existing medications, as well.

In addition, researchers have found ways to help many migraine sufferers ease the pain of migraines, often without medication.  There are also other treatments such as biofeedback, which often helps migraine sufferers ease the symptoms without medication or with less medication.  Research has also helped develop a number of specific medications that were created for migraines, such as Cafergot, Topomax, Imitrex, Toridol, Midrin, Maxalt, Relpax, Zomig, Frova, Acular, Axert, Anaprox, Fioricet, Orudis, Amerge, Migranol and many others.  The fact that research has yielded a large amount of choices of medications, when less than 15 years ago there were only one or two medications available that were specifically for migraines.  Without continuous research about migraines and what helps ease and relieve them, there could still only be a couple of medications available to migraine sufferers.  Sounds a lot better than taking an aspirin and calling your doctor in the morning.

Some recent and ongoing studies have included researching and looking at synapses, neurons, the role of resting MRI’s in diagnosing chronic migraines, the effects of estrogen levels and menstruation on migraines and many other studies and forms of research.

Because there is research continuing throughout the country at major universities, medical centers and other heath care institutions, there is hope for migraine sufferers.  Today, there is positive information and there are choices of treatment and medications.  With continuous research there will be  elimination of the causes of migraines and the end of the excessive suffering from this debilitating form of headache.

Some people suffer with migraines for years before seeking help.  Some never seek help because they don’t know where to look or how to look.  That is a very painful way to go.  At least half of the migraine sufferers in the U.S. do not get diagnosis or treatment for their migraines. 

You should talk to your doctor about headaches, especially if you have more than a couple of headaches per month and/or if they last for several hours or days.  In addition, if your headachesare getting in the way of your home, work or school, or if you have nausea, vomiting or other symptoms accompanying them, it is important for you to talk to your doctor about your headaches and all of your symptoms.

It is important to prepare for your doctor’s visit and help your doctor identify your headaches by keeping track of certain things in advance.  Before your appointment, make sure to write down how often your headaches are occurring and how long they last from beginning to end.  Write down what your symptoms are, such as nausea, problems with light or noise, and where the pain is located.  Other important information includes when the headache and other symptoms start, such as during your menstrual period, after you have eaten specific food or had a certain beverage.  For instance, some people can drink beer and rum but not vodka or wine.  They have no symptoms with a glass of beer or a drink that has rum in it, but if they have a glass of wine or a drink with vodka in it, they may have very extreme symptoms within a few minutes or hours.  These are things your doctor needs to know.  Also let the doctor know if your family has any history of migraines or other headaches and if you are having other symptoms, such as blind spots.

Your doctor will review this information with you.  You might have to have some tests including a blood test.  This will start the process of finding the appropriate treatment for your headaches and migraines.  If you are looking for further information after you speak with your doctor, you can find information at www.migraines.org.

We often think of migraine triggers as being something we eat or drink, not getting enough sleep or too much stress.  These are certainly common triggers that migraine sufferers are well aware of.

New studies have shown that something that is supposed to be good for us and healthy for us can – and does – trigger migraine headaches.  When we hear about ways that we can keep migraines under control, we are told that staying healthy is a good way to diminish the frequency and severity of migraines.  Yet, one of the healthiest things we can do – exercising – is actually found to be a major trigger in some people.  Running, cycling, swimming or weight lifting are popular, but when they are connected to migraines, they can discourage even the best athletes.

If you are finding that you get migraines when you exercise, there are some things you can do to avoid, eliminate or at least diminish these awful headaches.  Experts – especially ultra runners and triatheletes – state that it is important to stop these headaches before they start by staying hydrated.  It is important to drink fluids before engaging in whatever type of exercise you wish to choose, and it is important to stay hydrated and make sure you replace electrolytes.  If you still get a migraine, experts suggest drinking a 20 ounce electrolyte drink and then drink another 20 ounce electrolyte drink over the next 30 minutes.  Taking those steps plus cutting down caffeine by 50% and eliminating salt can also help.

One other way to fight these exertion headaches is with proper nutition.  This can mean eliminating sugar, sugar substitutes like aspartame, artificial flavors and preservatives including MSG, high doses of caffeine, nuts, peanut butter, beans, aged cheese and nitrates, comonly found in hot dogs and lunch meats. 

Even though you might have to adjust your diet or exercise regimen a little, it will be worth it to eliinate those debilitating migraine headaches.  There is a way to deal with these headaches and still have a busy active life.

Researchers have been looking for causes of migraine headaches for years, and they have found some solid causes.  They have also found that with the wide variety of migraine causes, they are all different and affect each migraine sufferer differently.  In addition, there seem to be more and more migraine causes discovered, and these are triggers for some migraine sufferers, yet don’t do a thing for others.  It seems to work like allergies – different people have different problems with different substances.

As for migraines, there is yet another trigger that is linked to them.  That trigger is hormones.  There has been ongoing discussion about whether or not hormones trigger migraine headaches, but there has been no true clear cut answer in the past. 

The latest information is that hormones are definitely linked to migraines in some women.  Usually the migraines occur just before, during or after ovulation or a woman’s monthly period.  The reason for this is that during those times there can be a drastic fluctuation in hormone levels. 

What can be done to help women who are dealing with this situation?  It’s bad enough just to have to deal with all these monthly issues without getting debilitating migraines in addition.  Researchers and physicians have an answer and an effective way to either eliminate or diminish these terrible headaches.  They suggest that migraine medication be prescribed to women so that the medication can be taken before the hormone fluctuations cause their migraines.

If you are a woman who is dealing with migraines that seem to be triggered by hormones on a regular basis, talk to your doctor and see if thre is medication that can bring you relief from at least the headaches that come with the rest of the monthly barrage of symptoms.

Migraines have been around for a long time.  Not many years ago, doctors had very few remedies for a migraine sufferer, especially a chronic migraine sufferer.  They could recommend rest, decrease of stress and aspirin, Tylenol or Advil.  In addition, ice packs were recommended often.  The problem was that most of these treatments didn’t work – and don’t work – against tough, strong, painful, debilitating and/or chronic migraines.

Because of continuous research by leaders in the medical field, such as the Mayo Clinic, National Institutes of Health and The National Headache Foundation, there have been many new discoveries and medications developed and many new uses for existing medications, as well.

In addition, research found ways to help some migraine sufferers avoid a lot of medication and still ease the pain of migraines.  Research has also helped develop various treatments such as biofeedback, which often helps migraine sufferers ease the symptoms without medication or with less medication.  There has also been the development of a number of specific medications that were created for migraines, such as Cafergot, Topomax, Imitrex, Toridol, Midrin, Maxalt, Relpax, Zomig, Frova, Acular, Axert, Anaprox, Fioricet, Orudis, Amerge, Migranol and many others.   Research has yielded a vast amount of choices of medications recently, when less than 15 years ago there were only one or two medications available that were specifically for migraines.  Without continuous research about migraines, there could still only be a couple of medications available to migraine sufferers.

Some of the more recent or ongoing studies about migraines have included researching looking at synapses, neurons, the role of resting MRI’s in diagnosing chronic migraines, the effects of estrogen levels and menstruation on migraines and many other studies and forms of research. A great deal of research is concentrating on neuralogical issues that caon cause migraines, such as issues with misinformation in the brain.

With a tremendous amount of research continuing throughout the country at major universities, medical centers and other heath care institutions, as well as around the world in other countries, there is hope for migraine sufferers.  Today, there is hope in the form of choices of treatment and medications.  Tomorrow there could be answers about and elimination of the causes of migraines and the end of the excessive suffering from this debilitating form of headache.  Researchers have found some answers and by continuing their work, they are finding new answers on a regular basis.

Migraines have been a problem for a long time.  Not many years ago, the best doctors could do for a migraine sufferer, especially a chronic migraine sufferer, was to recommend rest, decrease of stress and aspirin, Tylenol or Advil.  In addition, ice packs were common treatments.  The problem was that most of these treatments didn’t work – and don’t work – against tough, strong, painful, debilitating and chronic migraines.

Because of continuous research in the medical field, such as researchers from the Mayo Clinic, National Institutes of Health and The National Headache Foundation, there have been many new medications developed and many new uses for existing medications, as well.

In addition, research has discovered some ways to help some migraine sufferers avoid a lot of medication and still ease the pain of migraines.  Research has also helped develop various treatments such as biofeedback, which often helps migraine sufferers ease the symptoms without medication or with less medication.  Research has also helped develop a number of specific medications that were created for migraines, such as Cafergot, Topomax, Imitrex, Toridol, Midrin, Maxalt, Relpax, Zomig, Frova, Acular, Axert, Anaprox, Fioricet, Orudis, Amerge, Migranol and many others.  The fact that there are now a large amount of choices of medications, when less than 15 years ago there were only one or two medications available that were specifically for migraines, helps migraine sufferers have choices and have a better chance to interact with doctors and other medical professionals involved in their treatment.  Without continuous research about migraines and what helps ease and relieve them, there could still only be a couple of medications available to migraine sufferers leaving few options and fewer conversation as well as less participation in a person’s own care and treatment of migraines.

Some of the more recent or ongoing studies about migraines have included looking at synapses, neurons, the role of resting MRI’s in diagnosing chronic migraines, the effects of estrogen levels and menstruation on migraines and many other studies and forms of research.

With this amount of research continuing throughout the country at major universities, medical centers and other heath care institutions, there is hope for migraine sufferers.  Today, there is hope in the form of choices of treatment and medications.  Tomorrow there could be answers about and elimination of the causes of migraines and the end of the excessive suffering from this debilitating form of headache.

Migraine headaches have been around for years, only they were not always recognized as such.  In the past, if a person – especially a woman – had a migraine headache, or a series of severe headaches, their family, friends and doctors did not take them too seriously, telling her that things were just not that bad and she had to relax, not worry so much or just get over it.  Sometimes, the doctor would prescribe tranquilizers to “calm her down”.  Either way, there wasn’t much help for women or men who had these debilitating, sickening and painful headaches.

Things have progressed tremendously, especially during the past few years.  Migraines have been identified as a severe pain on one or both sides of the head, mostly around the temples or behind one eye or ear.  In addition to this pain, migraines are also identified by their accompanying severe nausea and vomiting, as well as severe reaction to light and sound.  In other words, you wish you could lie in a cool dark room and not hear, see or smell anything. Many migraine sufferers say they wish that someone could knock them out until the pain subsides, which often takes from a couple of hours to a couple of days. 

Studies show that most migraines affect people between 15 and 55 years old, however, they often affect people outside those age limits.  They can also be hereditary, and are more common in women.  There are current studies regarding the causes of migraines in children and infants, as well.

Migraines can be triggered by blood flow issues, lack of food, allergies to specific foods, lack of sleep, stress during the menstrual cycle, general stress or anxiety, weather changes, chocolate, alcohol or nicotine, bright light or loud noise and/or food additives such as MSG or nitrates.

If you are having ongoing severe headaches, it is important to keep track of when they are happening – including date and time – and what you were doing within the hour or two that they began.  It is also critical to see your doctor and provide this information to him/her so an accurate diagnosis can be made and treatment prescribed. 

With more information regarding migraines, there are various treatments that your doctor can use to help alleviate this problem.  It is possible to fight migraines and no longer suffer in silence.

Migraines are debilitating and painful.  They can put us out of commission for hours or days, sometimes weeks.   Yet, some people never seek help for them.  That is a very painful way to go.  Nearly half or the migraine sufferers do not get diagnosis or treatment for their migraines, partially because they don’t know where to go or who to ask.

A good place to start is to talk to your doctor, especially if you have several headaches per month and they last for several hours or days.  If your headaches disrupt your home, work or school, or if you have nausea, vomiting or other symptoms, talk to your doctor about your headaches and all of your symptoms.

Prepare in advance for your doctor’s visit and help your doctor identify your headaches by keeping track of certain things.  Before your appointment, start writing down how often your headaches are occurring and how long they last from beginning to end.  Write down what your symptoms are, such as nausea, problems with light or noise, and where the pain is located.  Other important information includes tracking when the headache and other symptoms start, such as during or before your menstrual period, after you have eaten specific food or had a specific beverage to drink. 

For instance, some people can drink beer and rum but not vodka or wine.  They don’t get headaches from a glass of beer or a drink that has rum in it, but if they have a glass of wine or a drink with vodka in it, they have very extreme symptoms within a few minutes or hours.  Your doctor needs to know this type of details.  In addition, tell the doctor if your family has any history of migraines or other headaches, high blood pressure, stroke, or other health issues, and if you are having other symptoms, such as blind spots.

Your doctor will review this information with you and possibly perform some tests including a blood test.  This will start the process of finding the causes and appropriate treatment for your headaches and migraines.

 If you are looking for further information after you speak with your doctor, you can find information at www.migraines.org.

If you are reading this, you have probably had at least one migraine headache, and most likely many more and on a regular basis.  We know how overpowering and debilitating they are.  We also know that it is not always easy to find treatment or relief from these headaches.

There is now some good news about migraine treatment.  Alan Rapoport, a professor of neurology at U.C.L.A., who has studied headaches for the past 35 years, says that there are some “exciting” new drugs coming in the near future to deal with migraines. 

The cause of migraines is not clear.  There are various ideas regarding migraine causes as well as some of the effects.  One main thing that ties all of them together is that when a person has a migraine something called the trigeminal nerve system, which moves information from the face, head, brain and spinal cord to the brain stem – is triggered.  Researchers have determined that this happens in every migraine, no matter what the cause or trigger.

During a migraine the trigeminal nerve system releases CGRP, which is a peptide, and CGRP causes the blood vessels to enlarge and creates pain.  A lot of pain.  There is a medication being tested currently that would this process from happening.  The medication, called telcagepant and produced by Merck, is in the final stages of trials and Merck is looking for FDA approval to begin marketing the drug next year.  This is essential for migraine sufferers.  Over 55% of the people in trials who took the medication had near immediate relief, and another 23% had total relief within 2 hours. 

Triptans used to be the drugs touted to help eliminate migraines, however, because they constricted the blood vessels and could cause heart attack or stroke.  Telcagepant does not work the same way, and researchers feel that it is much safer. 

Botox is another option for some.  In addition, for migraines with aura, there are ways to stop the aura so that the migraine never happens, by using transcranial magnetic stimulation – which stops the overload of the electrical activity in the brain. 

Regardless of what can work for you, there are now more options and more kinds of options for migraine headache sufferers, including me.

If you have suffered from a migraine headache every once in a while, you know that they are debilitating, they are awful and you hold your breath during an episode, then breathe a sigh of relief when they are over.  Not only do migraines pretty much wipe us out for a few hours or days, they also leave us exhausted too many times.  It often takes days after the episode in order to get back to being yourself.

Now, think of how overwhelming it would be if – instead of having a migraine every once in a while – you had a migraine regularly, monthly, weekly or even daily.  Having suffered migraines myself for many years, often on a weekly basis, I am familiar with the pain and the after effects.  You barely get your equilibrium back again when the cycle starts all over.  It messes up your work, your family and your life.

There are some ways to deal with continuous migraines.  First of all, there are newer and more advanced medications that can stop migraines as their symptoms begin, stop migraines before they begin (by taking medication regularly), and stop migraines altogether.  There are different treatments for different people.  It’s not a “one size fits all” sort of treatment. 

If you suffer from regular headaches go to the doctor and get help.  Make sure you are keeping track of symptoms.  Are there visual problems that come with them?  Nausea?  Does your neck hurt?  What was happening at work or home before the migraine that might have brought it on?  Was it extreme stress?  What did you eat or drink before the headache?  Were you tired, lethargic, having a hard time concentrating?  All of these can be precursors to migraines.

The interesting fact is that over 25% of migraine sufferers get no real warning before they start.  Many migraine sufferers suffer in silence, sometimes for years.  When my migraines started – due to some serious health problems and hormone changes – there were not many choices of medications and both my family and the doctors – several of them – told me they were all in my head.  Only the emergency room – usually at the most inopportune time in the middle of the night – would take a look at my symptoms and feel sorry enough to use some sort of medication to knock me out for a while.

Things have changed.  There is help available.  Don’t suffer through migraine after migraine.  See a specialist.  Talk to your doctor.  Look for information on the web.  It can – and does – get better. 

Two good sites are www.migraines.org and www.fda.gov (click on migraines).

There is more research regarding migraine headaches now than ever before.  Studies have revealed possible links between migraines and a lower incidence of breast cancer.  Other studies have resulted in information regarding triggers that were heretofore unknown.  There have been definite connections discovered between migraines and stroke, migraines and brain issues, migraines and DNA plus genetics.

There are more medications available now including meds from triptans to seizure medications to other meds used for a number of ailments now being used to treat migraines.  Not every medication works for every person, as with any other illness.

There is now a new medication being tested that should be approved by the FDA sometime in 2009.  The medication, called telcagepant, is touted as a medication that will be tough on the debilitating symptoms of migraines.

Anyone who has ever had a migraine – or sat by helplessly as a family member or friend suffered from one – knows how painful, overwhelming and debilitating these headaches are.  Many sufferers have described these headaches as feeling like “rats inside their brain trying to chew their way out” or “hot knife or spike going through the middle or side of their brain” or “their eyeball being stabbed with a burning fire poker.”  None of these are  positive experiences, in fact, folks who have been stabbed, broken limbs, had serious back problems and other painful conditions including kidney stones, have reported that their migraine headaches were much more painful and they would deal with the pain from the other injuries any day rather than cope with a migraine.

Nonetheless, the good news is that research continues and more treatments are being discovered almost daily.  Hopefully telcagepant will become the medication that truly gets a lot of migraines under control, or just helps them disappear.

We often address issues that migraine sufferers have tot deal with.  They are numerous and they are debilitating.  The pain, the nausea, the sight issues and more can be – and usually are – overwhelming. 

As someone who has suffered from migraines, I can tell you that in addition to the physical issues, there are other issues that can be so difficult to deal with, there is frustration, sometimes depression and often guilt.  We wonder what is wrong with us that doctors can’t figure out.  Are we going to have a stroke and die?  Is the pain ever going to stop?  What am I doing wrong?  What is my family thinking or feeling?  Helpless?  Scared?  Frustrated and Angry?

These are questions we ask ourselves.  However, the makers of Maxalt, a migraine medication, has jut received the results of a survey that gives the answers as to how migraines affect families.

61% of migraine sufferers who took the survey stated that they worry about their families because they cannot take care of their responsibilities during a migraine episode, and the families must take over.  In addition, migraine sufferers cite having to miss many activities including ball games, birthdays and other special activities because of a severe migraine.  They also talk about the fact that members of the family – especially spouses – often resent the issues brought on by migraines.  In fact, there have been many marriages torn apart, ending in divorce because of one or both spouses having difficulty dealing with migraines.

Another issue that came up a lot was the feeling of helplessness that family members have in watching their parent or sibling suffering and not being able to do anything to make them feel better.  Over 50% of migraine sufferers have stated that the migraines – especially over the long term – have led to depression and often to thoughts of suicide. 

Because so many people suffer from migraines and many of them suffer greatly and often, it is important for them to keep trying to find the treatment – and the doctor – that can help give relief.  In addition, if you suffer from migraines and they are causing emotional issues for you and your family, think about a support group or counseling in addition to other treatment.

For information visit www.migraines.org or www.migraineresearchfoundation.org.