Managing migraines
Over 30 million people suffer from migraine headaches in the United States. For many,
migraines markedly decrease their mental, physical and social health, and lessen their overall
quality of life. As a result, migraines are the most common type of headache for which patients
seek treatment. Though a chronic, often inherited condition, migraines can be treated, managed,
and ultimately prevented, with the proper guidance from a physician.
“Typical
characteristics of a migraine headache include moderate or severe pain in the head significant
enough to cause disability, nausea, vomiting, increased sensitivity to light and sound, and
increased pain with physical exertion,” explains Thomas J. Fotopoulos, an osteopathic
Neuromusculoskeletal Medicine/Manipulative Medicine specialist at the Lake Erie College of
Osteopathic Medicine in Bradenton, Florida. Migraine headaches typically begin in a person’s
teens or twenties, with peak prevalence occurring at around 40 years of age. One quarter of adults
with migraine headaches will experience four or more severe attacks per month, each with a mean
duration of about 24 hours.
Migraines are most often inherited genetically. Many
researchers are taking a closer look at the changes in the brain and how it functions differently
than those who do not have migraines. “One theory is that migraines result from the
increased sensitivity of the nervous system which may then be more reactive to changes in either
your body or the environment,” says Dr. Fotopoulos. “Researchers believe that changes
in the brain activity or environment cause the nervous system to respond. This leads to a cascade
of events culminating with inflamed, painful blood vessels and sustained transmission of pain
impulses in the brain, even after the stimulus resolves, which result in a migraine.”
Environmental factors that can trigger migraines include specific noise pitches, lighting
situations, weather, and high altitudes. In addition, flare-ups can be instigated by physical
factors and eating habits. These include too much sleep or too little sleep; stress; dehydration;
certain foods such as aged cheeses, soy sauce, and older left-over foods, as well as those that
contain food additives such as monosodium glutamate (MSG) and aspartame.
Although a
cure for migraines has yet to be found, those suffering from this condition do not have to live
with the pain. An effective way to overcome these chronic headaches is to learn how to manage
them.
“Migraine management can consist of proper medication as well as
changing your lifestyle,” explains Dr. Fotopoulos. “There are many migraine drugs
available, so it is important that you find one that is best for you,” he adds.
Dr. Fotopoulos also suggests that patients with migraine headaches look into Osteopathic
Manipulative Treatment (OMT). OMT is a treatment used by osteopathic physicians (D.O.s), in which
they use their hands to help diagnose and treat injury and illness and encourage the body’s
natural tendency toward good health.
“With OMT, D.O.s can lessen the pain and
discomfort of migraine headaches for patients; sometimes in place of medication and, other times,
in conjunction with it,” says Dr. Fotopoulos.
Adjusting your lifestyle to avoid
personal migraine triggers, as determined by you and your physician, is another key to decreasing
the likelihood of attacks.
Even though migraine headaches can be incapacitating at
times, they should not stop you from living your life comfortably. With the proper knowledge about
migraines and a physician’s care, the frequency and severity of migraine attacks may decrease
dramatically.
Preventive medicine is just one aspect of care osteopathic physicians
(D.O.s) provide. D.O.s are fully-licensed to prescribe medicine and practice in all specialty
areas including surgery. D.O.s are trained to consider the health of the whole person and use
their hands to help diagnose and treat their patients.