Headaches Migraines Explored Explained Understood?
One may term this as hiding from the truth as we all appear to do - when mysterious illness strikes?
This Paper is as much of what is reasonable to consider - as it is a matter of fact...
It is also a compilation of a number of papers - from Wikipedia and from other professional or self-help style sources.
Therefore it may contain a number of repeats - perhaps this particular set of mysterious and distressing symptoms, demands such scrutiny.
Moreover, for a Medically qualified Person considered as. Anecdotal - a posh word for storytelling.
If in reading this paper my writing appears to be like a foreign language or even rambling.
Consider reading this paper - not as a book; take some time to comprehend the contents.
Where I would like to think it would make sense?
So often we read or hear in detail "What" (description or symptoms) of an illness - but rarely if ever does anyone take the time to truly explain.
"WHY," or how it is really caused...
...this paper is designed to answer many of the questions - we are so often left with.
Where many times we have the questions and no answers - or the answers and not the questions.
If I have unwittingly left anything out or not satisfactorily answered, please email (address at the end of this page) and I will include it in this Paper at the earliest opportunity.
Please include item number or a copy and paste if possible - of the item that is not clear.
Did we not all struggle as a Child to learn many things we now through the experience of life - are now extremely competent with.
No apology if offered if discussions are repeated within this paper.
The understanding for this, is nothing is more repeating than illness that is there every day of one's life and - despite the very best and latest treatments does not get better or have a satisfactory explanation/understanding or when Medical Science writes Scientifically Proven Papers about illness; in a confusing or repeating manner that confuses everyone - even themselves!
The first thing in the process of answering this is, for any one suffering, it is clear...
"...New understandings are required about illness..."
...as it appears the existing education is the same worldwide?..
From Talking Cures point of view and therapeutic practice - names of illness especially Medically Diagnosed recognised and Scientifically proven, are of no real value in the understanding and treatment of any illness - the only Name we should use or symptom we may label is...
"A Person is unable to achieve a Healthy and satisfactory lifestyle...”
...Never allowed to become the Person they should have...
...Never allowed to form a secure foundation of life to stand on.
Thus requires. “Specialised assistance,” in order to make sense of the presenting symptoms, the true cause and reason for them - enabling automatic resolution via the Persons own immune systems and Body replication process - referred to as, the Entire Body Chemistry.
...Surely if a Person cannot be in control of self-repair when can they be in self control!
To a trained Medical Mind these questions and answer updates may well appear or feel patronising - it is hoped not, as their structure is at the very. "Heart" of the success of Talking Cures as a therapeutic application and may well be a serious asset and improvement in Medical Treatment outcome success.
In order to fully appreciate this, it is helpful to consider and accept;
All of the information as to why a Person became ill in the first place and as a consequence - all of the information required for them to automatically create immune response repair is - not only contained within the confines of their own Mind - it is the only information required to bring about the required Automatic Cure using their own immune systems and Body replication processes. As designed by the Mind and Body.
By creating very cleverly constructed questions - knowing the Person is able to answer them with their own knowledge of themselves of which they are a Master and if they are unable to with my interpretations, accepted as re-education of their own information, that continues/completes on an ongoing bases; the process of either returning to well-health or well-health for the very first time in their lives.
These explanations are from a collection of Scientifically Proven papers in the public domain and discussion forums and are in a Question and Answer forum style.
It is important to accept I am both the Questioner, on behalf of interested Person's as well as the Person supplying the Answers, thus in many ways - my own best critic.
Leaving one to choose the Questions and Answers that are important for a better or individual understanding of this seemingly mysterious illness.
Migraine From Wikipedia, the free encyclopedia:
This article is about the disorder.
Regarding Person's having Headaches to Migraine all with unknown cause and no known cure.
Classification and external resources
346 OMIM 157300
DB 8207 31876 4693
Patient UK Migraine
Question. 1: How have these symptoms been described through the years and has the description changed as of 2016?
Answer. 1: Starting at the deep end are we.
This is how it is still described; Migraine is a primary Headache disorder characterized by recurrent Headaches that are moderate to severe.
Question. 2: What does that small amount of information tell you?
Answer. 2: A lot - however may we explore some and return to this as I feel sure we will later.
Question. 3: If that information tells you a lot?
Is there a wisdom in you reading the combined information first to establish an understanding of its contents?
Answer. 3: May I say I find it extremely easy without the requirement to study papers on any given subject to make a response as demonstrated by the various pages on this web site.
Whether one agrees with the information is a matter for individual preference and interpretation.
However I am with you on this point for already with an intuitive feeling I feel it is necessary to briefly look through this paper and I must say, having now done so.
I am flabbergasted at the amount of cross-referencing information that would leave a Person with a degree in computer physics reeling with confusion.
Let alone a Person trying to live a life with or relieve their Headaches-Migraines.
Therefore with this one - may I mark all of the information with a reference number as a guide and then having read it a number of times make some sense of it at the end by returning and answering some of the questions directly or with Talking Cures understandings of this - after thousands of years; multifaceted ever changing set of Mind Brain and Body Mysterious Symptoms.
Let us return to the start which is usually at the end when Medical Science demonstrates its knowledge...
Ref. 1: The Head Ache, George Cruikshank (1819) A trepanated skull, from the Neolithic.
Trapanated = is a surgical intervention in which a hole is drilled or scraped into the Human skull,
The perimeter of the hole in the skull is rounded off by in growth of new bony tissue, indicating that the Person survived the operation.
Ref. 2: An early description consistent with Migraines is contained in the Ebers papyrus, written around 1500 BCE in ancient Egypt.
Ref. 3: In 200 BCE, writings from the Hippocratic school of medicine described the visual aura that can precede the Headache and a partial relief occurring through vomiting.
Ref. 4: A second-century description by Aretaeus of Cappadocia divided Headaches into three types:
A. Cephalalgia. = Headache, often combined with another word to indicate a specific type of Headache,
B. Cephalea. = Is one of the many medical terms used to refer to Headache.
C. Heterocrania. Headache involving but one side of the head.
Ref. 5: Galen of Pergamon used the term hemicrania - half-head, from which the word migraine was eventually derived.
Ref . 6: Galen also proposed that the Pain arose from the meninges - the three membranes that envelop the Brain and Spinal cord and Blood vessels of the Head.
Ref. 7: Migraines were first divided into the two types in common use today.
1. Migraine with Aura - Migraine Ophthalmique; which pertains to the Eye.
2. Migraine without Aura - Migraine Vulgaire. = Do not say that, it is very vulgar.
By Louis Hyacinthe Thomas, a French Librarian in 1887.
Re. 8: Trepanation, the deliberate drilling of holes into a skull, was practiced as early as 7,000 BCE.
Ref. 9: While sometimes People survived, many would have died from the procedure due to infection.
Ref. 10: It was believed to work via. "Letting evil spirits escape."
Ref. 11: William Harvey recommended trepanation as a treatment for migraines in the 17th century.
Ref. 12: While many treatments for Migraines have been attempted, it was not until 1868 that use of a substance which eventually turned out to be effective began.
Ref. 13: This substance was the fungus ergot from which ergotamine was isolated in 1918.
Ref. 14: Methysergide was developed in 1959 and the first triptan, sumatriptan, was developed in 1988.
Ref. 15: During the 20th century with better study design effective preventative measures were found and confirmed.
Society and Culture.
Ref. 16: Migraines are a significant contributor to both medical costs and lost productivity.
Ref. 17: It has been estimated that they are the most costly neurological disorders in the European Community, costing more than €27 billion per year.
Ref. 18: In the United States direct costs have been estimated at $17 billion.
Ref. 19: Nearly a tenth of this cost is due to the cost of triptans.
Including $15 billion in indirect costs, of which missed work is the greatest component.
Ref. 20: In those who do attend work with a Migraine, output effectiveness is decreased by around a third.
Ref. 21: Negative impacts also frequently occur for a Person's family.
Ref. 22: Typically, the Headaches affect one half of the Head, are pulsating in nature and last from two to 72 hours.
Ref. 23: Associated symptoms may include nausea, vomiting and sensitivity to light, sound, or smell.
Ref. 24: The Pain is generally made worse by physical activity.
Ref. 25: Up to one-third of People have an Aura: typically a short period of visual disturbance which signals that the Headache will soon occur.
Ref. 26: Occasionally, an Aura can occur with little or no Headache following it.
Ref. 27: Migraines are believed to be due to a mixture of environmental and genetic factors.
Ref. 28: About two-thirds of cases run in families.
Ref. 29: The changing of hormone levels may also play a role, as Migraines affect slightly more Boys than Girls before puberty and two to three times more Women than Men.
Ref. 30: The risk of migraines usually decreases during pregnancy.
Ref. 31: For which - the underlying mechanisms are not fully known.
Ref. 32: It is, however, believed to involve the nerves and blood vessels of the Brain.
Ref. 33: Initial recommended treatment is with simple Pain Medication such as ibuprofen and paracetamol (acetaminophen) for the headache, medication for the nausea and the avoidance of triggers.
Ref. 34: Specific medications such as triptans or ergotamines may be used in those for who simple pain medications are not effective.
Ref. 35: Caffeine may be added to the above.
Ref. 36: A number of medications are useful to prevent attacks including metoprolol, valproate and topiramate.
Ref. 37: Globally, approximately 15% of People are affected by Migraines.
Ref. 38: It most often starts at puberty and is worst during middle age.
Ref. 39: In some Women they become less common following menopause.
Ref. 40: An early description consistent with Migraines is contained in the Ebers papyrus, written around 1500 BCE in ancient Egypt.
Ref. 41: The word. "Migraine," is from the Greek ἡμικρανία - hemikrania. "Pain on one side of the Head," from ἡμι- (hemi-,) "half" and κρανίον (kranion) "skull."
Signs and symptoms.
Ref. 42: Migraines typically present with self-limited, recurrent severe headache associated with autonomic nervous systems which regulates certain Body processes.
Ref. 44: About 15–30% of People with Migraines experience Migraines with an Aura and those who have Migraines with Aura also frequently have Migraines without Aura.
Ref. 45: The severity of the Pain, duration of the Headache and frequency of attacks is variable.
Ref. 46: A Migraine lasting longer than 72 hours is termed status migrainosus = a complication of a Migraine..
Ref. 47: There are four possible phases to a Migraine, although not all the phases are necessarily experienced:
A. The Prodrome. Which occurs hours or days before the Headache.
B. The Aura. Which immediately precedes the Headache.
C. The Pain phase. also known as Headache phase.
D. The Postdrome. The effects experienced following the end of a Migraine attack known as the Prodrome Phase.
Prodromal or premonitory - serving to warn beforehand, symptoms occur in about 60% of those with Migraines, with an onset that can range from two hours to two days before the start of Pain or the Aura.
Ref. 48: These symptoms may include a wide variety of phenomena, including altered mood, irritability, depression or euphoria, fatigue, craving for certain food(s), stiff muscles, especially in the neck, constipation, diarrhoea and sensitivity to smells or noise.
Ref. 49: This may occur in those with either Migraine with Aura or Migraine without Aura.
Ref. 50: Aura phase Enhancements reminiscent of a zigzag fort structure.
Ref. 51: Negative scotoma, loss of awareness of local structures or a partial loss of vision or blind spot in an otherwise normal visual field.
Ref. 52: Positive scotoma, is an area of less depressed or of normal vision. with a local perception of additional structures.
Ref. 53: Mostly one-sided loss of perception.
Ref. 54: An Aura is a transient - lasting only for a short time focal neurological phenomenon, that occurs before or during the Headache.
Ref. 55: Auras appear gradually over a number of minutes and generally last less than 60 minutes.
Ref. 55: Symptoms can be visual, sensory or motor in nature and many People experience more than one.
Ref. 56: Visual effects occur most frequently; they occur in up to 99% of cases and in more than 50% of cases are not accompanied by sensory or motor effects.
Ref. 57: Vision disturbances often consist of a scintillating scotoma - an area of partial alteration in the field of vision which flickers and may interfere with a Person's ability to read or drive.
Ref. 58: These vision disturbances typically start near the center of vision and then spread out to the sides with zigzagging lines which have been described as looking like fortifications or walls of a castle.
Ref. 59: Usually the lines are in black and white but some People also see coloured lines.
Ref. 60: Some People lose part of their field of vision known as hemianopsia - or hemianopia, is a decreased vision or blindness - anopsia, in half the visual field.
A. Usually on one side of the vertical midline while where others experience blurring.
Ref. 61: Sensory Aurae are the second most common type; they occur in 30-40% of People with Auras.
Ref. 62: Often a feeling of pins-and-needles begins on one side in the hand and arm and spreads to the nose-mouth area on the same side.
Ref. 63: Numbness usually occurs after the tingling has passed with a loss of position sense.
Ref. 64: Other symptoms of the Aura phase can include speech or language disturbances, world spinning and less commonly motor problems.
Ref. 65: Motor symptoms indicate that this is a hemiplegic Migraine and weakness often lasts longer than one hour unlike other Auras.
Ref. 66: Auditory hallucinations or delusions have also been described.
Ref. 67: Pain phase Classically the Headache is one sided, throbbing and moderate to severe in intensity.
Ref. 68: It usually comes on gradually and is aggravated by physical activity.
Ref. 69: In more than 40% of cases, however, the Pain may be on both sides and Neck Pain is commonly associated with it.
Ref. 70: Pain on both sides is particularly common in those who have Migraines without an Aura.
Ref. 71: Less commonly Pain may occur primarily in the back or top of the Head.
Ref. 72: The Pain usually lasts 4 to 72 hours in Adults, however in young Children frequently lasts less than 1 hour.
Ref. 73: The frequency of attacks is variable, from a few in a lifetime to several a week, with the average being about one a month.
Ref. 74: The Pain is frequently accompanied by nausea, vomiting, sensitivity to light, sensitivity to sound, sensitivity to smells, fatigue and irritability.
Ref. 75: In a basilar Migraine - a Migraine with neurological symptoms related to the Brain stem or with neurological symptoms on both sides of the Body, common effects include a sense of the world spinning, light-headedness and confusion.
Ref. 76: Nausea occurs in almost 90% of People and vomiting occurs in about one-third.
Ref. 77: Many People seek a dark and quiet room.
Ref. 78: Other symptoms may include blurred vision, nasal stuffiness, diarrhoea, frequent urination, pallor, or sweating.
Swelling or tenderness of the scalp may occur as can neck stiffness.
Ref. 79: Associated symptoms are less common in the elderly.
Ref. 80: Rarely, an Aura occurs without a subsequent Headache.
Ref. 81: This is known as an Acephalgic Migraine or Silent Migraine.
A. The terms silent Migraine and Acephalgic Migraine are actually referring to an individual phase of a Migraine attack.
B. Silent Migraine is not a separate type of; however, it is difficult to assess the frequency of such cases because People who do not experience symptoms severe enough to seek treatment may not realize that anything unusual is happening to them and pass it off without reporting any problems.
Ref. 82: The effects of Migraine may persist for some days after the main headache has ended; this is called the Migraine Postdrome which is described as the silent sister to Headache/Migraine.
Ref. 83: Although not all sufferers experience this and those that do often face scepticism when they discuss it... My head is sore and my Brain is tired. .. describing this feeling AFTER the intense Pain of a Migraine has gone and one is left with a sort of Hangover - which can last for a day or even longer.
Ref. 84: Many report a sore feeling in the area where the Migraine was and some report impaired thinking for a few days after the Headache has passed.
Ref. 85: The Person may feel tired, or "hung over" and have Head Pain, cognitive difficulties, gastrointestinal symptoms, mood changes and weakness.
Ref. 86: According to one summary, "Some People feel unusually refreshed or euphoric after an attack, whereas others note depression and malaise."
Ref. 87: For some individuals this can vary each time.
Ref. 88: Cause The underlying causes of Migraines are unknown.
Ref. 89: However, they are believed to be related to a mix of environmental and genetic factors.
Ref. 90: They run in families in about two-thirds of cases and rarely occur due to a single gene defect.
Ref. 91: While Migraines were once believed to be more common in those of high intelligence, this does not appear to be true.
Ref. 92: A number of psychological conditions are associated with Headache/Migraine, including Depression, Anxiety and Bipolar Disorder, as are many biological events or triggers.
Ref. 93: Genetics of Migraine Headaches Studies of twins indicate a 34% to 51% genetic influence of likelihood to develop Migraine Headaches.
Ref. 94: This genetic relationship is stronger for Migraines with Aura than for Migraines without Aura.
Ref. 95: A number of specific variants of genes increase the risk by a small to moderate amount.
Ref. 96: Single gene disorders that result in Migraines are rare.
Ref. 97: One of these is known as Familial Hemiplegic Migraine, a type of Migraine with Aura, which is inherited in an autosomal dominant fashion.
A. Familial hemiplegic migraine (FHM) is defined as Migraine attacks occurring in two or more People in the same family who experience weakness on one side of the Body as a symptom with their Migraines.
B. On average 50% of Children who have a Parent with Hemiplegic Migraine will develop this disorder.
C. At least three different genes have been implicated in FHM.
D. In half of the families where FHM occurs, a gene with a defect on chromosome 19 has been identified.
Ref. 98: Four genes have been shown to be involved in Familial Hemiplegic Migraine.
Ref. 99: Three of these genes are involved in ion transport.
Ref. 100: The fourth is an axonal protein associated with the exocytosis complex.
Ref. 101: Exocytosis is a process in which an intracellular vesicle - membrane bounded sphere, moves to the plasma membrane and subsequent fusion of the vesicular membrane and plasma membrane ensues.
Ref. 102: Another genetic disorder associated with Migraine is CADASIL syndrome or cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy.
Ref. 103: Migraines may be induced by triggers, with some reporting it as an influence in a minority of cases and others the majority.
Ref. 104: Many things have been labeled as triggers, however the strength and significance of these relationships are uncertain.
Ref. 105: A trigger may be encountered up to 24 hours prior to the onset of symptoms.
Ref. 106: Physiological aspects Common triggers quoted are Stress, Hunger and Fatigue - these equally contribute to Tension Headaches.
Ref. 107: Psychological Stress has been reported as a factor by 50 to 80% of People.
Ref. 108: Migraines have also been associated with Post-Traumatic Stress Disorder and Abuse.
Ref. 109: Migraines are more likely to occur around Menstruation.
Ref. 110: Other hormonal influences, such as a young Women's very first Menstrual Cycle, oral contraceptive use, pregnancy, pre menopause and menopause, also play a role.
Ref. 111: These hormonal influences seem to play a greater role in Migraine without aura.
Ref. 112: Migraines typically do not occur during the second and third trimesters or following menopause.
Ref. 113: Dietary aspects Between 12 and 60% of People report foods as triggers.
Ref. 114: Evidence for dietary triggers, however, mostly relies on self-reports and is not rigorous enough to prove or disprove any particular triggers.
Ref. 115: A clear explanation for why food might trigger migraines is also lacking.
Ref. 116: Regarding specific agents; there does not appear to be evidence for an effect of tyramine on Migraine and while monosodium glutamate (MSG) is frequently reported as a dietary trigger, evidence does not consistently support this.
Ref. 117: A review on potential triggers in the indoor and outdoor environment concluded the overall evidence was of poor quality, but nevertheless suggested People with Migraines take some preventive measures related to indoor air quality and lighting.
Ref. 118: Animation of cortical spreading depression.
Ref. 119: Migraines are believed to be a neuro vascular disorder with evidence supporting its mechanisms starting within the Brain and then spreading to the Blood Vessels.
Ref. 120: Some researchers believe neuronal mechanisms play a greater role, while others believe Blood Vessels play the key role.
Ref. 121: Others believe both are likely important.
Ref. 122: One theory is related to increased excitability of the cerebral cortex and abnormal control of Pain Neurons in the trigeminal nucleus of the Brain Stem.
Ref. 123: High levels of the neurotransmitter serotonin, also known as 5-hydroxytryptamine, are believed to be involved.
Ref. 124: Aura Cortical spreading depression, or spreading depression according to some research, is bursts of neuronal activity followed by a period of inactivity, which is seen in those with Migraines with an aura.
Ref. 125: There are a number of explanations for its occurrence including activation of NMDA receptors leading to calcium entering the cell.
Ref. 126: After the burst of activity the blood flow to the cerebral cortex in the area affected is decreased for two to six hours.
Ref. 127: It is believed that when depolarization travels down the underside of the Brain, nerves that sense Pain in the head and neck are triggered.
A. Depolarization phase of the action potential, open Na+ channels allow Na+ ions to diffuse into the cell.
B. This inward movement of positive charge makes the membrane potential more positive - less negative.
Ref. 128: The exact mechanism of the Head Pain which occurs during a Migraine is unknown.
Ref. 129: Some evidence supports a primary role for central nervous system structures - such as the Brain Stem and diencephalon, while other data support the role of peripheral activation - such as via the sensory nerves that surround blood vessels of the head and neck.
A. Diencephalon = the caudal - posterior part of the forebrain, containing the epithalamus, thalamus, hypothalamus and ventral thalamus and the third ventricle.
Ref. 130: The potential candidate vessels include dural arteries, pial arteries and extra cranial arteries such as those of the scalp.
Ref. 131: The role of vasodilatation of the extra cranial arteries, in particular, is believed to be significant.
Ref. 132: The diagnosis of a Migraine is based on signs and symptoms.
Ref. 133: Neuro imaging tests are not necessary to diagnose Migraine, but may be used to find other causes of Headaches in those whose examination and history do not confirm a Migraine diagnosis.
Ref. 134: It is believed that a substantial number of People with the condition remain undiagnosed.
Ref. 135: The diagnosis of Migraine without Aura, according to the International Headache Society, can be made according to the following criteria, the "5, 4, 3, 2, 1 criteria":
5: Five or more attacks = Migraine with Aura two attacks are sufficient for diagnosis.
4: Four hours to 3: three days in duration,
2: Two or more of the following: Unilateral - affecting half the head.
Pulsating; Moderate or severe pain intensity;
Worsened by or causing avoidance of routine physical activity.
1: One or more of the following: Nausea and/or vomiting; Sensitivity to both light - photophobia and sound - phonophobia.
Ref. 136: If someone experiences two of the following: photophobia, nausea, or inability to work or study for a day, the diagnosis is more likely.
Ref. 137: In those with four out of five of the following:
A. Pulsating Headache.
B. Duration of 4-72 hours.
C. Pain on one side of the head.
E. Symptoms that interfere with the Person's life, the probability that this is a Migraine is 92%.
In those with fewer than three of these symptoms the probability is 17%.
Classification Main article:
Ref. 138: ICHD classification and diagnosis of Migraines was first comprehensively classified in 1988.
Ref. 139: The International Headache Society most recently updated their classification of Headaches in 2004.
Ref. 140: According to this classification Migraines are primary Headaches along with tension-type Headaches and Cluster Headaches, among others.
Ref. 141: Migraines are divided into seven subclasses - some of which include further subdivisions:
A. Migraine without Aura, or. "Common Migraine," involves Migraine Headaches that are not accompanied by an Aura.
B. Migraine with Aura, or. "Classic Migraine," usually involves Migraine Headaches accompanied by an Aura.
C. Less commonly, an Aura can occur without a Headache, or with a Non Migraine Headache.
D. Two other varieties are Familial Hemiplegic Migraine and Sporadic Hemiplegic Migraine, in which a Person has Migraines with Aura and with accompanying Motor Weakness.
E. If a close relative has had the same condition, it is called; "familial," otherwise it is called. "Sporadic."
F. Another variety is Basilar-type Migraine, where a Headache and Aura are accompanied by difficulty speaking, world spinning, ringing in ears, or a number of other brain stem-related symptoms, but not motor weakness.
G. This type was initially believed to be due to spasms of the basilar artery, the artery that supplies the Brain Stem.
Ref. 142: Childhood periodic syndromes that are commonly precursors of Migraine include cyclical vomiting - occasional intense periods of vomiting.
Ref. 143: Abdominal Migraine Abdominal Pain, usually accompanied by nausea and benign paroxysmal - a sudden recurrence or intensification of symptoms, vertigo of Childhood - occasional attacks of vertigo.
Ref. 144: Retinal Migraine involves Migraine Headaches accompanied by visual disturbances or even temporary blindness in one eye.
Ref. 145: Complications of Migraine describe Migraine Headaches and/or Auras that are unusually long or unusually frequent, or associated with a seizure or Brain Lesion.
Ref. 146: Probable Migraine describes conditions that have some characteristics of Migraines, but where there is not enough evidence to diagnose it as a Migraine with certainty - in the presence of concurrent medication overuse.
Ref. 147: Chronic Migraine is a complication of Migraines and is a Headache that fulfils diagnostic criteria for Migraine Headache and occurs for a greater time interval.
Ref. 148: Specifically, greater or equal to 15 days/month for longer than 3 months.
Ref. 149: Abdominal Migraine. The diagnosis of abdominal Migraines is controversial.
Ref. 150: Some evidence indicates that recurrent episodes of abdominal Pain in the absence of a Headache may be a type of Migraine or are at least a precursor to Migraines.
Ref. 151: These episodes of Pain may or may not follow a Migraine-like prodrome and typically last minutes to hours.
Ref. 152: They often occur in those with either a personal or family history of typical Migraines.
Ref. 153: Other syndromes that are believed to be precursors include cyclical vomiting syndrome and benign paroxysmal vertigo of Childhood.
Ref. 154: Other conditions that can cause similar symptoms to a Migraine Headache include temporal arteritis, cluster Headaches, acute glaucoma, meningitis and subarachnoid haemorrhage.
Ref. 155: Temporal arteritis typically occurs in People over 50 years old and presents with tenderness over the temple.
Ref. 156: Cluster Headaches presents with one-sided nose stuffiness.
Ref. 157: Tears and severe pain around the eye orbits, acute glaucoma is associated with vision problems.
Ref. 158: Meningitis with fevers and subarachnoid haemorrhage with a very fast onset.
Ref. 159: Tension Headaches typically occur on both sides, are not pounding and are less disabling.
Ref. 160: Those with stable Headaches which meet criteria for Migraines should not receive neuro imaging to look for other intra cranial disease.
Ref. 161: This requires that other concerning findings such as papilledema - confirming swelling of the optic disc is not present.
Ref. 161: People with Migraines are not at an increased risk of having another cause for severe Headaches.
Ref. 162: Prevention of Migraines Preventive treatments of Migraines include medications, nutritional supplements, lifestyle alterations and surgery.
Ref. 163: Prevention is recommended in those who have Headaches more than two days a week, cannot tolerate the medications used to treat acute attacks, or those with severe attacks that are not easily controlled.
Ref. 164: The goal is to reduce the frequency, Painfulness and/or duration of Migraines and to increase the effectiveness of abortive therapy.
Ref. 165: Another reason for prevention is to avoid medication overuse Headache.
Ref. 166: This is a common problem and can result in Chronic Daily Headache.
Ref. 167: Preventive Migraine Medications are considered effective if they reduce the frequency or severity of the Migraine attacks by at least 50%.
Ref. 168: Guidelines are fairly consistent in rating topiramate, divalproex/sodium valproate, propranolol and metoprolol - as having the highest level of evidence for first-line use.
Ref. 169: Recommendations regarding effectiveness varied however for gabapentin.
Ref. 170: Timolol is also effective for Migraine prevention and in reducing Migraine attack frequency and severity, while frovatriptan is effective for prevention of Menstrual Migraine.
Ref. 171: Amitriptyline and venlafaxine are probably also effective.
Ref. 172: Angiotensin inhibition by either an angiotensin-converting enzyme inhibitor or angiotensin II receptor antagonist may reduce attacks.
Ref. 173: Botulinum toxin - Botox, has been found to be useful in those with chronic Migraines but not those with episodic ones.
Ref. 174: Petasites hybridus - butterbur root extract has proven effective for Migraine prevention.
Ref. 175: While acupuncture may be effective, "true" acupuncture is not more efficient than sham acupuncture, a practice where needles are placed randomly.
Ref. 176: Both True and Sham acupuncture have a possibility of being more effective than routine care, with fewer adverse effects than preventative medications.
Ref. 177: Chiropractic manipulation, physiotherapy, massage and relaxation might be as effective as propranolol or topiramate in the prevention of Migraine Headaches; however, the research had some problems with methodology.
Ref. 178: Methodology is the systematic, theoretical - Guesswork, analysis of the methods applied to a field of study.
It comprises the theoretical - guesswork analysis of the Body of methods and principles associated with a branch of knowledge.
Ref. 179: The evidence to support spinal manipulation is poor and insufficient to support its use.
Ref. 180: Tentative evidence supports the use of stress reduction techniques such as Cognitive Behavioural Therapy, biofeedback and Relaxation Techniques.
Ref. 181: Of the Alternative Medicines, butterbur has the best evidence for its use.
Devices and surgery.
Ref. 182: Medical devices, such as biofeedback and neuro stimulators, have some advantages in Migraine prevention, mainly when common Anti-Migraine medications are contraindicated or in case of medication overuse.
Ref. 182: Biofeedback helps People be conscious of some physiological parameters so as to control them and try to relax and may be efficient for Migraine treatment.
Ref. 183: Neuro stimulation uses implantable neuro stimulators similar to pacemakers for the treatment of intractable Chronic Migraines with encouraging results for severe cases.
Ref. 184: A transcutaneous electrical nerve stimulation device is approved in the United States for the prevention of Migraines.
Ref. 185: Migraine surgery, which involves decompression of certain nerves around the head and neck, may be an option in certain People who do not improve with medications.
Ref. 186: There are three main aspects of treatment:
A. Trigger avoidance.
B. Acute symptomatic control.
C. Pharmacological prevention.
Ref. 187: Medications are more effective if used earlier in an attack.
Ref. 188: The frequent use of medications may result in medication overuse Headache, in which the Headaches become more severe and more frequent.
Ref. 189: This may occur with triptans, ergotamines and analgesics, especially narcotic analgesics.
Ref. 190: Due to these concerns simple analgesics are recommended to be used less than three days per week at most.
Ref. 191: Analgesics Recommended initial treatment for those with mild to moderate symptoms are simple analgesics such as non-steroidal anti-inflammatory drugs (NSAIDs) or the combination of paracetamol, aspirin and caffeine.
Ref. 192: Several NSAIDs, including diclofenac and ibuprofen have evidence to support their use.
Ref. 193: Aspirin can relieve moderate to severe Migraine Pain, with an effectiveness similar to sumatriptan.
Ref. 194: Ketorolac is available in an intravenous formulation.
Ref. 195: Paracetamol - also known as acetaminophen, either alone or in combination with metoclopramide, is another effective treatment with a low risk of adverse effects.
Ref. 196: Metoclopramide is also effective by itself.
Ref. 197: In pregnancy, paracetamol and metoclopramide are deemed safe as are NSAIDs until the third trimester.
Ref. 198: Triptans such as sumatriptan are effective for both Pain and Nausea in up to 75% of People.
Ref. 199: They are the initially recommended treatments for those with moderate to severe Pain or those with milder symptoms who do not respond to simple analgesics.
Ref. 200: The different forms available include oral, injectable, nasal spray and oral dissolving tablets.
Ref. 201: In general, all the triptans appear equally effective, with similar side effects.
Ref. 202: However, certain individuals may respond better to specific ones.
Ref. 203: Most side effects are mild, such as flushing; however, rare cases of myocardial ischemia have occurred.
Myocardial ischemia; occurs when Blood flow to the Heart is reduced, preventing it from receiving sufficient oxygenated Blood from the Lungs.
Ref. 204: They are thus not recommended for People with Cardiovascular Disease, who have had a stroke, or have Migraines that are accompanied by Neurological Problems.
Ref. 205: In addition, triptans should be prescribed with caution for those with risk factors for vascular disease.
Ref. 206: While historically Tripitans are not recommended for those with basilar Migraines there is no specific evidence of harm from their use in this population to support this caution.
Ref. 207: Tripitans are not addictive, but may cause medication overuse Headaches if used more than 10 days per month.
Ref. 208: Ergotamines Ergotamine and dihydroergotamine are older medications still prescribed for Migraines, the latter in nasal spray and injectable forms.
Ref. 209: They appear equally effective to the triptans, are less expensive and experience adverse effects that typically are benign.
Ref. 210: In the most severe cases, such as those with Status Migrainosus, they appear to be the most effective treatment option.
Ref. 211: Other Intravenous metoclopramide or intranasal lidocaine are other potential options.
Ref. 212: Metoclopramide is the recommended treatment for those who present to the emergency department.
Ref. 213: Haloperidol may also be useful in this group.
Ref. 214: A single dose of intravenous dexamethasone, when added to standard treatment of a Migraine attack, is associated with a 26% decrease in Headache recurrence in the following 72 hours.
Ref. 215: Spinal manipulation for treating an ongoing Migraine Headache is not supported by evidence.
Ref. 216: It is recommended that opioids and barbiturates not be used due to questionable efficacy and the risk of - Rebound Headache.
Ref. 217: Ibuprofen improves Pain in Children with Migraines.
Ref . 218: Paracetamol does not appear to be effective in providing Pain relief.
Ref. 219: Triptans are effective, though there is a risk of causing minor side effects like taste disturbance, nasal symptoms, dizziness, fatigue, low energy, nausea, or vomiting.
Ref. 220: Long-term prognosis in People with Migraines is variable.
Ref. 221: Most People with Migraines have periods of lost productivity due to their disease; however typically the condition is fairly benign and is not associated with an increased risk of death.
Ref. 222: There are four main patterns to the disease:
A. Symptoms can resolve completely.
B. Symptoms can continue but become gradually less with time.
C. Symptoms may continue at the same frequency and severity.
D. Attacks may become worse and more frequent.
Ref. 223: Migraines with Aura appear to be a risk factor for Ischemic Stroke doubling the risk.
Ref. 224: Being a young adult, being female, using hormonal birth control and smoking further increases this risk.
Ref. 225: There also appears to be an association with cervical artery dissection.
A. The true cause of cervical artery dissection (CAD) is, for the most part, unclear.
B. What has been proposed as an explanation for its pathogenesis is largely hypothetical. Guesswork.
C. Furthermore, when dealing with a particular case of CAD, the pathogenesis or Biological Mechanism is especially speculative.
D. Nevertheless, a number of risk factors have been reported to be associated with the condition, including connective tissue abnormalities, hypertension, recent infection, Migraine Headache, the use of oral contraceptives and others.
E. Of special interest to chiropractors is the role cervical spine manipulation (CSM) plays, if any, in the pathogenesis of CAD.
F. Indeed, Patients do experience CAD on rare occasions after CSM, making knowledge about the cervical arteries, the predisposing factors and the pathogenesis of the condition important for chiropractors.
Ref. 226: Migraines without Aura do not appear to be a factor in expected outcome or diagnoses.
Ref. 227: The relationship with Heart problems is inconclusive with a single study supporting an association.
Ref. 228: Overall however Migraines do not appear to increase the risk of death from Stroke or Heart disease.
Ref. 229: Preventative therapy of Migraines in those with Migraines with Auras may prevent associated strokes.
Ref. 230: People with Migraines, particularly Women, may develop higher than average numbers of white matter brain lesions of unclear significance.
Ref. 231: Is the study and analysis of the patterns, causes and effects of health and disease conditions in defined populations.
Ref. 232: It is the cornerstone of public health and shapes policy decisions and evidence-based practice by identifying risk factors for disease and targets for preventive healthcare.
Ref. 233: Disability-adjusted life year for Migraines per 100,000 inhabitants in 2004 no data <45 45-65 65-85 85-105 105-125 125-145 145-165 165-185 185-205 205-225 225-245 >245. Appears to suggest the numbers are going up faster as the years pass.
Ref. 234: Worldwide, Migraines affect nearly 15% or approximately one billion people.
Ref. 235: It is more common in Women at 19% than Men at 11%.
Ref. 236: In the United States, about 6% of Men and 18% of Women get a migraine in a given year, with a lifetime risk of about 18% and 43% respectively.
Ref. 237: In Europe, Migraines affect 12–28% of People at some point in their lives with about 6-15% of adult Men and 14-35% of adult Women getting at least one yearly.
Ref. 238: Rates of Migraines are slightly lower in Asia and Africa than in Western countries.
Ref. 239: Chronic Migraines occur in approximately 1.4 to 2.2% of the population.
Ref. 240: These figures vary substantially with age: Migraines most commonly start between 15 and 24 years of age and occur most frequently in those 35 to 45 years of age.
Ref. 241: In Children, about 1.7% of 7 year old and 3.9% of those between 7 and 15 years have Migraines, with the condition being slightly more common in boys before puberty.
Ref. 242: During adolescence Migraines become more common among Women and this persists for the rest of the life span, being two times more common among elderly Females than Males.
Ref. 243: In Women Migraines without Aura are more common than Migraines with Aura, however in Men the two types occur with similar frequency.
Ref. 244: During pre menopause - refers to the time period during which a Woman's Body makes its natural transition toward permanent infertility. Migraine/Headache Symptoms often get worse before decreasing in severity.
Ref. 245: While symptoms resolve in about two thirds of the elderly, in between 3 and 10% they persist.
Ref. 246: Research Calcitonin gene related peptides (CGRPs) have been found to play a role in the pathogenesis of the Pain associated with Migraine.
Ref. 247: CGRP receptor antagonists, such as olcegepant and telcagepant, have been investigated both in vitro - which are studies performed with microorganisms, cells or biological molecules outside their normal biological context and in clinical studies for the treatment of Migraine.
Ref. 248: In 2011, Merck stopped phase III clinical trials for their investigational drug telcagepant.
Ref. 249: Trans cranial magnetic stimulation shows promise as has transcutaneous supra orbital nerve stimulation.
Migraine and Headache fact sheets.
Ref. 250: What is a Migraine trigger - A Migraine trigger is any event, change, external or internal factor or physical act, that can result in Migraine.
Ref 251: There is no one single Migraine trigger.
Ref. 252: In a study at the City of London Migraine Clinic, 79% of the Patients questioned were aware of factors that they thought triggered their attacks.
Ref. 253: However, most of them noted that several factors acting together were needed to bring about an attack.
Ref. 254: Migraine triggers are many and varied but are no different from the factors that provoke; ʻnormal.ʼ Headaches in apparently Non-Migrainous individuals.
Ref. 255: Neither are the triggers the same for everybody, or even necessarily the same for different attacks in the same individual.
Ref. 256: Why are Migraine triggers important.
A. A few People are aware of at least some of their triggers.
B. Others are confused when a suspected trigger sometimes results in an attack, but not every time.
Ref. 257: Understanding Migraine triggers can help unravel the mystery of why Migraine attacks occur.
Ref, 258: Imagine our Body has a. ʻMigraine Threshold,ʼ which allows one to tolerate the effect of Migraine triggers without ill effect - until this threshold is crossed.
Ref. 259: Varying triggers occur over a period of time and act by building up in combination, until they cross this Migraine Threshold.
Ref. 260: At this point a Migraine attack occurs.
Ref. 261: This explains why apparently similar situations do not always result in a Migraine attack.
Ref. 262: Where the. ʻMigraine Threshold,ʼ can fluctuate and the number or importance of triggers can vary.
Ref, 263: An example to illustrate this might be that missing a meal, or less obvious triggers such as flickering sunlight or a lack of sleep, may not always bring on an attack.
Ref. 264: However, if any or all of these are combined with a period of stress or in Female Patients hormonal changes, an attack may occur.
Ref. 265: Identifying and addressing triggers, may reduce the frequency of attacks and use less medication.
Ref. 266: Many Patients find it possible to prevent Migraines by modifying their lifestyle and preventing interaction of their Migraine triggers.
What are common triggers for Migraine.
Ref. 267: Specific Foods Certain foods, in particular cheese, chocolate, alcohol, citrus fruits, dairy produce and many others have been implicated in triggering Migraine.
Ref. 268: However, the true link with Migraine is uncertain as craving for specific foods can occur as part of Migraine, before the headache starts – the premonitory stage.
Ref. 269: Also, because several factors are necessary to trigger an attack it follows that if other factors can be identified and minimized, then food triggers will be less important.
Ref. 270: If it is suspected that some foods do trigger an attack, cutting them out of the diet for a few weeks before reintroducing them - may help.
Ref. 271: Missed Meals Delayed or missed meals often result in a relative drop in blood sugar, triggering Migraine.
Ref. 272: This is usually the most important trigger in Children - particularly when they are going through a growth spurt, or involved in strenuous exercise.
Ref. 273: It explains why many Children come home from school with a bad Headache – they just have not, many times had sufficient to eat.
Ref. 274: Insufficient food may also be an important Migraine trigger in adults.
Ref. 275: Missing breakfast typically triggers attacks late morning; missed lunch may trigger attacks late afternoon.
Ref. 276: If attacks are present on waking it is worthwhile considering the time of eating an evening meal – which may be quite early.
Ref. 277: A bowl of cereal last thing at night might be all that is required to treat Migraine.
Ref. 278: Many Migraineurs find that they need to eat frequent snacks every four hours or so during the day to avoid the peaks and troughs in blood sugar.
Ref. 278: Sugary snacks and chocolate are fine to eat - but at the end of meal and not in place of one.
Ref. 279: Mild Dehydration Mild dehydration can have an impact on People who have Migraine.
Ref. 280: It is recommended that one should drink at least Eight glasses of water per day.
Ref. 281: This is in addition to any other drinks.
Ref. 282: Fizzy drinks can contain the sweetener aspartame, which some People have been linked to Migraines.
Ref. 283: The most frequently cited trigger is Alcohol.
Ref. 284: Certain types of alcohol contain chemicals that can either directly affect blood vessels or provoke the release of other chemicals thought to be involved in Migraine.
Ref. 285: In this respect the Migraineur is sensitive to certain components of the alcoholic drink.
Ref. 285: Certain red wines contain more of these potent chemicals and are therefore more likely to trigger an attack than pure drinks such as vodka.
Ref. 286: Caffeine Excessive consumption of caffeine may contribute to the onset of Migraine. Try not having more than 4 or 5 cups of tea, coffee and cola in a day.
Ref. 287: Some People find that suddenly stopping caffeine altogether can also be a trigger factor.
Ref. 288: For example, Regularly drinking caffeine-containing drinks at work and getting Migraines on your day off, the trigger may be caffeine withdrawal.
Ref. 289: If this is suspected this, cutting down on caffeine more gradually may help.
Ref. 290: Note that caffeine can be found in many products including chocolate and over the counter painkillers.
Ref. 291: Sleep Migraine is often present on waking.
Ref. 292: Lack of sleep is recognised as a Migraine Trigger.
Ref. 293: Conversely, sleep during an attack may resolve symptoms.
Ref. 294: However, the true association between Migraine and Sleep is still poorly understood.
Ref. 295: Other factors may also be important.
For example, lack of sleep can result from depression, anxiety, menopausal hot flushes or delayed bedtime due to social events, work or study.
Ref. 296: Each of these could be a Migraine trigger in its own right.
Ref. 297: Many People notice that sleeping in for even just half an hour longer than usual, or lying in bed dozing, can result in Migraine.
Ref. 298: This may be one cause for weekend Migraine.
Ref. 299: What is clear when suffering from Migraine, try to keep to a fixed sleep pattern going to bed at night and getting up in the morning at regular times.
Ref. 300: Shift workers should try to avoid frequent changes of shift times, where possible.
Ref. 301: Some People find that changes in their routine can contribute to a Migraine.
Ref. 302: For example changing sleep patterns or changes caused by long journeys can precede an attack.
Ref. 303: Even pleasant changes such as a holiday can be implicated.
Ref. 304: Migraineurs who work Monday to Friday often report that their Migraine is more likely to occur at a weekend.
Ref. 305: This pattern is most likely to result from a gradual build up of triggers during the week, culminating in an additional barrage of triggers at the weekend - relaxation after stress, perhaps late to bed on Friday night following an evening out, sleeping in on Saturday morning and altered eating patterns - often with a late breakfast.
It is not surprising that an attack of Migraine results.
Ref. 306: Following a reduced caffeine intake at weekends compared to the working week, has also been implicated.
Ref. 307: Many sedentary workers take unaccustomed exercise at weekends with housework, gardening and DIY projects to be done.
Ref. 308: Stress Anxiety and Emotion play an important role in Headache and Migraine.
Ref. 309: Many Migraineurs cope with stress without having more Migraine at the time but have attacks when they relax. e.g. after meeting a deadline at work; after a big event such as a wedding; on the first day of a holiday.
Ref. 310: However, stress rarely occurs without a knock-on effect upon other triggers, often resulting in missed meals, poor sleep and increased muscle tension.
Ref. 311: Although stress is often unavoidable, it is important to try to reduce the effects of other avoidable triggers by eating regularly and getting adequate sleep.
Ref. 312: This can also help to cope with the stress better.
Ref. 313: How often does a long journey by car or air plane results in a Migraine.
Ref. 314: Travel is associated with a host of potential Migraine triggers: lack of sleep from preparation for the trip and from the trip itself, stress, missed or delayed meals, noise and dehydration.
Ref. 315: If traveling by plane there are the added triggers of dehydration and cramped seats with little room to move.
Ref. 316: It remains uncertain as to whether pressure changes in aircraft triggers Migraine, particularly with improved cabin pressures in most modern air planes.
Ref. 317: For centuries the seasonal hot dry winds around the world such as the Swedish Föhn, the Mediterranean Meltemi and the Canadian Chinook, have been associated with Headache and general irritability.
Ref. 318: In other parts of the world less obvious changes in barometric pressure have been cited as a trigger for Migraine - although the data is conflicting.
Ref. 319: In the UK, although a study in London found no evidence for an effect of Weather on Migraine, the results of a study in Scotland suggested that a rise in barometric pressure was associated with increased Migraine frequency.
Ref. 320: Computers are often implicated as a cause of Headache.
Ref. 321: The cause is both related to the flickering screen and also how one sits and work at the computer.
Ref. 322: Consider using anti-glare screens; positioning the monitor in daylight, rather than under fluorescent lighting; changing the refresh rate of the computer monitor and checking whether glasses are required for close-up work, such as computer work or reading.
Ref. 323: Getting Headaches or Migraines after working at a computer for long periods of time, set an alarm to sound every half an hour as a reminder to take a short break.
Ref. 324: Look at something as far into the distance as possible, blink eyes hard several times and try some simple and quick exercises to stretch the neck and shoulder muscles.
Ref. 325: Even just gently rolling the neck and stretching out the arms can make a great deal of difference.
Ref. 326: Strenuous exercise is likely to trigger an attack, as well as muscle aches and pains, especially if not as fit a one would care to be.
Ref. 327: This puts many People off taking exercise when in fact regular exercise can help prevent Migraine.
Ref. 328: A new exercise program should start off gently, building up the pace gradually over several weeks.
Ref. 329: It is important to keep the exercise sessions regular.
Ref. 330: Short frequent sessions are more beneficial than long infrequent sessions - the latter sometimes doing more harm than good.
Ref. 331: Fit People have improved blood sugar balance, better breathing and better pain control compared with unfit People - exercise stimulates the Body to release the natural Pain controlling chemicals known as Endorphins and Encephalins, relieves depression, and promotes a general sense of well being.
Ref. 332: However, it is not all good news.
Ref. 333: Children appear to be particularly susceptible to the effects of strenuous exercise, developing Migraine following a hard game of football.
Ref. 334: In many cases, drinking lots of fluids and sucking glucose tablets before and during exercise can prevent these attacks.
Ref. 335: Hormones In a study undertaken at the National Migraine Centre, more than 50 per cent of Women reported that they were more likely to have a Migraine attack around the time of their Menstrual period.
Ref. 336: Although most Women have attacks at other times of the cycle as well, a small percentage of Women only have attacks that are exclusively associated with Menstruation.
Ref. 337: These attacks can be usually be controlled with standard Migraine management strategies.
Ref. 338: A few Women with obvious hormonal triggers may benefit from specific intervention.
Ref. 339: Other hormonal changes such as use of hormonal contraception can exacerbate Migraine for some Women and improve it in others.
Ref. 340: The years leading up to the menopause are typically associated with increased frequency of Migraine, particularly Menstrual Migraine.
Ref. 341: The hormonal fluctuations associated with worsening of Migraine at this time can be controlled using hormone replacement therapy, which is particularly indicated if other menopausal symptoms such as flushes and sweats are present.
Ref. 342: Most People will get a Headache when they have a cold or viral infection, but Migraine can also occur.
Ref. 343: It is uncertain whether the illness is a trigger in its own right or if being ill lowers the attack threshold so that fewer triggers are necessary before an attack results.
Ref. 344: When coming down with a cold, stock up with Migraine treatments as well as cold remedies - but make sure not to overdose on painkillers.
Ref. 345: Neck and back pain Neck and back pain can trigger attacks, particularly if it results from a specific injury.
Ref. 346: Even a simple muscle tension from poor posture, sitting in front of a computer or driving a car can be a cause.
Ref. 347: Physical causes such as these require physical treatments, although it may be several months before seeing any benefit.
Ref. 348: Sometimes, over-enthusiastic osteopathy or physiotherapy can trigger attacks.
Ref. 349: Like with any exercise, a gentle start is the key to long-term benefit.
Ref. 350: Jaw joint dysfunction If on finding that the jaw; ʻclicksʼ when eating or even locks out, or frequently wakes with Migraine after grinding the teeth at night, there may be a problem with the jaw joint.
Ref. 351: Pain and tenderness in the jaw joints can be associated with tension in the muscles controlling the jaw.
Ref. 352: This may lead to Headache, often daily, but can also trigger Migraine.
Ref. 353: One young girl with daily Headaches and tender jaw joints found that all her symptoms resolved when she stopped chewing gum!
How are Migraine Triggers found.
Ref. 354: Keep a trigger diary, separate from your record of Migraine attacks.
Ref. 355: This can just be a notebook, using a separate page for each day.
Ref. 356: Look at the list of common triggers every day, just before going to bed.
Ref. 357: Make a note of any that were suspect or present during the day.
Ref. 358: This is important, as it is unlikely one would remember triggers clearly before or during an attack.
Ref. 359: Women should keep a record of their menstrual period and any premenstrual symptoms.
Ref. 360: One should continue to complete the trigger diary and the attack diary until having had at least five attacks.
Ref. 361: How does one make sense of Migraine Triggers?
Ref. 362: Rather than. ‘What triggers a Migraine attack?’ A more useful question is. ‘How many triggers are required to initiate an attack.’
Ref. 363: Even a usual daily routine can include triggers although not being aware of; because of remaining below the threshold of an attack until a few extra triggers crop up.
Ref. 364: Comparing a trigger diary with an attack diary to see if there was a build up of triggers during the days before each attack.
Ref. 365: You should be able to divide your list of triggers into two groups - those something can be resolved. e.g. missing meals, drinking red wine and those that are out of personal control. e.g. menstrual cycle, traveling.
Ref. 366: First try to deal with the triggers, over which - some influence can be achieved.
Ref. 367: Cut out suspect triggers one at a time - trying to deal with them all at once will not demonstrate which are most relevant.
Ref. 368: Try to compensate so that if having a particularly stressful time, take care to eat regularly and find ways to unwind before going to bed.
Ref. 369: If attacks regularly start late morning or late afternoon, look at mealtimes.
Ref. 370: A mid morning or mid afternoon snack may be all that is necessary to prevent the attacks.
A. Similarly if one has an early evening meal and wake with an attack, try a snack before going to bed.
Ref. 371: Can identifying triggers really make a difference?
Ref. 372: Although it takes a great deal of motivation and effort to identify and deal with Migraine triggers, studies have shown that the number of attacks can be halved.
Ref. 373: This is as effective as taking some of the daily preventive medications - but without drugs! triggers
Question. 4: All of this leaves me with a very secure Scientifically Proven understanding of Headaches and Migraines.
A. Many times seemingly knowledgeable Medical Professionals or ill People are. "TOLD," in no uncertain terms - Read this book or that book and become educated.
B. With the implication - information contained in Books is the Gold Standard Evidenced Based Medicine.
C. Based on this now secure knowledge; I am obliged to consider, what does this in real terms mean - for a Person with the disorders?
Answer. 4: From our past discussions - I am aware the papers you present to me to evaluate explore and explain are in the public domain and as such are there for a reason.
A. Being; No one has any good understanding of the disorders.
B. I have to say this is just about the most useless piece of Scientifically Proven contradictory nonsense you have so far presented.
C. Information I could easily obtain from the Billion or so People supposedly with the disorders.
Question. 5: Have I upset you with my question.
Answer. 5: No not at all, one could argue with reference points separated into 373 items - some of which I have edited to make easier reading with unnecessarily complicated names explained, making sense of the many and ever changing symptoms may be helpful for sufferers.
A. No education if it is sound is ever wasted, we are not always immediately aware of the benefit such education affords us.
B. Thus all of the information I have written and will in the future write - is available for FREE on my web site, thus has to be considered tantamount to as many books.
C. Furthermore as the above demonstrates in all the reference items - If a Person still suffers Headaches and Or Migraines...
...The reality is; there is no such thing as Medical Science if there were; surely there would be at least one definitive cure for one illness, are we really to consider - a lifetime of ever increasing medication is to be considered a cure, does medication not clearly demonstrate itself as just short-term management of symptoms often with not only many-side-effects but often the very illness that the medication is desired to improve management of.
Question. 6: Interesting - however is there any interesting pieces of information contained within we should explore?
Answer. 6: Indeed there is the date. Let us answer items dated 1867/8.
Question. 7: Why should the date be of interest?
Answer. 7: That is about the time (1886) Robert Louis Stephenson published the mythical story of Dr Jekyll and Mr Hyde.
Question. 8: How on earth have you linked that to Headaches and Migraine?
Answer. 8: Easy. Those were the days Medical Science was gathering apace and Headaches and Migraine - although having been about a long-time was too close to the Mind, so there it appears was a conspiracy to ensure...
...No one ever; meddled with the Mind, as one would - as Dr Jekyll. Go Mad and Die. Dr Jekyll and Mr Hyde 2016
Question. 9: Interesting link? Where do we go to if not in the History?
Answer. 9: Sadly as History has most eloquently demonstrated - the Medical Science so far is not worth the qualifications so hard fought for and as a Cost like Headache and Migraine is beyond calculation as to the damage such poor outcomes of knowledge of historical data has had on the entire world and its productivity.
A. Not to mention the damage to the environment such poor outcomes has ravaged.
B. Therefore it is to the future we must look for secure answers to these seemingly complicated Mind Body questions relating to the symptoms a Person suffers - including many Medical Scientists. Researchers and Practitioners that have dedicated their life to producing management techniques in order to ease People's Pain, yet at the same time suffering themselves.
C. Leaving me no option but to accept in the interim Talking Cures is only an, "opinion," and in so being.
D. Different to the Scientifically Proven - who without any known illness real understandings and without definitive cures; in the main, continues to profit from failure...
E. ...Talking Cures - although a secure treatment of the Body via the Mind-Brain connection; with no financial gain desired from these education style papers in order to educate us as a race of People, blinded by so much Science.
Question. 10: May we return to question 1 and 2?
Question. 1. Person's having Headaches to Migraine all with unknown cause and no known cure?
Question. 2. This is how it is still described; Migraine is a primary Headache disorder characterized by recurrent Headaches that are moderate to severe?
A. And what this information tells you?
Answer. 10: This may seem unfair yet this information alone confirms to me and it has to be seen. There are 100,000 illness in the world all of them with unknown cause and no known cure.
A. Moreover; if we take just the information contained in Question 10 part 2 and accept.
B. It is 2016 and within the entirety of Medical Science - as every item referenced in this paper most eloquently demonstrates - no Medical Institution knows anything worth knowing.
Question. 11: May we now have Talking Cures opinion for us to reference against this paper?
Answer. 11: May we continue the Reference point number is in order for me to be critiqued or even criticised on my long-term history of treating only medical failures.
A. May we start with. This as with any illness does not have to be scientifically complicated - only complex in its ever changing symptom presentation.
B. Thus we simply create a list of the processes a Person goes through on route to having Un resolvable Headaches and Migraines
C. Whether one is able or desires to accept or incorporate them into ones own understandings is a matter for personal standards and priorities as a result of one's understanding of their own Emotional Phenotype.
Ref. 374: All Headaches and Migraines are controlled/created by the Mind and its negative thoughts.
Ref. 375: Fear. Holds The Blueprint Pathway to Headaches and Migraines.
Ref. 376: Fear Makes Us Sick...
...FEAR AND OUR EMOTIONAL - BIOLOGICAL RESPONSE TO IT.
Ref. 377: It is said Fear has two meanings:
A. Forget Everything and Run.
B. Face Everything and Rise - the choice is yours.
This can be considered as.
C. “Feel the Fear and do it Anyway.”
D. “There were all kinds of things of which I was afraid at first.”
E. “Acting as if I were not afraid, I gradually ceased to be afraid.”
Ref. 378: Most of us can have or feel we have the same experience or choice, “if we choose."
Ref. 379: If one looks closely at these five situations it becomes clear they are self-management - one can only achieve a long-lasting outcome from this if one can.
Ref. 380: Otherwise the Fear remains as a negative driving force and will show itself when least expected and in a manner difficult to recognise.
Ref. 381: Often referred to as return from previously treated illness or side-effects from medications.
Ref. 382: May we ask; does; God play a part in the creation of illness or its cure.
Ref. 383: Whether one is religious or non religious for or against any form of religion and very comfortable entering any form of religious service, should leave one able to consider. “God,” has no part to play in either the creation of illness, nor any form of recovery.
A. If others do feel and believe different then they are worthy of support.
Ref. 384: First may we take out any reference to God or as quoted. “Fear of God,” surely any entity under the guise of God would not ever desire followers be constantly in Fear of them.
Ref. 385: Or is there another explanation of this Fear - one which is created, not by any God - but by well-meaning Parents or Mankind itself - in order to create and maintain control of another...
Ref. 386: With the Devil a further creation to keep People in Fear.
Ref. 387: As easy perhaps as it would be to accept this as the correct way to interpret our response to Fear, is it really as simple as this and if so, why is it we cannot automatically and securely deal with OUR Fear.
Ref. 388: May we now look at “Fear.”
A. Let us now look at the very Fear as the creation of a “problem illness," - as often described throughout the World. Headaches and Migraine.
B. Which in reality, whilst being complex with the ever changing symptom presentation is extremely simple to understand and indeed - If the Persons Mind will allow - offer a treatment.
Ref. 389: Were it not for the fact inbred to any Person so afflicted, “the cause is not known and there is no known cure for this BIOLOGICAL Disorder; and "I know it is biological because I can feel it in my Body - so I am not Mad."
Ref. 390: So; "it is not all in my Head.”
Ref. 391: This last word is absolutely correct and anyone who thinks it is; should be dismissed from the entire medical profession and their license to practice medicine revoked.
Ref. 392: It is however a Process of the Mind and its Entire Body Chemistry.
Ref. 393: How is this; Let us now truly understand Fear and the part it plays in ALL illness: not the afraid of Spider’s type, this is only a symptom, just like Headache and Migraine.
Ref. 394: Surely there is only one type of Fear worthy of discussion.
FEAR! is natural as a protection. no requirement for further discussion.
Unnatural Fear as a protection - due to trauma. Worthy of full and unrelenting discussion.
Ref. 395: Like all illness from emotional trauma there is a gestation and/or progression period; Fear - causes Anxiety - causes - Inadequacy - causes - Jealousy - causes - Bitterness - causes - Resentment - causes - Hatred.
Ref. 396: Is it really a simple as this - No of course not.
Ref. 397: Our response to a Fearsome event is as unique to us as our fingerprint, therefore we can, if the circumstances prevail - follow this course or we can without a so called conscious decision, adopt any or none of these process outcomes.
Ref. 398: Example: A Person; who cannot feel or does not even know they are being angry or feeling hatred - are but two examples of this process.
Ref. 399: Yet to onlookers it is obvious.
Ref. 400: Afraid is only as symptom created by Fear causing Anxiety which has to be relieved.
Ref. 401: Example: It was not so much she/he gradually ceased to be afraid, more unknowing to him/her they insidiously changed the uncomfortable protection of being afraid - to the sickly, or more comfortable - Headache or Migraine.
Ref. 402: And then on from there again as a protection to great heights and strengths where everyone was afraid or in awe of him/her.
Ref. 403: Fear is sadly is behind all ill health conditions, yet this Fear is learnt by negative association.
Ref. 404: One could say this is merely an opinion and we have something called choice, we can choose to overcome, just like we can choose to succumb.
Ref. 405: Yes we have Human rights and those rights are ours to be asserted.
Ref. 406: When we imagine as a result of traumas the world owes us something - we give up our power - Rights.
Ref. 407: Or so we are led to believe - When Self-empowerment then appears to overcome Fear!
Ref. 408: It is only when we give away our Power to others following trauma response - that they can take our power.
Ref. 409: Life provides an ample source of strength for us to walk our life. Or does it.
Ref. 410: There are countless inspirational People from whom we can take example who have picked themselves up and got with life.
Ref. 411: With their individual interpretation of. "Feel the fear and do it anyway."
Many of them sadly are no longer with us as they could only project the image of well being for so long: Robin Williams, Elvis Presley, Whitney Houston, Ami Winehouse and the very latest Prince. April 2016 - the list of famous celebrities and how they escaped from their Fear is endless - but only while they were able.
Ref. 412: If one considers the miracle that is birth, then yes we are born with love and if we acknowledge and assimilate its source, we complete our being and love is what our lives thrive upon.
Ref. 413: Anything outside of that is often explained as a; “repeating lesson we have to learn from."
Ref. 414: But is Love anything more or less than a Fundamental Right an emotion we should use automatically and is UNBREAKABLE.
Ref. 415: Yet - if we look at it as an entity is no more than a relief of Anxiety.
Ref. 416: Demonstrated by broken Family as well as Personal relationships.
Ref. 417: Where the Child/Parent or couple are unable to relieve their Anxiety on the other any longer.
Ref. 418: Can we consider there are two types of Fear to be understood.
A. The early Warning system inherent in all beings.
B. The abused, addictive, distorted pressing on off of panic that our civilization fosters through mishandling of events, deliberate manipulation of emotions for personal entertainment or control - almost always started at home by well-meaning Parents.
Ref. 419: Emotions can be exorcised through the opposite reaction and that many brave acts are committed by Fearful People who are suddenly released from their entrapment of Fear.
Ref. 420: Example: A Mother seeing her Child trapped under a great weight - summons the mental strength outside of her physical strength, to lift the object.
Ref. 421: is there a difference between Danger and Fear.
Ref. 422: Of course there is a difference between Danger and Fear: Danger is a situation we are placed or place ourselves in.
Fear is a natural Emotional Tool we use to navigate ourselves out of the Danger.
Ref. 423: Which is not the same as constantly being in Fear as a result of emotional traumas.
Ref. 424: This type of Fear never goes away, although it may appear to and most/many times does change its presentation; Emotional Phenotype to the world over-time.
Ref. 425: Usually Fear silently changes to mysterious illness symptoms Headaches and Migraines - which are always treatment resistant.
Ref. 426: Does this now imposed Fear ever go away.
Ref. 427: While it will always be part of the Mental/Emotional phenotype, it can appear to be resolved through - conscious intention.
Ref. 428: Can Fear which causes Headaches and Migraines be difficult but not impossible to heal.
Ref. 429: Because; it is usually not recognised, thus not healed it has an un quantifiable impact on the physical Body and Society in terms of dis-ease & distress.
Ref. 430: However if we recognise Fear at all or at the very least as a Symptom and not a cause - then yes it can be healed.
Ref. 431: In addition - We recognise Charity begins at Home - but will not recognise - ALL illness begins at home.
Ref. 432: Global tensions are so overwhelming for many People that the stress compounds with existing Anxiety into a culture of Fear & apprehension fuelled often by Politics, the Medical Profession and pharmaceutical companies - selling products with Fear evoking, science and adverts.
Ref. 433: Thus Fear created by emotional traumas, not only - never goes away, especially with any form of medications, this only makes the fear worse - nor should it, as it has now become the very and only foundation we stand on - albeit not very securely.
Ref. 434: I do somewhat stand myself and Talking Cures apart from this as not only can Fear be repaired but more importantly - it must become the only foundation we have ever had - but now stand on securely.
A. For the original and very damaging Fear created the very Person's we are - including all of our life skills.
Ref. 435: Presented as our evolving. “Emotional Phenotype.”
Ref. 436: Repaired Fear allows us to not only become the Person we should have been but able to utilize ALL of the skills the original Fear gave us - with comfort.
Ref. 437: Fear is just Fear a natural right not a Gift.
Ref. 438: Or Fear where our Rights have been removed and illness takes its place.
Ref. 439: It is so important we update our view of illness and it’s so called - mysterious cause.
Ref. 440: May we now explore the pathway Fear takes with Biological Presentations in order to achieve this we must first surely realise illness causing Fear is not real Fear - it is a product of our negative thoughts we create as a result of emotional traumas - under these circumstances Fear is real danger causing illness - thus is not a choice.
Ref. 441: There are but Four types of fear:
1. Natural Fear. Creates a natural Fear response.
No unpleasant consequences.
2. Incident Fear. Can create a natural or an Un natural Fear response.
Depends on the circumstances or who and why the incident took place.
3. Accident. Can create a natural or an Un natural Fear response.
Depends on the circumstances.
4. Traumatic Fear. Never is resolved; at creation permanently alters the entire Body chemistry, Creates a life time attitude change that is seen, felt and experienced by the Person as Normal. Creates ALL illness - NO exceptions.
Ref. 442: Fear and the consequences.
1. Fear is a natural and healthy response to threat in order to protect ourselves.
Not a Gift for being a good Boy or Girl... embrace it, know it, use it as a strength... do not attempt to "ignore" it!
2. Incident Fear. This type of Fear causes Anxiety - a natural short term response - in order to warm the Body up lowered as a result of the Fear to protect us to flight or fight.
Incident Fear lowers the Body Temperature - we go cold, shiver where the Hairs on our Body stand erect. Will self-repair - leaving no long-term effects.
3. Traumatized Fear - following emotional and or physical trauma the resulting Fear becomes the foundation ALL illness stands on - thus becomes, a weapon of Self-Destruction.
4. Fear evoked by Emotional and or Physical Traumas based on it perceptive value irrevocably and permanently alters - yet is always maintains perfectly balanced, the entire Body Chemistry.
5. At the same time places a constriction on every cell, Muscle, Vein and Arteries in the entire Body.
6. Traumatic Fear lowers the Body Temperature - which goes cold and/or shivers where the Hairs on our Body stand erect.
A. If this Fear remains it ONLY has long-term and unchangeable effects on both Mind and Body.
7. Anxiety as a result of Fear being evoked is a SHORT-TERM measure to warm the Body, take flight or fight in order for ultimate protection.
8. If the Fearsome experience is not resolved in order for the Anxiety - considered amongst the most unpleasant Body discomforts, to stop the Anxiety the Hypothalamus is altered to a new higher temperature rating.
9. The Fear and Anxiety as well as all of the other activity alters the entire Body Chemistry, making it somewhat Toxic and or Caustic - Acidic.
10. Anxiety being a short-term Body activity - most painful physically and emotionally if permanently running.
A. Insidiously gives over control to other organs of the Body in order to maintain the core and Body temperature. Heart, Liver, Pancreas.
B. The reality is - no organ is exempt.
11. If the Fear still remains unresolved the Mind responds by permanently altering the Hypothalamus - Body thermostat.
A. Like turning up the Heating or Air Conditioning at the same time. Both require more Fuel to drive the temperature Up or Down.
B. Under these circumstances an affected Person can be and often is - both Hot and Cold at the same time and cannot resolve either comfortably.
12. The core temperature of the Body is now in conflict, the internal organs demand more Fuel the skin is now sacrificed in order to protect the internal organs the waste disposal systems go into overdrive and either over produce - Urine-Sweating or under produce - by constipation.
A. Under these circumstances Management of Fear will NEVER return the nutrients to the Skin.
13. Which in turn causes other heat creating organs. E.G. heart, liver, Pancreas of the Body to further increase chemical-secretions/activity in order to maintain the Body heat.
A. At this time the exterior of the Body may well feel cold or hot. it is the internal core temperature - unrecognizable by measurement, which has to be maintained.
14. Constriction activity of the entire Body makes delivery of nutrients from food to the Mind/and Body - difficult to impossible.
A. This depletes the Body not only of the very fuel required to run the Body - Oxygen, but more important the cell space in the respiring tissues to store Oxygen and at the same time not only increases the Carbon Dioxide waste but denies the Body the ability to transport this waste for disposal.
B. Resulting in the Body being both Toxic and Caustic.
15. Of course one may argue this is too simple and of course they would be correct for the process from Fear affects every one of our Body chemicals (circa 2000-4000) in a Pyramid Style.
One affects two, two affect four, four affect eight and in just forty eight or so steps there has been enough chemical cell activity to build another Body - trillions of chemical adaptations - all from Fear.
16. Thus our Emotions are implicated in illness; but only if in the case of illness they are seen as Symptoms and never the Cause.
17. Fear being as the creation of every illness known to mankind and the reason why there is not one cure for any of the approximately 100,000 illness in the world and Modern Medicine does not have a clue as to the true cause of one of them and more importantly does not have a single disease modifying treatment.
18. Thus all illnesses are mysteries - no exceptions.
19. It is not me now or ever being Vexatious it is information as supplied and well published on a worldwide bases by the Medical Profession themselves.
20. It is just because no one has the courage to say it we have to continue to accept the failures as scientifically proven.
Ref. 443: From start to Headaches-Migraines.
1. Imposed Fear.
2. Cell constriction.
3. Personal expression of Body Chemistry .
4. Headaches. Migraine.
This is my truth Now tell us yours, change someone’s Mind.
Kindest regards and best wishes.
Peter Smith Talking Cures
Question. 12: Pardon I am not so sure you have finished yet?
Answer. 12: Why.
Question. 13: Should you not demonstrate or explain whether you have ever in your thirty four years treated a Person with Headaches and or Migraine?
Answer. 13: If you recall in Question 1 you asked: How have these symptoms been described through the years and has the description changed as of 2016?
And I answered. Question 1: Starting at the deep end are we. This is precisely what I was referring too.
May we first address this by saying; for Talking Cures who treats People with a long-list of mostly treatment resistant symptoms not a long-list of symptoms that just happens to have a Person attached to them - that many have tried to resolve without success, it is helpful to accept there is but one. "Headache," described as a Pain in the Head.
All other names to describe Headache to Migraine are for the Medical Profession and their many different practitioners and NEVER for the benefit of their Patient.
Question. 14: That is rather heavy handed is it not?
Answer. 14: The truth hurts and so it should that is why it is the truth - lies or misinformation - never in real-terms where these symptoms have been described through the years, has the description really changed and as of 2016? truly demonstrates the damage they cause.
In addition how heavy handed is it for a Person from the Medical Profession backed by Scientifically Proven treatments to constantly in the public domain say with certainty...
"There is no Cure."
This may have been acceptable activity in the heady days of Sigmund Freud and Dr Jekyll and Mr Hyde; but surely not in 2016 with the many advances in diagnostic ability at the hands of our many dedicated Doctors.
Surely we are able to accept it is quite acceptable for any Doctor having been seriously let down by the scientific evidence they are obliged to work with - to say..;
"Medical Science does not have a clue why any illness is caused and indeed to say Medical Science as with all illness - does not have a CURE."
IT IS NOT UNDER ANY CIRCUMSTANCES acceptable in a very public manner Daily Mail April 26th 2016, to say when a Person; requested an understanding for their Hand Tremors to say. "There is no Cure."
Are our Dedicated Doctors so entrenched in the decades of failure to cure anyone - so oblivious as to the intent of such words on a Person desperate for an understanding of their mysterious and most distressing symptoms to continue this pathetic protectionism on behalf of an industry that is rabidly destroying itself on a daily bases, with so many fraudulent so called scientific papers being exposed by their own and long-term respected publishing journals. Lancet, NEJM AND BMJ.
And in so doing recognise. A life time of pills is not a cure it is only Long-Term Medically Assisted Death.
Please Doctors for your own psychological Brain - as you are not allowed to have a Mind, well-health, cease this activity now.
Thus in 2016 for their not to be a definitive disease modifying treatment to cure Headache let alone Migraine is just one big publishing truth - that without question, is the. "Scientifically Proven Fact."
Following an invitation - on the evening 06 September 2016. I attended a presentation at the self-professed leading treatment and education facility in the UK.
The Private Patient facility of; The National Hospital for Neurology and Neurosurgery and University College London Institute of Neurology, Queen Square, London WCN 3AU which promotes teaching & research of the highest quality in neurology and neurosciences.
The subject for the evening was. "Headache." Now who dare to suggest this and it closely related family member Migraine - still after some four thousand years of existence, is not a Pain in any of the many forms or names it has, it is life changing or destroying.
It was interesting to note the death by MS Power point slide presentation was of information that was gleaned from history as far back as 1822. Appearing to confirm Nothing New in Known.
With little or no consideration; It is 2016 and in arms-length-distance from the lecture theatre of the hospital - there is, amongst the worlds greatest medical facilities, no less than Seven of the latest imaging devises.
There were some Fifty Doctors in the audience who asked many questions in the time allowed - this denied me the ability of asking this question. "Has any one in the entire world ever been cured of any form of Headache/Migraine."
Being a Person of Integrity and Wisdom - I choose to hold my question as I already knew the answer, as the many Doctors clearly had many concerns about the number of their Patients they see with Headaches. Reported to be around 5% of Patient appointments.
Indeed the consultant delivering the presentation at the drinks reception afterwards confirmed; no less than Seven Patients were going to be referred by Doctors in the Audience - he also; in a conversation with myself confirmed; he himself was a life-time sufferer of Migraines, as did at least one Doctor I spoke to at the reception, following the presentation.
Thereby confirming as we near once again the end of another year 2016 - there is no known cure and a secure demonstration the management that he swore by; was long-term effective.
I found it very sad having many times including with myself having experienced constant Brain Fog and Headache for many years and had Patients present to me within their many symptoms...
...Headache in just about every part of the Head there is and apart from one Person who I have no later and better knowledge of - they all, including myself using their own Mind Body Chemistry and Immune and Body replication systems; ceased having the regular earlier reported Headaches.
Now of course I have to in my defence accept; I cannot scientifically prove any of this and accept it is of no value in so doing; as - ALL illness is as unique to a Person as their own fingerprint - the latter being a scientifically proven and accepted fact.
The presentation although many times discussed the Brain - not once discussed the intangible Mind - clearly the reason; if only but for myself, was because the Cause is not known and is not desired to be known - as there is no profit in a cure.
Thus we can conclude Pain Management is only a necessary evil the Medical profession deems is the only way forward and does not intend with all its technical wizardry to start to be the Twenty First Century Medicine it appears to profess it is.
As I travelled on the two-hour train journey home I pondered.
What value in the year 2016 is being medically qualified and have the foundation of Medical Science to stand on - when management is the only option.
Although the consultant giving the presentation appeared to suggest with his own story long-term management was effective - I was left to ponder knowing how the Mind works just how long will the Pain Management be effective before the Mind - life's real and only scientific controller; says - Now we will see just who is in charge and in so doing create new and even more mysterious symptoms; for even more Pain Management.
Kindest regards and best wishes
Peter Smith Talking Cures
Now to fully answer your Question 13; Whilst in real terms I have never in my Thirty Three years treated by comparison to the medical profession or even an individual Doctor - that many People.
I can say every single Person I have ever treated as an initial or at some time during treatment presented as a symptom - some form of Headache.
As demonstrated earlier in the introduction - Names of illnesses are of no value to Talking Cures so I would not in most and real-terms know if a Person had been diagnosed with Migraine.
Always - if Talking Cures are truly given the opportunity, which is not always the case, following treatment the Headaches ceased.
As indeed did my own constant Headache - endured for nearly Eighteen Years of my life until resolved following treatment some years into being a therapist.
My own treatment on myself - whilst not as successful as I would like; sometimes brings on a Headache for a short while, which never stops me doing what my life demands nor have I ever resulted to any form of medication to relieve the discomfort.
Only once have I ever knowingly treated a Person with Diagnosed Migraine - a Woman referred to me by her successful Hypnotherapist Husband.
The Woman at the first and only appointment described many previously unresolved symptoms including her Migraine one of them being Sever long-term Constipation.
Knowing there would be a likelihood of knowledge of her husbands Hypnotherapy understandings and work. I requested of her to explain - "if she was me with all of the many symptoms she had presented - what one would it be best; to treat first."
Without a moments hesitation she replied. "Why the Migraine of course."
From this I was able to deduce there was an expectation of Symptom Management even though this was more than Twenty Years ago this process was not in my treatment regime as it is only of short-term duration or a quick fix.
My reply as intended shocked her. "The Constipation."
She correctly requested; "Why the Constipation."
I replied; "It is clear your Migraines whilst not caused by the Constipation are aggravated by Toxic Shock as a result of your Body Systems recycling the Body Chemistry from the contents of what one may consider your compacted intestines.
Thereby sending the many Toxins contained within your entire intestine system around the system for further cleansing and into the Brain which has no protection from the Toxic attack.
To which the Mind registers and makes further Body Chemistry adjustments in turn creating Headaches time or inappropriate treatment turned into the Migraines thus making it appear the symptom presentation has changed.
Thereby forcing the medical profession with poor scientific knowledge to rename the presenting symptoms in order to relieve their own. "Know very little Anxiety."
Thus we can consider if a Person has Migraine then it was originally as a symptom presentation a simple Headache made into a Migraine because the Person themselves and or all practitioners - Symptom managed the Headache, thereby demonstrating they did not or could ever. Understand.
As this is my truth Now tell yours, change someone’s Mind, may I be excused now.
Kindest regards and best wishes.
Peter Smith Talking Cures
Question 15. Nearly - please explain your response to question 13 within your answer. "How have these symptoms been described through the years and has the description changed as of 2016?"
Answer 15. Sadly it appears fairly clear whilst the imaging devices appear to confirm the findings of modern day Medical Science - it is very clear the outcome is no better than it was some four thousand years ago.
Question. 16. Do you have anything to confirm this information?
Answer. 16. Yes and it is not my own information once again I give thanks to Wikipedia, the free encyclopedia.
Allodynia Classification and external resources Specialty Neurology.
A. Allodynia refers to central pain sensitization - increased response of neurons, following painful, often repetitive, stimulation.
B. Allodynia can lead to the triggering of a Pain response from stimuli which do not normally provoke Pain.
C. Temperature or physical stimuli can provoke Allodynia, which may feel like a burning sensation and it often occurs after injury to a site.
D. Allodynia is different from hyperalgesia, an extreme, exaggerated reaction to a stimulus which is normally Painful.
Question 17. Why have you included the section about (link) Allodynia?
Answer 17. Because it sums up rather nicely why the Medical Profession in the year 2016 still have no satisfactory answers and treatments.
Question 15. Please explain the connection?
Answer. 15. Yes if one reviews Items, B, C and D it is clear to see this is all back to front scientifically proven - yet the very best. Medical Science available.
Moreover a desperate attempt to ensure all illness is of a Biological Cause and nothing to do with the possibility - it is all a Process of the Mind. Via the Brain using the 2>4 thousand chemicals in the Body that are in constant flux.
Kindest regards and best wishes
Peter Smith Talking Cures.
...In illness - The Mind/Brain/Body is not in the slightest doing something wrong, it is desperately trying to right a serious and terrible wrong?
"No apologies are made if this paper is seen as repeating or simplistic, for too long Scientific Medical Papers have been written in a manner no one truly understands, if this were not so, cures would have long since been found making this paper and Talking Cures unnecessary or redundant.
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