Headache and Migraine

• Headaches are one of the most common reasons for consulting a physician.

• Headaches are classified under various headings. These are;

a) Primary headaches; These are headaches that occur without being associated with any disease. 90% of all headaches are in this group. The types of headaches in this group are as follows:

1- Migraine

2- Tension-type headache

3- Cluster headache

4- Other primary headaches

b) Secondary headaches; These are headaches that develop due to diseases involving the nervous system or other systems. 10% of all headaches are in this group. Some of the causes of secondary headaches are as follows:

1- Related to head and neck trauma

2- Related to head and neck vascular diseases

3- Related to intracranial lesions related

4- Related to infections

5- Related to psychiatric diseases

6- Related to drug and substance use abstinence

7- Metabolic and headaches associated with systemic diseases.

C) Cranial neuralgias, other headaches

WHAT IS MIGRAINE?;

• The lifetime incidence of migraine in Turkey is 16% and it is more common in women.

• The cause of migraine Although it has not yet been fully elucidated, it is suggested that it is related to nerve and vascular problems in our brain and skull.

• The most important symptom of migraine is headache. This headache is usually dull, throbbing, accompanied by nausea, vomiting, and sensitivity to light and sound.

Types of migraine. What are they?

• Migraine with aura; It is migraine accompanied by some disorders that occur before the start of the migraine attack. These are symptoms such as flashes of light in the eyes and speech disorders. Migraine with aura is seen in 10% of migraine patients.

• Migraine without aura; It is the most common type of migraine. Typically, it is a throbbing, semi-headache. A migraine attack lasts between 4-72 hours on average. Combined with pain Sensitivity to light and sound, nausea and vomiting may occur.

Tension headaches;

• It is the most common type of headache. It may recur at regular intervals or occur continuously. There are headaches that last for minutes or days.

• The pain is in the form of pressure and tension and is often seen in the nape of the neck and temples. Nausea and vomiting are not common. That's why it's often confused with migraine without aura. However, these two types of pain are seen together in many patients.

• Tension headache is common in fibromyalgia patients.

Cluster headache:

• It is a type of pain that is usually unilateral, occurs around the eyes, and lasts between 15 minutes and 3 hours. It may occur every day or at intervals of several days.

• Tearing and runny nose often occur along with the pain.

• Between pain attacks Painless recovery periods lasting months or years can be observed.

WHAT ARE THE ALTERNATIVE TREATMENT OPTIONS FOR HEADACHE?

• There are many alternative non-drug treatment methods available for the treatment of headaches. The most prominent of these treatments are neuraltherapy, acupuncture, prolotherapy, and botox.

• Neuraltherapy; is the method of injecting some drugs, which we call local anesthetics, into the subcutaneous tissues by diluting them with salt water. . Injections are made to some special points on the head, neck and face. It is claimed that it is effective in balancing the nervous system. Side effects are quite low.

• Acupuncture; It is claimed that it acts through some neural mechanisms that occur as a result of stimulation of some special acupuncture points on our body with a needle. Apart from migraine, it is also used for disorders such as tension headache, fibromyalgia, muscle syndromes, chronic fatigue, and mild depression.

• Prolotherapy: Mostly hyperosmolar dextrose (with sugar). It aims at the treatment of chronic musculoskeletal pain through the injection of an irritant substance (serum) solution. injections v It increases the blood and nutritional supply to the body area, resulting in tissue repair.

• Botox: Botox ensures long-term and long-term transmission between the nerve and muscle in the area where it is injected. temporarily stops it. Treatment of circulatory problems and headaches that occur as a result of muscle spasm in the neck-head area is provided by long-term relaxation of the relevant muscles with botox injection.

• Other alternative treatment options in the treatment of headache; These can be listed as massage, manual therapy, ozone, cupping, medical leech therapy, stretching-relaxation techniques, hot compress.

_{Read: 0}