Migraine can be defined as a paroxysmal ailment, accompanied by a severe headache, generally on one side of the head, and associated with disorders of the digestion, the liver and the vision. It usually occurs when a person is under great mental tension or has suddenly got over that state.

Patient type:

Persons who suffer from this disease have a particular type of personality. They are intelligent, sensitive, rigid, and methodical, and tend to be perfectionist. Migraine comes on suddenly. The head and neck muscles, reacting from continuous stress, become overworked. The tight muscles squeeze the arteries and reduce the blood flow. Then when the person relaxes suddenly the constricted muscles expand, stretching the blood vessels walls. With each heartbeat, the blood pushes through these vessels and expands them further, causing intense pain.

Ayurvedic point:

From Ayurveda perspective, migraine headaches are due to a disorder in tridosha – the mind-body constitution. Although it is possible to get headaches from disorders in vata, pitta, or kapha, migraines frequently occur when systemic pitta moves into the cardiovascular system, circulates, and affects the blood vessels around the brain. The blood vessels dilate due to the hot, sharp quality of pitta. This, in turn, creates pressure on the nerves, resulting in migraines. Pitta disorders are characterized by the red complexion and eyes, light sensitivity, burning sensation, anger, irritability, and nose bleeds. Liver and blood toxicity are often associated with these symptoms. So, the treatment involves following the recommendations for pitta pacifying foods, herbs and lifestyle. Avoid hot, spicy foods, fermented foods, and sour or citrus fruits. A pitta-soothing diet is effective both for migraine relief and as a preventive measure.

Symptoms

There is a definite pattern of a migraine. The pain is on only one side of the head and often radiates from the eye. The right side of the head may be affected in one attack and the next time, the concentration of pain may be on the left side. Migraine attacks are usually preceded by a short period of depression, irritability, and loss of appetite. Some person’s get attacks daily, others every month or every two or three months. The main symptoms of migraine are a pounding pain; nausea and vomiting .The blood vessels on the affected side of the head become prominent and pulsating. A migraine gives a fair warning before striking. The patient sees flashes of light or back spots or only parts of the objects in front of him. He may also feel numbness or weakness in an arm or leg, or on one side of the face.

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back pain

When I do the elliptical trainer, I have been getting pains in my upper back that really feel like they’re coming from around my left shoulder blade. The pain extends down my left arm. However, there is no shortness of breath, dizziness or fatigue accompanying the pain. Can this be a heart problem or must the pain in my arm occur with shortness of breath or tightness in my chest?

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Soma, a prescription drug is prescribed for muscle relaxation. Soma can be fatal in overdose or combined with some medicines. Strict guidelines are required to stop abuse of Soma.

Carisoprodol, the generic name for Soma is prescribed frequently by physicians for muscle relaxation. Carisoprodol and Soma prescribers should be aware of the potential of abuse. Stricter controls may be necessary in the future to properly control the prescribing and distribution of this potentially addictive agent.

To start with, some of the possible Side Effects are:-

Soma may cause dizziness, vertigo, ataxia, tremor, depressive reactions, syncope, agitation, irritability, headache and insomnia. Allergic or idiosyncratic reactions occasionally develop. They are usually seen within the period of the first to fourth dose in patients having had no previous contact with the drug. Skin rash, pruritus, erythema multiforme, eosinophilia, and fixed drug eruption with cross reaction to meprobamate have been reported with Soma. Severe reactions have been manifested by asthmatic episodes, dizziness, angioneurotic edema, fever, weakness, smarting eyes, anaphylactoid shock, and hypotension.

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I have a VERY good Friend, we’ll call her Sheree, 44, who has been taking Painkillers daily for over 6 months. These pills consist of mainly Hydrocodones, “Vicodin” and similar derivatives, as well as occasional “supplements” of Soma and Norcos. Sheree does indeed have some painful afflictions for which she requires these Painkillers, (Kidney Stones, Bladder Infections, Ovarian Cysts, & more.) She begins taking them when she awakens, then every 2-3 hours, throughout the day. In addition, Sheree also ingests a daily regime of Xanex & Carisoprodol pills for “anxiety” issues, in the morning and throughout the day.
When I expressed concern to Sheree that she might become addicted, she was quite adamant that she #1, was NOT addicted, and #2, would know IF she was addicted to either pill regime!
I have only recently learned that Carisoprodol is, alone and by itself, very addictive.
MY QUESTION: In your opinion, are the odds good that Sheree IS addicted to the Painkillers???
If so, what can she do about it, per a semi-painless “Detox”? She is a single mother w/3 children.

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We all experience pain. Pain is a feeling or sensation that is felt as a result of the normal functions of the nervous system. It may come and go, or it may be constant. A person may feel pain in one area of the body such as the back, abdomen, or chest.  Much worse, the pain may be felt all over the body especially when a person is suffering from the flu.

Still, pain is a natural human response to physical stress.  It is actually a means to protect our body from more serious harm or injury. Without pain, a person might seriously hurt himself without knowing it. Without pain, a person would not have a compelling reason to stop a strenuous activity or take time to rest.  Pain and illness, in general, help us realize the need for rest and recognize a medical problem that needs appropriate treatment. Once a person takes care of the problem, the pain eventually goes away. However, sometimes pain goes on for weeks, months or even years. This is called chronic pain. Sometimes chronic pain is due to an ongoing cause, such as cancer or arthritis. Sometimes the cause is unknown.

Fortunately, there are many ways to treat pain.

Tramadol is used to relieve moderate to moderately severe pain. Tramadol is in a class of medications called opiate agonists. It works by changing the way the body senses pain. Tramadol extended-release tablets are only used by people who need regular round-the-clock pain medication.

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Topamax is a drug originally designed for use with epileptic patients. It’s now become the drug of choice for prescription to migraine sufferers. Other conditions this drug is being used for include: bipolar disorder, obesity, alcoholism, post-traumatic stress disorder, bulimia nervosa, obsessive compulsive disorder among other conditions that it is being investigated for.

It is designed to be taken continuously in order to prevent migraine attacks from occurring. To its credit it has helped in preventing migraines and for many people who suffer with very frequent migraine attacks as they had few alternatives.

The purpose of this article is to give a full account of the pros and cons for taking a drug like topamax so that my fellow migraine sufferers can make an informed decision.

Through my research on topamax users I’ve found that many discontinue using it because of its severe side effects while others continue using it reasoning that the side effects are worth the result of relief from migraines.

The side effects that have been most commonly experienced by patients on topamax include:

-psychomotor slowing

-memory problems (short term memory loss)

-fatigue

-feelings of pins and needles

-confusion

-somnolence (increased desire for sleep also called hypersomnia)

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Just what is the best headache medication? Sometimes when I see a new patient, those are practically the first words out of their mouths. It is entirely understandable as many people go through pill after pill searching for the best headache cure. Unfortunately, one size doesn’t fit all and this is very true in headache treatments. What I tell many people is that first of all start at the beginning. Work with your provider to determine what type of headache you have.

Once your diagnosis has been determined (or diagnoses as many people have more than one type of headache) recognize that some medications may be used for multiple conditions. If you have high blood pressure, then an anti-hypertensive might be a good choice. Similarly, if you have depression, there are anti-depressants that are very effective in treating migraine.

When treating a headache at the onset of pain, the best medications by far are abortive medications, and here it might be trial and error until you find the one that works the best. Ideally you want your medication to start working within 1/2 hour and to get rid of the headache completely within 2 hours. Many people are interested in the new drug Treximet for migraine.

In the long run, once you find that medication which is best for YOU..stick with it for awhile! More often than not you will need at least 90 days in order to judge whether or not it is working. Neurological drugs do not take effect immediately. Unfortunately, the longer you have been in pain, the longer it might take to get things under control, so it is important to work with your doctor. If your headaches have been recurring for longer than six months, consider seeing a headache specialist at a headache center.



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Headache is one of the most common medical complaints. Almost everyone experiences a headache from time to time. In the large majority of cases, it is a completely benign condition which is a nuisance and does not represent any significant or long-term medical problems. However, many people worry about a headache and are concerned that it could imply something much more serious. We all know the old “It’s not a too-mah!” line and joke about it, but what do headaches really mean? Can they mean something more serious?

The answer is a definitive yes. Some very serious medical conditions can be associated with headache. However, I must state again that the very large majority of headaches do not imply anything serious. While millions, if not billions, of people on this planet experience headache in their lifetime, only a small percentage will every have a more serious, related condition diagnosed.

So how do you know? What does that headache mean? That is not an easy question to answer. In fact, there are physicians who spend their whole career specializing specifically in headache, its causes and its treatments. While there is no easy answer that covers all possibilities, this article will supply you with a handful of the most common causes and types of headaches, from the most harmless and benign to the medical emergencies. It will explain some of the differences that help to distinguish one type of headache from another. This is not an exhaustive list of every possible cause of headache, there are certainly others. It starts with some of the more common causes and moves on to more rare causes.

This article is not intended to offer medical advice. Every patient and headache is different. Only your personal physician can help counsel you about what is best for your particular situation. If you are concerned about a headache or headaches you are having, consult your doctor.

Stress/Tension Headache

By far the largest majority of headaches that most people experience are what is known as a Tension Headache, or some similar variant. While the exact cause of these headaches is not known and probably varies from patient to patient, this benign type of headache is usually associated with stress and muscle tension or spasm of the neck, facial or head muscles. While their severity, location and characteristics can vary, they are almost always harmless and do not represent any more serious underlying problem. This is the typical headache most of us have experienced when you are over-tired, over-worked, or stressed. Tension headaches do not cause other neurological symptoms. If other symptoms are present, it should raise the question of another diagnosis.

Sinus Headache

The paranasal sinuses are mucosa-lined chambers in the bone of the skull and face. There are several of them surrounding the nasal passages. Normally, mucous secretions that are produced in the sinuses flow out of openings into the nasal passage. However, if a sinus is obstructed so that its contents cannot exit, the pressure inside the sinuses can build up. This can occur with mucosal swelling associated with allergy (allergic rhinitis or hay fever) or with infection such as a cold or sinus infection. When pressure builds up inside a sinus, it can cause pain. While some sinuses (such as the large maxillary sinuses) are in the face, most are associated with the base of the skull. This pain can be interpreted and described as headache. While these sinus headaches can occur in anyone with a “stuffed nose” of any cause, patients who have chronic sinus problems with recurrent sinus infections can often have quite severe pain associated with this condition.

Migraine Headache

A migraine headache is a specific type of headache which is thought to be of vascular or neurologic origin. They are more common in women and in some patients can occur regularly, often following a particular part of the menstrual cycle. While they traditionally are described as causing pain on only one side of the head, they can occasionally cause pain on both sides of the head as well. In addition to the headache, other neurological symptoms usually accompany the headache. For example, many patients describe having an “aura” prior to the onset of the headache. These can vary but the patient generally has some symptom that lets them know a headache is coming. They can even experience seemingly focal neurological symptoms such as a scatoma (a temporary blind spot in their field of vision) or other visual changes. Photophobia, avoiding bright lights, can occur as well. Finally, many patients experience nausea and even vomiting. All of these neurological effects do not occur in a typical tension headache and help to distinguish migraines. However, some of the symptoms of migraine, particularly the nausea and vomiting and photophobia, are similar to symptoms of more serious causes of headache such as subarachnoid hemorrhage or meningitis. Therefore, those more serious disorders should be ruled out before classifying a headache as a migraine.

Cluster Headache

Cluster headaches are a unique neurological form of headache with an unknown cause. These extremely painful attacks are usually only on one side and is often described as a stabbing or boring pain that is located behind the eye. It usually occurs suddenly and periodically, followed by periods of remission. In addition to pain, which can be extraordinarily severe and one of the most painful conditions a human can endure, cluster headaches are characterized by symptoms that seem to come from the autonomic nervous system. These include ptosis (a drooping eyelid on the same side), tearing, runny nose, redness of the eye and even facial redness, swelling and/or sweating. These symptoms all occur only on the same side as the headache. Some patients describe certain triggers that set off attacks, such as ingestion of alcohol or exposure to heat.

Meningitis

Meningitis is an infection of the coverings of the brain, the meninges, and the fluid surrounding the brain and spinal cord, the cerebrospinal fluid. It can be caused by viruses or by bacteria. While the bacterial form is much more dangerous and has the potential to lead to severe neurological injury and death if not treated promptly, both have similar presentations. Both cause headache as one of the hallmark symptoms. Because of the infection and severe inflammation of the coverings of brain, any movement of the head and neck can be very painful. Generally it is a severe headache (with or without a back ache as well) that progresses rapidly and is accompanied by a high fever. The patient generally has a very stiff, painful neck as well, called nuchal rigidity. It is so painful that they keep their neck very rigid to prevent any movement, even if they are lethargic or unconscious. Photophobia, as with migraines and subarachnoid hemorrhage, and seizures can occur as well. In the case of bacterial meningitis, these symptoms can quickly escalate to a progressively deteriorating level of consciousness, coma and eventually death if not treated quickly. The combination of high fever, headache, stiff neck and/or lethargy should be considered concerning for meningitis until proven otherwise. Untreated bacterial meningitis can progress quickly and can be life-threatening. Thankfully it is relatively rare.

Subarachnoid Hemorrhage

Subarachnoid hemorrhage means bleeding into the space around the brain into the cerebrospinal fluid. While this can occur with trauma to the head, it can happen spontaneously due to the rupture of an intracranial aneurysm. An intracranial aneurysm is an abnormal bulging of the wall of an artery that feeds the brain. These weakened blood vessels have a tendency to rupture and bleed. This type of bleeding typically causes a sudden-onset of severe headache. Most patients describe it as the “worst headache of my life.” It comes on very suddenly and is usually of a stabbing quality. It can be accompanied by nausea, vomiting, seizures, stiff, painful neck and/or a depressed level of consciousness. In severe bleeds it can even lead to coma or sudden death. In patients who have a history of chronic headaches, such as migraines or cluster headaches, they will generally say that the character of this headache is different. Therefore, a sudden, intense, new headache, particularly if associated with any of the other symptoms, should be considered a ruptured aneurysm until proven otherwise. An aneurysm rupture, like bacterial meningitis above, is generally a medical emergency. An aneurysm which has ruptured is at increased risk of re-rupture. Often the second rupture is more severe and more devastating than the first. Again, this is a rare cause of headache, but a potentially deadly one.

Brain Tumor

While the brain itself does not cause pain, increased pressure inside the head or irritation of the coverings of the brain can cause headache. With a brain tumor that does either, one of the presenting symptoms of these tumors can be headache. Most types of brain tumor, whether primary or a metastases from another tumor elsewhere in the body, can cause this symptom. A new headache in the setting of new neurological symptoms should raise red flags. Other symptoms that can accompany a brain tumor are seizures, changes in vision, or sensory or motor symptoms such as weakness of a part of the body. Many different neurological symptoms are possible depending on the type and location of the tumor. Headache that is caused by increased pressure in the head is often worse in the morning or will wake the patient from sleep, getting better when upright and awake. Again, this is a rare cause of headache, but clearly one which is potentially a very serious condition.



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