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Migraine Headaches: Causes, Symptoms, and Effective Treatments

Migraine headaches are a common symptom of neurological disorders. They are a chronic and recurring health condition affecting around 30% of those who suffer from headaches [1]. Migraines can significantly impair focus, concentration, and productivity. While over-the-counter painkillers and home remedies may offer short-term relief, achieving long-term pain relief requires therapies that address the root causes.

Definition of Migraine Headaches

Migraines are characterized by unilateral headaches that range from mild to severe. The episodes have multiple contributing factors, and women after puberty are more likely to experience migraines than men. Migraines are classified as acute or chronic depending on whether they occur for fewer than 15 days or more per month, respectively. They are a major contributor to the global disease burden and can significantly impact an individual’s work performance [2, 3].

Causes and Triggers of Migraine Headaches

The causes of migraine headaches are multifactorial. Many people who suffer from migraines have a genetic predisposition, while environmental factors often act as triggers. The following are common triggers listed by prevalence [4]:

Symptoms of Migraine Headaches

Migraine symptoms can last from several hours to three days and may include [5]:

Types of Migraine Headaches

Migraines are primarily classified into two categories: those with aura and those without. An aura is a set of sensory disturbances that occur before or during a migraine attack [6].

Migraine With Aura

About one-third of migraines fall into this category. Aura symptoms are reversible and can include visual, sensory, speech, motor, retinal, or brainstem-related disturbances. Visual symptoms may involve blind spots, blurred vision, temporary vision loss, and wavy lines in the visual field.

Migraine Without Aura

This type constitutes the majority of migraines. Symptoms include nausea, vomiting, irritability, low blood pressure, dark circles under the eyes, and heightened sensitivity to light and sound.

Understanding the Normal Healing Cycle

To understand effective treatments for migraines, it is essential to know the normal healing cycle, which includes three stages: inflammation, proliferation, and maturation.

Fase infiammatoria

During this stage, inflammatory cells are recruited to the injury site, causing redness, swelling, pain, and warmth. The main goal is to eliminate the cause of inflammation.

Fase di proliferazione

This stage is characterized by reepithelialization and the formation of new blood vessels. Fibroblasts deposit collagen fibers to support the healing process.

Fase di maturazione

The maturation stage is the final phase of the healing cycle, where the process is resolved. In cases of chronic inflammation, the healing cycle may alternate between the inflammatory and proliferative stages without reaching full resolution.

Ineffective Treatments for Migraine Headaches

Various home remedies and clinical techniques are commonly used to relieve migraine symptoms, but these often only provide short-term relief and do not address the inflammation or proliferation stages. Ineffective treatments include applying ice or heat, electrical stimulation, massage, foam rolling, muscle stretching, and strength exercises during the inflammation stage. Some of these treatments may even aggravate migraine symptoms.

Effective Treatments for Migraine Headaches

Though migraine medications can offer temporary relief, they may cause rebound headaches or even trigger new migraine symptoms. To effectively manage migraines, a treatment plan should focus on reducing the frequency and severity of headaches through:

Conclusione

Migraine headaches are a disabling condition, and managing avoidable environmental triggers is crucial for reducing the frequency and severity of attacks. An effective treatment plan includes reducing trigger exposure, following an anti-inflammatory diet, using magnetic therapy, and addressing fascial restrictions, scar tissue, and trigger points.

Riferimenti 

  1. https://www.who.int/news-room/fact-sheets/detail/headache-disorders
  2. https://pubmed.ncbi.nlm.nih.gov/32809622/  
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4416971/ 
  4. https://www.ncbi.nlm.nih.gov/books/NBK560787/ 
  5. https://www.ncbi.nlm.nih.gov/books/NBK279373/ 
  6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6734209/ 
  7. https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-018-0913-8
  8. https://pubmed.ncbi.nlm.nih.gov/30252294/