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Alternative Therapies

Acupuncture has been widely used for the treatment of migraine headaches and it has been subjected to many clinical trials. A new study published in the Canadian Medical Association Journal confirms what previous research has shown – that acupuncture in fact is effective. This study was performed by Chinese researchers and it involved 480 patients. It was a well-designed and rigorously conducted study. The doctors divided patients into 4 groups with 3 groups receiving different types of real acupuncture and the fourth one receiving sham acupuncture. Sham acupuncture group had needles inserted, but they were not manipulated to elicit a specific “qi” sensation, which was done in the real groups. Patients in all three groups receiving real acupuncture did better than those in the sham group. The benefit persisted for at least three months after the treatment. The difference was statistically significant (meaning it did not occur by chance) but not very large, mostly because the sham group also improved. In summary, this study strongly supports the results of previous clinical trials in migraines, which showed positive effects of acupuncture. It also showed that the type of acupuncture is not important, but needles need to be inserted properly and probably need to have electrical stimulation (all groups in this study had electrical stimulation). One difficulty in following the treatment used in this study is the need for doing acupuncture five days a week for 4 weeks. Many people may have difficulty finding the time (and money) for such a regimen. However, many of the previous positive studies were conducted with acupuncture treatment being performed once a week.

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Swearing is a common response to pain. A study just published in The Journal of Pain examines whether swearing can actually help pain. Oxford English Dictionary defines swearing as the use of offensive or obscene language. Prior studies by the same researchers at the Keele University in the UK showed that for most people swearing produces a pain lessening effect. In this new study Richard Stephens and Claudia Umland looked at the effect of repeated daily swearing on experimental pain. They took 71 healthy undergraduate students (who else?) and subjected them to pain using a standard research procedure – submerging subjects’ hand into cold water. They again showed that swearing reduces pain and increases heart rate. The latter suggests that swearing reduces pain not only by distraction, but through physiologic effect on the body. They also found that people who tended to swear frequently throughout the day had less of a pain relieving effect from swearing when subjected to pain. So, listen to your mother and don’t swear all the time – save it for when it can do some good for you.

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Yet another study finds that exercise is as good for the prevention of migraines as drugs. The research report in journal Cephalalgia by Swedish doctors shows that 40 minutes of exercise three times a week was as effective as taking topiramate (Topamax) or doing relaxation exercises. Topiramate is one of the most popular drugs for the prevention of migraine headaches, but it can have many potential serious side effects, including kidney stones in 20% of patients, glaucoma, memory and other cognitive problems. The same group of researcher published a large study of over 46,648 Swedes which showed a strong inverse correlation between exercise and any type of headaches, including migraines. So, before resorting to drugs or even Botox injections it is worth trying a regimen of avoiding triggers such caffeine, adhering to a regular sleep schedule, taking magnesium and other supplements, and regular exercise.

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Migraine prevention is most effective when a preventive medication and behavioral management are combined together. A study by Dr. Holroyd and his colleagues published in the British Medical Journal showed that a beta blocker alone and behavioral management alone did not help patients with migraine headaches. However, combining these two resulted in a significant improvement. This was a very rigorous trial involving 232 patients who were divided into 4 groups: behavioral management alone (with a placebo pill), beta blocker alone, both interventions, and no intervention group (they did receive placebo pills). Patients and doctors did not know which patient received a beta blocker or placebo. Every patients was seen every month for four months and had 3 telephone calls in these four months. During each visit the behavioral management group received one hour of training. All patients were given optimal acute therapy with a triptan and if needed, ibuprofen and a nausea medication.
All patients were evaluated 10 and 16 months later and the combined group was improved compared to the other 3 groups both in the number of attacks, number of migraine days, and in the quality of life.
This confirms the validity of our usual practice of combining several approaches at once rather than trying one at a time. The list of our typical recommendations includes combination of several of these options: avoidance of caffeine, aerobic exercise, behavioral management, magnesium and other supplements, Botox injections, non-prescription medications, such as ibuprofen, naproxen, and Migralex, as well as triptans and prophylactic medications, such as beta blockers, epilepsy drugs, and antidepressants.

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Body–Mind, Self-Care Program:
Everything you do – eat, drink, sleep, move, sit, stand, think, feel, interact – adds up to how you feel and function. In a body-mind program, as with one for diet or exercise, by changing your daily practices, you will get a different result.
Headache Coach Jan Mundo will guide you to wellness and help you overcome your pain. Lessons, accompanied by handouts, individualized coaching, and assessments, include: tracking your triggers, headache-healthy diet, stress relief, and harnessing the power of your body and mind for healing.
The New York Headache Center, located at 30 East 76th Street, New York, NY generously offered its space for this program to be held weekly from March 8 until April 12, 2011, at 6 – 8:15 pm.
For more information see Jan Mundo’s site

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Headache coach, Jan Mundo will be conducting classes at the New York Headache Center (this is a second announcement).   The course consists of 6 weekly sessions which will be held on Wednesdays from 6 to 8 PM from September 22 through October 27.  Jan’s course is “for headache or migraine sufferers who want natural solutions! Learn how to use your body and mind to relieve and prevent your cycles of pain. In a supportive environment: Find your best headache diet, use centering practices to de-stress, learn self-massage to ease pain, practice hands-on headache relief, enlist thoughts, moods, and emotions as allies.”  For details and registration go to http://www.mundolifework.com.  Facebook page:  http://www.facebook.com/pages/The-Headache-Coach/72585407316?v=app_2344061033#!/event.php?eid=102475893145453&index=1..

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Headache coach, Jan Mundo will be conducting classes at the New York Headache Center.   The course consists of 6 weekly sessions which will be held on Wednesdays from 6 to 8 PM from September 22 through October 27.  Jan’s course is “for headache or migraine sufferers who want natural solutions! Learn how to use your body and mind to relieve and prevent your cycles of pain. In a supportive environment: Find your best headache diet, use centering practices to de-stress, learn self-massage to ease pain, practice hands-on headache relief, enlist thoughts, moods, and emotions as allies.”  For details and registration go to http://www.mundolifework.com.

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Many migraine sufferers feel that food allergies cause their headaches.  There is little dispute that certain foods can trigger migraines.  Some of these foods include chocolate, wine, cheese, citrus fruit, onions, smoked, cured, and pickled foods.  However, migraine that results from eating these foods is not due to an allergic reaction, but rather is due to a chemical reaction.  An allergic reaction occurs when the body’s immune defense mechanisms try to isolate and attack an offending substance, called an allergen.  It is possible to evaluate this immune response by measuring blood levels of immune globuline (IgG) which is specific to to a particular food or substance.  Since there are so many different foods that we eat, literally hundreds of tests are required.  Doing such extensive testing has been controversial, in part because of its high cost.  This testing has been advocated for patients with irritable bowel syndrome.  People who are found to have high levels of of IgG to certain foods can improve their condition by eliminating those foods.  Another way to detect food allergies is by scratch test, where an extract of different foods is placed into skin scratches and then the skin reaction is measured.

A sophisticated study recently published in Cephalalgia by Dr. Ertas and his colleagues looked at food allergies in migraine patients.  They tested IgG levels to 266 foods in the blood of 30 migraine sufferers.  The number of foods these 30 patients were allergic to ranged from 13 to 35.  After testing, for six weeks each patient ate a diet which included or excluded foods they were allergic to. After that, they had two weeks of unrestricted diet, followed by another 6 weeks of the opposite diet (if they first had a diet free of allergen, then they were switched to a diet with allergens, and vice versa).  Neither the doctor, nor the patient knew what foods the patient was allergic to or which diet was given in each 6-week period.  The results of the study showed that significantly fewer migraines occurred when the diet excluded foods patients were allergic to.  This is the first rigorous study which suggests that food allergy testing may find a place in the management of patients with migraine headaches.

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74% of girls and 52% of boys have headaches at age 17, according to a Finnish study of 6,262 twins.  At age 11, 60% of girls and 59% of boys had headaches at least once a month.   The prevalence of weekly headaches increase d in girls from 16% to 25% between ages 11 and 14.  Headaches in kids is a major problem, but unfortunately it does not receive proper attention.  Sometimes parents do not believe that their child has a headache or if they do, they are reluctant to take the child to a doctor because they don’t want to resort to prescription medications.  Fortunately, many non-drug approaches are very effective in kids.  Regular sleep schedule (very hard to enforce in teenagers), regular meals, frequent aerobic exercise, biofeedback or meditation, and supplements can be very effective.  Several studies have shown that kids with headaches are often deficient in magnesium, riboflavin (vitamin B2), and Co-enzyme Q10 (CoQ10).  If a child still has headaches, a medications may also be appropriate.

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Vitamin D deficiency is often found in patients with headaches and neuralgia, which I’ve already mentioned in previous posts.  Chronic pain patients with low vitamin D levels were also found to have poor exercise tolerance, making their rehabilitation more difficult.  Now, there is strong evidence from two independent studies, which involved over one thousand people, that those with low vitamin D levels were twice as likely to develop Alzheimer’s disease, other types of dementia, and strokes.  The researchers and those commenting on this research called for more studies before any recommendations can be made.  This response of the medical establishment is typical in its lack of common sense.  Yes, there are dangers in taking too much vitamin D, but shouldn’t they call for doctors to test for this deficiency and correct it when it is present?  Even if we don’t know exactly if this supplementation will prevent strokes, Alzheimer’s or headaches, it makes sense to keep everyone’s level in the middle of the normal range.

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Acupuncture increases connections between different areas of the brain, according to Dhond and other Korean researchers who published their findings in the journal Pain.  They compared the effect of true and sham acupuncture in healthy volunteers using functional MRI of the brain.  They discovered that true acupuncture (insertion of one needle into the forearm) enhanced the “spacial extent of resting brain networks to include anti-nociceptive (pain-relieving), memory, and affective (responsible for emotions) brain regions”.   The researchers felt that this enhancement of connections between various parts of the brain is probably responsible for the pain relief induced by acupuncture.   After the recent German study of acupuncture for headaches which involved over 15,000 patients there is little doubt that acupuncture works for headaches (and many other pain conditions), but this study helps provide stronger scientific evidence that the relief is not due to placebo.

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I’ve written in a previous post that people exposed to pleasant music feel less pain than people listening to unpleasant music or to no music at all.  Some studies have suggested that happy music (typically music with faster tempo and major mode) is better at relieving pain than sad music.  A study by Chinese researchers published earlier this year in the journal Pain showed that both sad and happy melodies lower pain perception in healthy volunteers, as long as the melodies are pleasant.  This study adds to the growing evidence that music can indeed relieve pain and, not surprisingly, that the music has to be pleasant.

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