Migraine Treatment

Question: What are the steps to take when a migraine strikes?

“You’re giving me a migraine,” has entered our colloquial vocabulary as a phrase synonymous with ultimate discomfort. It’s no wonder that people who have literal migraines are truly suffering – even more than those with the figurative sort. Migraines may be awful, but that does not mean there is nothing to be done. 

What is a migraine?

A migraine is like a headache, but much worse. Migraine pain is usually located at the front, or on one side, of the head. In some cases, the pain may also occur on both sides of the head and can even affect the face or neck. Migraines can also cause nausea and vomiting. The pain throbs and intensifies if you move. Migraines also increase sensitivity to light. This makes going about your day quite difficult. Instead, when migraines strike, most people tend to hide out in their quiet and darkened bedroom. 

What are the signs a migraine is about to strike?

If you regularly experience migraines you may have noticed subtle changes that indicate that a migraine may be on the way. These can include constipation, depression, food cravings, hyperactivity, irritability, neck stiffness, and uncontrollable yawning. You may also experience visual phenomena such as flashes of bright light, bright spots, seeing various shapes, vision loss, or dizziness. These are sometimes associated with pins and needles sensations in an arm or leg as well as speech or language problems. Of course it is also possible for a migraine to come on suddenly without warning. 

How to improve self-management of migraines 

Because many of the signs of an on-coming migraine are shared with other ailments it can be difficult to notice patterns. You might consider keeping a symptoms log to help you predict when your migraines will strike. Knowing that it is coming is one of the best ways to minimize the effects. 

When migraines strike

The first rule is to take care of yourself. Listen to your body, create the space you need and communicate with loved ones. Communication about what you need when a migraine strikes might make things go smoother before it arrives in full force. 

Muscle relaxation techniques can help ease migraines. You might try a yoga class of the meditative (non-athletic) sort. Look for classes, DVDs, and books on restorative, therapeutic, kundalini and yin yoga. If you take a class, tell the instructor that you experience migraines; he or she may have additional suggestions for you. It is also important to get enough, but not too much, sleep each night. Is there a new pillow or mattress that might improve the quality of your sleep? Try to calm yourself and clear your thoughts before going to bed at night. 

Other options

There are a number of therapies that might be useful to you including acupuncture, biofeedback, massage, and vitamins such as B2 and COQ10, which are available at your local pharmacy. You might also learn helpful techniques through cognitive behavioral therapy, which is offered through mental health professionals.


When to seek medical advice 

If your migraines are frequent yet controlled, you should still your G.P. If you find that you are having migraines five or more times a month then you should consult your G.P. The other reason to consult a physician is the uncontrollable migraine. If you cannot manage your migraines with over-the-counter medication, it’s time to call your G.P. 

When to call an ambulance 

If you or someone else experiences paralysis or weakness in one or both arms and/or one side of the face, slurred or garbled speech, blinding pain unlike anything experienced before, a fever, stiff neck, mental confusion, seizures, double vision, or a rash, you should take immediate action. These symptoms may feign as a migraine but can actually be indications of more serious conditions such as a stroke or meningitis. 

---------------------------------------------------------------------------------------------------------------------

John Keane is a full time pharmacist and owner of Keanes Pharmacy. Why not discuss this topic confidentially with John anytime in person at Keanes Pharmacy, Austin Friars or 0449342884 ©Keanes Pharmacy