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Headaches are commonly classified under categories such as tension, sinus, migraine, menstrual and cluster among others. Many researchers and doctors are no longer drawing distinct lines between tension and migraine headaches. They may only be different degrees of the same disorder, tension headaches being less severe than migraines. Headaches have been difficult to study for several reasons and continue to be misunderstood and mistreated.
Although a headache may be associated with a serious medical condition, most headaches are not serious, even when debilitating. Headaches can be caused by a wide variety of factors, but the overwhelming majority are of the tension/migraine type.
Differences between Tension and Migraine Headaches For years, tension headaches were believed to be caused by muscle contraction due to stress. However, the muscle changes may occur in response to the pain and not be the cause of the headache. Similarly, in migraines, blood vessel changes can follow the onset of pain and not cause it.
Signs & Symptoms Tension headaches usually have a steady, constant, dull pain that may start at the back of the head or in the forehead and then spreads over the entire head, giving the sensation of pressure or a vise grip applied to the skull. The tension headache is usually present on both sides of the head. These headaches can occur every day and are normally more severe in the evenings. Tension headaches are experienced when an individual is under stress.
The more intense headaches, called migraines, are characterized by a throbbing or pounding sharp pain. The additional symptoms such as nausea, visual auras and dizziness occur simply because the headaches are more severe. Migraines are usually experienced after stressful periods have ended and the body is attempting to repair and detoxify.
Seek medical attention if Headaches which may be more serious are those that:- occur while pregnant
- occur after exposure to a potentially toxic substance
- occur after injury to the head
- occur while taking a new medication
- occur while experiencing other serious symptoms such as a fever, stiff neck, vomiting, vision changes, tingling sensations or speech difficulties
- are different from headaches you have had in the past or are very severe and come on very suddenly.
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Signs, symptoms & indicators of Migraine/Tension Headaches:
Conditions that suggest Migraine/Tension Headaches:
Risk factors for Migraine/Tension Headaches:
Migraine/Tension Headaches suggests the following may be present:
Recommendations and treatments for Migraine/Tension Headaches: |  |  |  | | Amino Acid / Protein | L-Tyrosine
Tyramine-containing Foods Avoidance | Tyramine-containing foods are responsible for migraines in 15% of sufferers. If you have observed a sensitivity to such foods, you should try a tyramine-free diet for a short time. If headaches resolve, reintroduce foods high in tyramine. If headaches recur, you may be able to control your headaches by avoiding these foods; if not, you may be allergic to other foods. |
| Botanical |
Coffee | Researchers at the Diamond Headache Clinic in Chicago, Illinois have found that caffeine may make your headache feel better. Already an ingredient in some over-the-counter headache medications, caffeine may do more than speed the other ingredients through your system to alleviate your headache faster.
Caffeine, given by itself, was given to headache sufferers. The result was that 58% said it was completely successful; the same number reported ibuprofen alone was completely successful. Many said that they felt better, faster taking just the caffeine. When standard painkillers were combined with caffeine, 70% of patients reported complete relief.
Caffeine does, of course, have its down sides. It is a stimulant and some studies have actually found that high caffeine consumption is linked with suffering from more headaches, perpetuation of the headache cycle and a temporary rise in blood pressure. |
| Diet |
Processed Foods Avoidance | Unhealthy practices such as drinking coffee and soft drinks, eating sweets and other nutritionless foods contribute to the problem. When migraine and tension headache patients are placed on low-protein, natural plant-based diets, with no refined sweets of any type, they often recover within a month, never needing medication or further treatments to control their condition. If improvement is not complete, other detoxification techniques should be employed. When diet change has not yet produced its full effect, the use of cold and pressure are usually the most effective and practical means to control the pain. |
Therapeutic Fasting | It is believed by those specializing in detoxification that the major cause of both tension headaches and migraines is the retention of toxins or tissue irritants within the central nervous system. These chemical irritants may cause an oversensitivity of nerve tissues to other stimuli, resulting in headache. Drugs for relieving pain are rarely necessary if headache sufferers are allowed to fast and detoxify at the first sign of headache symptoms.
During periods when you are not ingesting harmful food substances or drugs, your body will often use that opportunity to detoxify, which may initiate another headache. This is the time when you must try to use non drug measures such as cold compresses, rest in a dark room, banding with Velcro, and biofeedback.
Headaches can also be caused and worsened by not eating. The reason is that not eating triggers withdrawal symptoms as the body begins to detoxify and get rid of retained toxins. Remember: For a short time you may feel bad so that for a long time you can feel good. Persistent severe headaches that do not respond within a few days of fasting should always be further evaluated by a physician. |
Sugars Avoidance / Reduction
Plant-Based Nutrition | When migraine and tension headache patients are placed on low-protein, natural plant-based diets, with no refined sweets of any type, they often recover within a month. |
Aspartame (Nutrasweet) Avoidance
Not recommended:
High/Increased Protein Diet | When migraine and tension headache patients are placed on low-protein, natural plant-based diets, with no refined sweets of any type, they often recover within a month. |
| Drug |
Conventional Drug Avoidance | The regular and frequent use of conventional drugs should be avoided when possible. While pain killers may provide relief, they don’t deal with the cause of the problem. Pain medications, though apparently effective, may even aggravate the problems they attempt to solve. The use of medication, even in quantities as low as ten aspirin tablets per week, can be the cause of a chronic daily headache syndrome. One medical study found that stopping all treatments and pain medication actually decreased headache frequency and intensity in the subjects by more than 50%. The best thing to do when tolerable and circumstances allow is to avoid taking medication and assist the body's detoxification process. |
| Lab Tests/Rule-Outs |
Test for Food Allergies | Food allergy may be a factor in as many as 80% of migraine sufferers. In one study of 60 patients, the average number of foods causing symptoms was 10 per patient. All patients improved when offending foods were eliminated and 85% became headache free. All 15 patients who had high blood pressure at start of study saw blood pressure return to normal. The following were most often implicated as a cause of migraine: cow's milk (30%); eggs (27%); chocolate (25%); oranges and wheat (24%); cheese and tomatoes (15%). Common food triggers of migraines were milk products, sweets, corn, beef, coffee and teas amongst others. While food allergies are an important factor in migraines, they play less of a role in tension type headaches. |
| Mineral |
Magnesium | Several researchers have provided substantial links between low magnesium levels and both migraine and tension headaches, based on both theory and clinical observations. A magnesium deficiency is known to set the stage for the events that can cause a migraine attack or a tension headache. Low brain and tissue magnesium concentrations have been found in patients prone to migraines, indicating a need for supplementation. One of magnesium's key functions is to maintain the tone of the blood vessels. |
| Nutrient |
Essential Fatty Acids | Omega 3 fatty acids can reduce the frequency and intensity of migraines. Two small double blind studies (using fish oil) demonstrated a high percentage of effectiveness. Supplementation should continue for longer than 3 weeks, which is the time it takes to change cell membrane composition with the new fatty acids. |
Meyer's Cocktail | Physical Medicine |
Pressure | Many individuals with migraine can obtain effective relief by simply applying an elastic band around the head, securing it with Velcro, and inserting rubber discs (or any available substitute such as a bottle cap) for added local pressure over the areas of maximum pain. A study utilizing a 2-inch elastic band approximately 25 inches long with Velcro at each end showed impressive results with this non-drug approach for relief. Firm rubber discs the thickness of a finger and a little over an inch in diameter were employed. Patients were instructed to place these discs under the elastic headband over the area of maximum pain. Almost every patient in the study reported benefit. Twenty-three patients used the band for a total of 69 headaches. Forty of the headaches were relieved by more than 80% and 15 additional headaches improved by more than 50%. |
Massage | Researchers at the University of Miami School of Medicine found that massage is helpful in alleviating pain in migraine sufferers.
In a study of tension headaches, individuals were treated with either a combination of spinal manipulation and massage, or massage and a placebo laser treatment. Both groups experienced an improvement in symptoms suggesting that massage alone provides benefits for the treatment of tension headaches. |
| Vitamins |
Vitamin B-Complex
Vitamin Niacinamide
Vitamin B6 (Pyridoxine) | One older study reported that L-tyrosine (200mg), vitamin B6 (2.5mg) and niacinamide (10mg) when given in combination for the treatment of hay fever, hives, allergic headaches and poison oak dermatitis produced significant symptomatic relief when 1-3 tablets were taken four times/day in milder cases and up to 6 tablets 4-6 times/day in more severe cases. In some cases characterized by more chronic disorders, such as chronic sinusitis, a worsening of symptoms often occurred during the first few days of treatment. This study found that treatment with each the nutrients individually, or with any two in combination, was ineffective. (Widmann RR, Keye JD Epinephrine precursors an control of allergy. Northwest Med 1952:51:588-590.) |
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KEY |  | Weak or unproven link |  |  | Strong or generally accepted link |  |  | Proven definite or direct link |  |  | May do some good |  |  | Likely to help |  |  | Highly recommended |  |  | May have adverse consequences |
GLOSSARY
Adrenaline (Epinephrin, Epinephrine) A hormone secreted by the adrenal medulla that is released into the bloodstream in response to physical or mental stress, as from fear or injury. It initiates many bodily responses, including the stimulation of heart action and an increase in blood pressure, metabolic rate, and blood glucose concentration.
Allergic Rhinitis (Hay Fever) Inflammation of the nasal mucous membranes that is caused by specific allergen(s). It is an allergy characterized by sneezing, itchy and watery eyes, a runny or stuffy nose, coughing and a burning/scratchy sensation of the palate and throat.
Allergy (Allergies) Hypersensitivity caused by exposure to a particular antigen (allergen), resulting in an increased reactivity to that antigen on subsequent exposure, sometimes with harmful immunologic consequences.
Aspartame A low-calorie sweetener used in a variety of foods and drinks and as a tabletop sweetener. It is about 200 times sweeter than sugar and is commonly known by names such as NutraSweet, Equal, Spoonful or Equal-Measure.
Central Nervous System (CNS) A collective term for the brain, spinal cord, their nerves, and the sensory end organs. More broadly, this can even include the neurotransmitting hormones instigated by the CNS that control the chemical nervous system, the endocrine glands.
Chronic (Chronicity) Usually referring to chronic illness: Illness extending over a long period of time.
Chronic Fatigue Syndrome (CFS, Chronic Fatigue) A disorder of unknown cause that lasts for prolonged periods and causes extreme and debilitating exhaustion as well as a wide range of other symptoms such as fever, headache, muscle ache and joint pain, often resembling flu and other viral infections. Also known as Chronic Fatigue and Immune Dysfunction Syndrome (CFIDS), Chronic Epstein-Barr Virus (CEBV), Myalgic Encephalomyelitis (ME), "Yuppy Flu" and other names, it is frequently misdiagnosed as hypochondria, psychosomatic illness, or depression, because routine medical tests do not detect any problems.
Crave (Craving, Cravings) To have a strong desire for; to feel the need for.
Dermatitis A general term used to refer to eruptions or rashes on the skin.
Estrogen (Oestrogen) One of the female sex hormones produced by the ovaries.
Fatty Acids (Fatty Acid) Chemical chains of carbon, hydrogen, and oxygen atoms that are part of a fat (lipid) and are the major component of triglycerides. Depending on the number and arrangement of these atoms, fatty acids are classified as either saturated, polyunsaturated, or monounsaturated. They are nutritional substances found in nature which include cholesterol, prostaglandins, and stearic, palmitic, linoleic, linolenic, eicosapentanoic (EPA), and decohexanoic acids. Important nutritional lipids include lecithin, choline, gamma-linoleic acid, and inositol.
Magnesium An essential mineral. The chief function of magnesium is to activate certain enzymes, especially those related to carbohydrate metabolism. Another role is to maintain the electrical potential across nerve and muscle membranes. It is essential for proper heartbeat and nerve transmission. Magnesium controls many cellular functions. It is involved in protein formation, DNA production and function and in the storage and release of energy in ATP. Magnesium is closely related to calcium and phosphorus in body function. The average adult body contains approximately one ounce of magnesium. It is the fifth mineral in abundance within the body--behind calcium, phosphorus, potassium and sodium. Although about 70 percent of the body's magnesium is contained in the teeth and bones, its most important functions are carried out by the remainder which is present in the cells of the soft tissues and in the fluid surrounding those cells.
Menopause (Menopausal) The cessation of menstruation (usually not official until 12 months have passed without periods), occurring at the average age of 52. As commonly used, the word denotes the time of a woman's life, usually between the ages of 45 and 54, when periods cease and any symptoms of low estrogen levels persist, including hot flashes, insomnia, anxiety, mood swings, loss of libido and vaginal dryness. When these early menopausal symptoms subside, a woman becomes postmenopausal.
Menstruation (Menses, Menstrual, Menstrual Cycle, Menstrual Cycles, Menstrual Flow, Menstrual Phase, Monthly Cycle) The periodic discharge of blood, tissue fluid and mucus from the endometrium (lining of the uterus) that usually lasts from 3 - 5 days. It is caused by a sudden reduction in estrogens and progesterone.
Migraine (Migraine Headache, Migraine Headaches, Migraines) Not just a headache, but a disorder affecting the whole body, characterized by clearly defined attacks lasting from about 4 to 72 hours, separated by headache-free periods; progresses through five distinct phases. Prodrome: experienced by about 50% of migraineurs and starting up to 24 hours before the headache - changes in mood, sensory perception, food craving, excessive yawning, or speech or memory problems. Aura: experienced by about 15% and starting within an hour before the headache - disruption of vision (flashing lights, shimmering zigzag lines, blind spot) or sensation (numbness or 'pins and needles' around the lips or hand), or difficulty speaking. Headache: usually pulsating and occurring on one side of the head, it may occur on both sides of the head and alternate from side to side. Muscles in the neck and scalp may be tender; there may be nausea and the desire not to eat, move, see or hear. Resolution: the headache disappears and the body returns to normal. Resolution may occur over several hours during sleep or rest; an intense emotional experience or vomiting may also end the headache. Postdrome: After the headache stops, the sufferer feels drained, fatigued and tired. Muscles ache, emotions are volatile and thinking is slow.
Milligram (mg, Milligrams) 0.001 or a thousandth of a gram.
Nausea Symptoms resulting from an inclination to vomit.
Niacin (B3, B-3, Niacinamide, Vitamin B3) A coenzyme B-complex vitamin that assists in the breakdown of carbohydrates, fats and proteins. Essential for the health of the skin, nerves, tongue and digestive system. It is found in every cell of the body and is necessary for energy production. Niacin is also needed for DNA formation.
Over-The-Counter (OTC, Over The Counter) A drug or medication that can legally be bought without a doctor's prescription being required.
Placebo (Placebos) A pharmacologically inactive substance. Often used to compare clinical responses against the effects of pharmacologically active substances in experiments.
Precursor (Precursors) A biochemical substance, such as an intermediate compound in a chain of enzymatic reactions, from which a more stable or definitive product is formed.
Short-Term Memory (Short Term Memory) Also known as immediate memory or working memory, this is a phase of memory in which a limited amount of information may be held for several seconds to minutes. In general, up to 7 'chunks' of information are stored for about 20 seconds.
Sinuses (Sinus) Four pairs of air pockets lined with membranes in the bones around the nose. The ethmoid sinuses are located on each side of the nose between the eyes; the maxillary sinuses are located in the cheek above the teeth and below the eyes; the sphenoid sinuses are located deeply behind the eyes; the frontal sinuses are located in the forehead.
Sinusitis Inflammation of the sinuses, with causes ranging from dust to hay fever. Obstinate cases can be caused by chronic sinus infections or the continued exposure to allergens from food, pets or environmental irritants.
Syndrome A medical condition characterized by a collection of related symptoms (what the patient feels) and signs (what a doctor can observe or measure).
Tension Headache (Tension Headaches) This type accounts for nearly 90% of all headaches and is probably experiences by most people at some time during their lifetime; frequently associated with fatigue and stress and generally responding to simple measures such as rest or over-the-counter pain medicine; pain usually occurs on both sides of head and consists of a dull, steady ache.
Tyramine An amino acid synthesized in the body from the essential amino acid tyrosine that has a sympathomimetic action and is derived from tyrosine.
Urticaria (Hives) Commonly known as hives, urticaria is one of the most common dermatological conditions seen by allergists. Urticaria is not just an allergic disease, however. It can be caused by metabolic diseases, medications, infectious diseases, autoimmune disease, or physical sensitivity. Traditional allergies to foods or medications as well as viral illness are frequent causes of acute urticaria which usually lasts only a few hours but may last up to 6 weeks. Chronic urticaria (lasting more than 6 weeks) is more complex, given the vast number of potential triggers. Symptoms include sudden onset; initial itching; then swelling of the surface of the skin into red or skin-colored welts (wheals) with clearly defined edges; welts turn white on touching; new welts develop when the skin is scratched; usually disappear within minutes or hours. Welts enlarge, change shape, spread or join together to form large flat raised areas.
Vascular Relating to the blood vessels of the body. The blood vessels of the body, as a group, are referred to as the vascular system. They are composed of arteries, veins and capillaries - arteries that pass oxygen-rich blood to the tissues of the body; veins which return oxygen-depleted blood from the tissues to the lungs for oxygen; and the capillaries that are the tiniest vessels and are between the arteries and veins.
Vitamin B6 (B6, B-6) Influences many body functions including regulating blood glucose levels, manufacturing hemoglobin and aiding the utilization of protein, carbohydrates and fats. It also aids in the function of the nervous system.
Last updated: Sep 28, 2009
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