Senin, 23 Mei 2011

HEADACHE & MIGRAINE

Introduction
The most familiar pain suffered by man is headache. A headache is more than a
symptom. Often it is our body’s first warnings to us that something is wrong
somewhere.

Sometimes the pain may be so excruciating that we have little or no choice but to
pause, rest, and look for the cause of headache, before we push our system to
dangerous ex cess.

There are several hundred underlining problems of the system, which may result
in headache. A head injury, tense head muscles, or throbbing arteries in the scalp
can cause a headache. Eyestrain, fever, sinus infection, or an allergic reaction can
also lead to a headache. In relatively few cases, headaches are related to a brain
tumor or some other brain disease. Some headache victims may have additional
symptoms during a headache. For example, they may suffer neck pain or upset
stomach, or they may become extremely sensitive to noise or light.
The majority of headaches--over 90 percent--is caused by
tension
and responds
well to prevention and home care. An unusual headache that is very different from
any you have had before, or a change in the usual pattern of your headaches, is a
cause for concern.

Your head can ache in a variety of ways:
•Severity
--Mild to excruciating; annoying to incapacitating.
•Frequency and duration
--Occasionally or daily, lasting few minutes to
hours or days.
•Related symptoms
--Can be accompanied by other problems, such as
nausea or vomiting.
•Location
--Pain Localized in one spot or engulf your entire head.

Types of Headaches and Their Symptoms

Tension:
Tension-type headache is the most common type of headache — 68% of
men and 88% of women have had episodes of tension-type headache. A tension-
type headache is a mild to moderate steady pain, tightness, or pressure around the
head and neck. They may be provoked by the stress and frustrations of everyday
life, eyestrain, or poor posture.

When tension headaches occur on a daily or almost daily basis they are termed
chronic daily headaches. Often other symptoms are associated with these
headaches including fatigue, sleep disturbances, and depression. Tension-type and
migraine headaches can occur together.

Migraine:
Migraine is a neurologic disorder that is characterized by recurrent
attacks of headache, with pain most often occurring on one side of the head,
accompanied by various combinations of symptoms such as nausea, vomiting, and
sensitivity to light and sound.

Migraine headache can occur at any time of day or night, but occurs most
frequently on arising in the morning. Routine activity or slight head movement
typically makes the pain worse. These episodes can last from several hours to
several days and are often disabling. During the attack the pain may migrate from
one part of the head to another, and may radiate down the neck into the shoulder.
Scalp tenderness occurs in the majority of patients during or after an attack.
Migraine is familial and often hereditary. Following an attack, many individuals
feel tired, washed out, irritable, or listless or have impaired concentration.

Cluster:
Deep, agonizing, non-throbbing pain often beginning during sleep and
involving an eye, temple, cheek, and forehead on one side; lasts from 30 minutes
to 3 hours, with several headaches occurring each day for several weeks; tearing
and redness of affected eye.

There are two kinds of cluster headache: episodic and chronic. In episodic cluster
headache, there are long pain-free remissions. Cluster headaches are classified as
chronic cluster headache when a person has no more than one week without
headache during a period of at least a year. Approximately 10% to 20% of cluster
headache sufferers have this chronic condition. These headaches generally do not
run in families.

Factors that triggers Headaches

•Stress & Anxiety-
Particularly for chronic tension headaches or migraine,
stress can be a powerful trigger. Stress can come from major life events such
as a divorce or moving. But constant "daily hassles" can have an even bigger
effect.
•Foods
- Between 8 and 25 percent of people with migraine point to a particular
food as a source of their attacks. Food, especially those that contain amines,
which affect the diameter of your blood vessels--may trigger migraines. Any--
or none--of these foods may bring on your migraine symptoms:
•Any fermented, pickled or marinated food
•Avocados
•Bananas
•Caffeinated drinks
•Chicken liver
•Chinese food
•Chocolate
•Citrus fruits
•Monosodium glutamate (MSG), a flavor enhancer
•Nuts or peanut butter
•Pizza
•Processed meats (hot dogs and sausages)
•Raisins
•Red wine
•Ripened cheeses (cheddar, Stilton, Brie, Camembert)
•Sourdough bread
•Some vegetables (including onions, lentils and snow peas)
•Sour cream


•Hormones
- Many women with migraine have attacks linked to their
menstrual cycles. Fluctuating estrogen levels are thought to play a role.
Menstrual migraines can be more debilitating, difficult to treat, and last longer
than other migraines. Migraine also may worsen in early pregnancy, but in
later pregnancy, it generally improves. Migraine typically declines in
frequency as women age. There is evidence that oral contraceptives or
estrogen-replacement therapy can provoke or worsen migraine in some
women. Overall, females are affected more commonly then males.

•Other common triggers include:
odor of perfume, flowers or natural gas;
changes in weather or altitude; cigarette smoking; alcoholic consumption;
excessive noise and bright or fluorescent light.

What Causes Headache in Children?

Like adults, children experience the infections, trauma, and stresses that can lead
to headaches. In fact, research shows that as young people enter adolescence and
encounter the stresses of puberty and secondary school, the frequency of headache
increases.
Migraine headaches often begin in childhood or adolescence. According to recent
surveys, as many as half of all schoolchildren experience some type of headache.
Children with migraine often have nausea and excessive vomiting. Some children
have periodic vomiting, but no headache--the so-called "abdominal migraine."
Research scientists have found that these children usually develop headaches
when they are older.
Childhood headache can be a sign of depression. Parents should alert the family
pediatrician if a child develops headaches along with other symptoms such as a
change in mood or sleep habits. Sometimes psychological counseling or even
psychiatric treatment for the child and the parents is recommended
When is Headache a Warning of a More Serious Condition?
Like other types of pain, headaches can serve as warning signals of more serious
disorders. This is particularly true for headaches caused by traction or
inflammation. Traction headaches can occur if the pain-sensitive parts of the head
are pulled, stretched, or displaced, as, for example, when eye muscles are tensed
to compensate for eyestrain. Headaches caused by inflammation include those
related to meningitis as well as those resulting from diseases of the sinuses, spine,
neck, ears, and teeth. Ear and tooth infections and glaucoma can cause headaches.
In oral and dental disorders, headache is experienced as pain in the entire head,
including the face.
Curing the underlying problem treats traction and inflammatory headaches.

Characteristics of the various types of traction and inflammatory

headaches vary by disorder
•Brain tumor:
Brain tumors are diagnosed in about 11,000 people every year.
As they grow, these tumors sometimes cause headache by pushing on the
outer layer of nerve tissue that covers the brain or by pressing against pain-
sensitive blood vessel walls. Headache resulting from a brain tumor may be
periodic or continuous. Typically, it feels like a strong pressure is being
applied to the head. The pain is relieved when the tumor is destroyed by
surgery, radiation, or chemotherapy.
•
Stroke:
Headache may accompany several conditions that can lead to stroke,
including hypertension or high blood pressure, arteriosclerosis, and heart
disease. Headaches are also associated with completed stroke, when brain
cells die from lack of sufficient oxygen.
Careful management of the patient’s condition through diet, exercise, and
medication can prevent many stroke-related headaches.
Mild to moderate headaches are associated with transient ischemic attacks
(TIA's), sometimes called "mini-strokes”, which result from a temporary lack
of blood supply to the brain. The head pain occurs near the clot or lesion that
blocks blood flow. The similarity between migraine and symptoms of TIA can
cause problems in diagnosis. The rare person under age 40 who suffers a TIA
may be misdiagnosed as having migraine; similarly, TIA-prone older patients
who suffer migraine may be misdiagnosed as having stroke-related headaches.
•Head trauma:
Headaches may develop after a blow to the head, either
immediately or months later. There is little relationship between the severity
of the trauma and the intensity of headache pain. One cause of trauma
headache is scar formation in the scalp. Another is ruptured blood vessels
which result in an accumulation of blood called a hematoma. This mass of
blood can displace brain tissue and cause headaches as well as weakness,
confusion, memory loss, and seizures. Hematomas can be drained to produce
rapid relief of symptoms.
•Arteritis and meningitis:
Arteritis, an inflammation of certain arteries in the
head, primarily affects people over age 50. Symptoms include throbbing
headache, fever, and loss of appetite. Some patients experience blurring or
loss of vision. Headaches are also caused by infections of meninges, the
brain's outer covering, and phlebitis, a vein inflammation.
•Trigeminal neuralgia:
A nerve condition of the trigeminal facial nerve,
marked by sudden spasms of flashing, stab like pain moving along the course
of a branch of the nerve from the angle of the jaw. It is caused by breakdown
of the nerve or by pressure on it. Any of the three branches of the nerve may
be affected. Severe, sharp pain (neuralgia) of the first branch results in pain
around the eyes and over the forehead; of the second branch, in pain in the
upper lip, nose, and cheek; of the third branch, in pain on the side of the
tongue and the lower lip. The quick bursts of pain happen again in clusters
lasting many seconds; periods of sharp painful spasms may last for hours.

This nerve supplies the face, teeth, mouth, and nasal cavity with feeling and
also enables the mouth muscles to chew.
•Sinus Infection:
In a condition called acute sinusitis, a viral or bacterial
infection of the upper respiratory tract spreads to the membrane, which lines
the sinus cavities. When one or all four of these cavities are filled with
bacterial or viral fluid, they become inflamed, causing pain and sometimes
headache. Chronic sinusitis may be caused by an allergy to such irritants as
dust, ragweed, animal hair, and smoke. (
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Energy Analysis of Headaches

This information was supplied by Carol Ritberger PhD
Headaches are one of our most common medical problems. Most headaches are the result of muscle
tension due to either physical or psychological overload A headache is the body's way of alerting us
that the overload we are experiencing is having an adverse impact on our physical body. Headaches
have a variety of causes. They can be caused either externally or internally. Externally induced
headaches can be caused from trauma to the head, over exertion, environmental pollution, bright
lights, loud noises, perfume, stress, worry, conflict and anxiety. Internally induced headaches can be
caused from spinal misalignment, constipation, reaction to foods or alcohol, hormone imbalances,
allergies, high blood pressure, pH imbalances, anemia, low blood sugar, TMJ (teporomandibular
joint syndrome), and certain infectious diseases. Headaches come in many forms and can be
categorized by their underlying causes and where the pain occurs.
There are six different types of headaches:
• Simple headache - Hammering, buzzing, pulsing in the top of the head.
Causes: stress, sensitivity to weather, high blood pressure, lack of oxygen to brain, certain
infectious diseases.
• Tension headache - Dull, oppressive pain, pulsing in the temples of the head. This headache
will usually begin in the back of the head and neck and spread to the forehead.
Causes: muscular tension, spinal misalignment constricted blood vessels.
• Cluster headache - Piercing, burning pain. This headache will
usually affect one side of the head and always in the same place.
Causes: unknown.
• Migraine headache - Oppressive pain usually on one side of the head only. Often
accompanied by nausea, vomiting and vision problems.
Causes: hereditary factors, food reactions, allergies, hormone imbalances, low blood sugar,
pH imbalances, expanded blood vessels, and psychological overload.
• Sinus headache - Dull throbbing pain in the brow of head and behind the eyes. This
headache will also cause dull pain in the cheeks and nasal area.
Causes: allergies, sinusitis and the common cold.
• Combination headache - Dull nagging, oppressive pain that usually begins in the morning,
ends after a short duration and then reoccurs at specific times throughout the day.
Causes: hormonal imbalances, reactions to foods and medications.
While headaches can be painful, distressing and often debilitating they rarely reflect a serious
medical condition. However, if you suffer from chronic headaches or notice any change in the
location or patterns of the headache, it could be the signal of a more serious problem, so consult
your physician. They can usually determine the cause of the headache from your medical history or
a physical examination.

Energy Analysis Headaches

Headaches develop as a result of psychological and emotional overload. They
represent tension between the right and left hemispheres of the brain. They most often occur when
there is confusion in the decision making process. Headaches alert us that we have energetic tension
occurring between what our head is telling us to do and what our heart wants us to do. Energetically
headaches act as distractions or a way of escaping from making decisions until we can find
resolution between head and heart. They act as blocks so we will take the time to evaluate
information and untie the mental knots. Each one of the headaches has a different energetic
meaning.
For example:
• Simple headache - The result from experiencing conflict and confusion over perception and
interpretation of information. Being hampered by self-doubt, feelings of looking stupid or
fear of appearing incompetent. Reflective of the need to better understand. Being consumed
by mental chatters or overwhelmed by too many possibilities. Represents the need to take
the time to deal with emotional and mental issues that are bothering them.
• Tension headache - Trying too hard Anxiety about things that are not being handled or
frustration because they cannot get closure. Feelings of self-criticism, self-disgust and selfdisapproval.
The need for perfectionism and never being satisfied with their performance.
Afraid to relax because they might be caught of guard. This causes energetic build-up and
energetic protrusion in the head.
• Cluster headache - Reflective of deep distrust issues and feelings of unworthiness.
Frustration around having to put up with relationships, situations, issues, pressures or people
that they dislike yet feeling inadequate in being able to create change. Being really bugged
about things. Fear around failures and the consciences of those failures. Resentment for
being responsible and accountable to others.
• Migraine headache - Reflective of resentment, uncertainty, low self-esteem and a lack of
self-confidence. Feelings of entrapment and the inability to take control over their lives.
Suppressed anger, suppressed grief, suppressed desires, and suppressed hurt feelings. There
is a consistent pattern between migraine headaches and a childhood where there was a
highly suppressive family. Reflects the unwillingness to do anything about changing
negative emotions or negative situations. Feelings of being victims and an inner crying over
not being able to do anything about it. Fear of voicing feelings and thoughts.
• Sinus headache - Reflective of congestion in the head. The feeling that there is too much
going on at once. The tendency to hang on to old beliefs and perceptions. Having difficulty
making sense out of what is happening. Suppressed emotions.
• Combination headache - Experiencing feelings of being overwhelmed and wanting to stop
the world. Unwillingness to be present in the moment. The feeling of being out of sync with
the world and either awake at night or asleep during the day. Resistance to experiencing
what is happening at the time. Displaying extreme excitement over something or over
nothing. Chronic feelings of agitation around an unsettled condition that seems impossible
to resolve. Combination headache refers to the fact that these headaches begin as tension
headaches in the morning and progress to migraine headaches later in the day.