Headache, migraine

[olgaench]

Good afternoon!

My name is Elena, me of 30 years.

I wish to learn or find out something on a problem of a migraine.

Very much excruciate headaches, for a long time (since the childhood), the father suffers the same (speak, such illness or disease is passed from the parent to the child with drunim a floor, that is the father-daughter).

The situation worsens every year. Attacks of a headache very frequent and long (happens about two weeks on end). Thus following signs:

- A headache in one point, in temples, in a nape, etc.

- A pain and rez in opinion of, a pain in orbits, a pain on behalf of (nadbrovnye arches, a nose, under facial bones), sometimes a pain behind ears

-sometimes a nausea, an intolerance of smells and light

-pain in the cervical vertebra or vertebrae, unpleasant discomfortable sensations in a neck behind, sometimes a pain in a backbone

The-pain pulsing, amplifies at an inclination



It tried to be treated by massages (ostiohondroz), acupuncture. Has not helped or assisted... Even the sonitus has appeared after sessions. Has passed or has taken place inspection at the neuropathologist and the ophthalmologist. No trouble it was not found out.

I accept tablets (only when the head hurts) - Baralginum, noshpa, Papazolum, andipal, ketanov and other. Mnogi agents any more do not help or assist. While helps or assists kompres (cold on a forehead, hot on a nape), full rest and a dream (if it is possible to fall asleep at once is a happiness!).

Question: advise, whether it is possible to recover completely from a migraine (many speak, that such is not treated and in general), what medicines it is better to accept illness or disease of a unknown parentage from pains. Whether it is possible to keep to a diet and help or assist itself? What it is impossible to do or make at such disease (I smoke and I go in for sports)? As it is possible to lower intensity be ill or sick also their duration (recently has counted, it has turned out that I have a headache (and 5-10 days in a month are terrible).

In advance I thank.

Yours faithfully.

[Shreck]

I have not received any answer to my message. Please, inform, whenever possible, the brief answer. Perhaps, I have addressed to the wrong address???

Thanks.

Elena

[Maximus25]

Uv. Elena!

Try to avoid those unpleasant moments which cause in you attacks (napr. Stress, famine, nevysypanie). For a cupping of attacks it is possible to use sumatriptan (probably better in the form of intranasal sprays), also can approach or suit preparations from group nonsteroid antiinflammatory or anti-inflammatory (napr. ketoprofen 75 or 150 mg day or Naproxenum, diclofenac), a combination of Aspirinum of 900 mg about 10 mg of Metoclopramidum. Sochetannoe application sumatriptana and Naproxenum can reduce quantity or amount of repeated attacks. For prophylaxis it is possible to try or taste 40 mg three times in day of Verapamilum (if there is no certainly a predilection to an infrequent pulse or serd. Pathologies). If smoking or fiznagruzki in itself have not been noticed in initsiatsii attacks, it is possible to continue in the same spirit (try to finish daily reception of Acidum ascorbinicum (vit. Up to 300-400 mg day - tabakokurenie lowers its or his maintenance or contents in a blood).



More accessible acquaintance to your disease - on a site http: // www.migraine.ru

[pit]

UV.ELENA.

I WOULD advise YOU WILL address To the EXPERT PRACTISING AKKUPUNKTURU SU DZHOK And proiti the COURSE of the MAGNETOTHERAPY. At YOU EXCESS of ENERGY In the MERIDIAN of KIDNEYS, THAT OFTEN CAUSES HEADACHES

[jasper]

Yes, diclofenac here absolutely by the way...

Lena, describe please. How headaches - from a nape to a forehead or on the contrary - from a forehead to a nape begin? What party or side suffers - left or right? When and from what improvement/deterioration (meal, time of day and so forth)? The pain Amplifies-whether when you throw back a head back? Or when incline it or her downwards? There Is a communication or connection be ill or sick with a menses and what their character? There were traumas of a head or a neuroinfection (menintit. An encephalitis)?

[FOMA-1]

Dear Gromoboy!

I do not see the reasons for scepticism, for greater awareness glance to klassikam:



Cephalalgia. 1999 May; 19 (4):232-40.

Acute treatment of migraine attacks: efficacy and safety of a nonsteroidal anti-inflammatory drug, diclofenac-potassium, in comparison to oral sumatriptan and placebo. The Diclofenac-K/Sumatriptan Migraine Study Group.

BACKGROUND: Migraine attacks are often treated with simple analgesics or with ergotamine-containing preparations alone or in combination with anti-emetics. Although also sometimes used to treat migraine, nonsteroidal anti-inflammatory drugs (NSAIDs) have not been systematically evaluated in controlled clinical trials, particularly in comparison with the newer drug sumatriptan. Sumatriptan is a specific migraine treatment which has recently become among the most widely prescribed acute migraine therapies. However, while effective, it has low oral bioavailability and some problematic adverse effects. Diclofenac-potassium is a potent NSAID available as a fast-acting oral tablet, which has been shown to be safe and effective in several other acute pain indications. In the clinical trial reported here, the efficacy and safety of diclofenac-potassium in the acute treatment of migraine attacks has been tested in comparison with oral sumatriptan and placebo. METHODS: Single oral doses of 50 mg and 100 mg diclofenac-potassium were compared to a single oral dose of 100 mg sumatriptan and placebo in a double-blind randomized crossover trial in 156 adult patients suffering from migraine attacks, with or without aura, selected according to the International Headache Society diagnostic criteria. The primary efficacy criterion was migraine headache pain recorded on a visual analog scale at 2 h after dosing. Secondary endpoints included pain at other time points up to 8 h and the presence of accompanying symptoms (nausea, vomiting, photophobia, phonophobia). FINDINGS: Diclofenac-potassium was more effective than placebo in reducing migraine headache pain at 2 h after dosing, which was the primary endpoint. Secondary analyses showed that diclofenac-potassium provided significant pain relief from 60 min after dosing and for all remaining endpoints in the 8-h observation period. Both 50 and 100 mg doses of diclofenac-potassium were similarly effective. A similar effect was shown with sumatriptan; however, significant superiority to placebo was seen only from the 90-min time point. Diclofenac-potassium was generally superior to placebo or sumatriptan in reducing accompanying symptoms, particularly nausea. Diclofenac-potassium seemed to be as well tolerated as placebo, with fewer adverse events reported than after sumatriptan treatment and with more patients assessing the overall tolerability of diclofenac-potassium better than that of sumatriptan. INTERPRETATION: Compared with placebo and the reference therapy sumatriptan, diclofenac-potassium is an effective, fast-acting, and well-tolerated acute oral therapy for migraine attacks, with advantages over oral sumatriptan in terms of onset of analgesic effect, reduction of accompanying symptoms, and tolerability profile. It may therefore be useful as an alternative oral therapy for migraine attacks.



Drugs. 1999 Jun; 57 (6):991-1003.

Diclofenac-potassium in migraine: a review.

McNeely W, Goa KL.

Adis International Limited, Auckland, Mairangi Bay, New Zealand.

The NSAID diclofenac is a potent inhibitor of prostaglandin synthesis and an established antipyretic and analgesic agent. Diclofenac-potassium was developed as an immediate-release tablet with the aim of providing rapid onset of action after oral administration. This formulation has been investigated in the acute treatment of migraine. Data from available placebo-controlled clinical trials indicate that diclofenac-potassium 50 or 100mg as an immediate-release tablet is more effective than placebo and as effective as oral sumatriptan 100mg and ergotamine plus caffeine at reducing pain intensity in patients with migraine 2 hours after initial administration. Duration of pain relief is similar for the 3 drugs but onset appears to be faster with diclofenac-potassium than with oral sumatriptan or ergotamine plus caffeine. Diclofenac-potassium appears to have favourable effects on some accompanying symptoms such as nausea and vomiting. The frequency of these symptoms was significantly lower with diclofenac-potassium than with sumatriptan in 1 study, although only a few patients had vomiting at baseline. Effects on phonophobia or photophobia did not differ between diclofenac-potassium, sumatriptan and ergotamine plus caffeine. The need for rescue medication is consistently less with diclofenac-potassium than with placebo. Data are inconsistent or scarce regarding the effects of diclofenac-potassium versus placebo on other measures such as headache recurrence and working ability. Diclofenac-potassium was generally well tolerated in clinical trials in patients with migraine. Adverse events reported most frequently (abdominal pain, tiredness and fatigue and nausea) were typically mild to moderate. CONCLUSION: Diclofenac-potassium provides rapid pain relief (within 60 to 90 minutes), is well tolerated and reduces the frequency of some of the accompanying symptoms in patients with migraine. Available trials indicate that diclofenac-potassium provides similar pain relief to sumatriptan and is at least as effective as ergotamine plus caffeine, but appears to have a greater effect on nausea and vomiting than sumatriptan and a faster onset of action than both drugs. Comparisons with other NSAIDs are lacking. Diclofenac-potassium is likely to find a role as a useful first-line option in the acute treatment of migraine.

[neznakomka]

About-, has read through. But what consequences of constant reception of diclofenac? The preparation is rather toxic. I do not argue. It is possible to find series of clauses or articles. Where it is in black and white proved, that its or his toxicity below, than at analogues. However *quot; we appoint or nominate under the theory, we receive on OaO?N*quot;. On the basis of the experience I have drawn a conclusion on INADMISSIBILITY long primeneinja diclofenac (and it is peer and diklovita) in a medical practice.

I do not insist on that, what is it true in last instance, but patients falling into in my arms or hand receiving diclofenac, gradually *quot; ????a?*quot; from this preparation. As a rule. Successfully and. What is, the same patients in the further is perfect without it or him manage. By virtue of what there is a question - and how much or as far as initial purpose or appointment of diclofenac in general has been justified?: (

[konstantin]

Dear Elena! If you have tried set of medical products (vtom number specific antimigrenoznye agents, such as sumatriptan), and also reflexotherapy without the certain effect, it is certainly possible to recommend to you treatment by means of high technologies in a neurology - a method nejromoduljatsii.

The method nejromoduljatsi has come to us from abroad. High productivity has made its or his popular in clinics of the Europe, the USA, Canada, Japan. Now he began to be applied and in Russia, the truth, while only in scientific research institute NH by it or him. Burdenko.

For the Russian Federation methods nejromoduljatsii in treatment of chronic painful syndromes are new.

nejromoduljatsija - maloinvazivnye the methods of operative measures connected with electric and mediaeven stimulation of various departments of nervous system. The given method is not alternative or nonconventional. It is a method of functional neurosurgery which already more 20- years is successfully applied in the developed countries of the world. Using a chronic electrical stimulation, it is possible to receive desirable clinical effects not destroying or blasting a tissue. The implanted generator or the receiver through an electrode render impulsive influence on

In advance chosen structures or frames of nervous system. For example, in your case, thin (about a thin pin) the electrode is established or installed in diameter in the most morbid, trigger point (a point with which your headache) - usually in temporal area usually begins, in immediate proximity with a nervous sympathetic periarterial plexus) and connects with the generator of impulses (in size with a 5-rouble coin) which passes to contact of an electrode impulses overwhelming a pain. Characteristics of impulse (frequency, amplitude duration) in advance are programmed by the doctor by means of medical programmatora. The system is imperceptible to associates even to you. The electrode and the generator are under a skin. Last is usually placed in subclavial area.

The basic advantage of the given method of treatment is - *quot; management i?y?*quot; - you include a stimulator when necessary (on 5-10 minutes) and suppress a pain practically at once and for a long time. You will not need to wait any more when the medicine will help or assist and whether will help or assist in general. You in general can refuse any medicines or ian eak. Simply - press the button on programmatore the patient (which it is put to a skin above the generator of impulses) and you can forget about a pain. It Seems a fantasy, but today already the REALITY!



The list of the basic painful syndromes which are successfully treated by methods nejromoduljatsii:



1. A pain in extremities - painful syndromes owing to damage of peripheric nerves and plexuses (traumatic, inflammatory and other parentage). Including PHANTOM And KULTEVYE PAINS.

Pain in extremities connected with a vasospasm (a Raynaud's disease, an obliterating endarteritis, etc. angiospastic statuses). In such cases ES renders not only analgetic effect, but also influences the reason of a pain, eliminating or erasing;removing a vascular spastic stricture.

2. The Dorsodynia - painful syndromes owing to damage of a spinal cord and its or his roots (traumatic, inflammatory and other parentage). Among them the most widespread group of patients with a so-called syndrome of unsuccessful operative measures on a backbone (FBSS - Failed Back Surgery Syndrom) which very not bad gives in ESNS, in particular epidural stimulation of a spinal cord. Fasetochnyj a painful syndrome, miofastsialnyj a painful syndrome and others vertebrogennye (connected with a pathology of a backbone) the pains, not giving in conservative therapy and not having direct indications to surgical treatment in occasion of a basic disease (for example, a hernia of m/ of a disk).

3. A pain in a thorax - an intercostal neuralgia and posttorakotomichesky (after operations with opening a thorax) a painful syndrome. Including cardial pains - a pain at a stenocardia. At such pain operation on implantation of system for chronic stimulation eliminates or erases;removes not only a pain, but also its or her reason - a spastic stricture of coronary vessels and accordingly an ischemia, often being alternative to shunting operations.

4. A headache - painful syndromes owing to damage of craniocerebral nerves (traumatic, inflammatory and other parentage). In news on our site you can familiarize also with the first experience of treatment of the MIGRAINE by a method nejromoduljatsii.

5. An epileptiform neuralgia, etc. facial pains.

6. Consequences of traumas, disturbances of a circulation, a neuroinfection and dr.:

Painful syndromes owing to disturbances of a cerebral circulation (thalamic pains).

Painful syndromes owing to oncologic processes.

7. Complex regionarnyj a painful syndrome - KRBS (kauzalgija).



For more detailed information glance on our site - www.nsi.ru/6dept./functional/

I also shall respond to your letter.



http: // www.nsi.ru/6dept./functional

[marbak]

Dear Elena! If you have tried set of medical products (vtom number specific antimigrenoznye agents, such as sumatriptan), and also reflexotherapy without the certain effect, it is certainly possible to recommend to you treatment by means of high technologies in a neurology - a method nejromoduljatsii.

The method nejromoduljatsi has come to us from abroad. High productivity has made its or his popular in clinics of the Europe, the USA, Canada, Japan. Now he began to be applied and in Russia, the truth, while only in scientific research institute NH by it or him. Burdenko.

For the Russian Federation methods nejromoduljatsii in treatment of chronic painful syndromes are new.

nejromoduljatsija - maloinvazivnye the methods of operative measures connected with electric and mediaeven stimulation of various departments of nervous system. The given method is not alternative or nonconventional. It is a method of functional neurosurgery which already more 20- years is successfully applied in the developed countries of the world. Using a chronic electrical stimulation, it is possible to receive desirable clinical effects not destroying or blasting a tissue. The implanted generator or the receiver through an electrode render impulsive influence on

In advance chosen structures or frames of nervous system. For example, in your case, thin (about a thin pin) the electrode is established or installed in diameter in the most morbid, trigger point (a point with which your headache) - usually in temporal area usually begins, in immediate proximity with a nervous sympathetic periarterial plexus) and connects with the generator of impulses (in size with a 5-rouble coin) which passes to contact of an electrode impulses overwhelming a pain. Characteristics of impulse (frequency, amplitude duration) in advance are programmed by the doctor by means of medical programmatora. The system is imperceptible to associates even to you. The electrode and the generator are under a skin. Last is usually placed in subclavial area.

The basic advantage of the given method of treatment is - *quot; management i?y?*quot; - you include a stimulator when necessary (on 5-10 minutes) and suppress a pain practically at once and for a long time. You will not need to wait any more when the medicine will help or assist and whether will help or assist in general. You in general can refuse any medicines or ian eak. Simply - press the button on programmatore the patient (which it is put to a skin above the generator of impulses) and you can forget about a pain. It Seems a fantasy, but today already the REALITY!



The list of the basic painful syndromes which are successfully treated by methods nejromoduljatsii:



1. A pain in extremities - painful syndromes owing to damage of peripheric nerves and plexuses (traumatic, inflammatory and other parentage). Including PHANTOM And KULTEVYE PAINS.

Pain in extremities connected with a vasospasm (a Raynaud's disease, an obliterating endarteritis, etc. angiospastic statuses). In such cases ES renders not only analgetic effect, but also influences the reason of a pain, eliminating or erasing;removing a vascular spastic stricture.

2. The Dorsodynia - painful syndromes owing to damage of a spinal cord and its or his roots (traumatic, inflammatory and other parentage). Among them the most widespread group of patients with a so-called syndrome of unsuccessful operative measures on a backbone (FBSS - Failed Back Surgery Syndrom) which very not bad gives in ESNS, in particular epidural stimulation of a spinal cord. Fasetochnyj a painful syndrome, miofastsialnyj a painful syndrome and others vertebrogennye (connected with a pathology of a backbone) the pains, not giving in conservative therapy and not having direct indications to surgical treatment in occasion of a basic disease (for example, a hernia of m/ of a disk).

3. A pain in a thorax - an intercostal neuralgia and posttorakotomichesky (after operations with opening a thorax) a painful syndrome. Including cardial pains - a pain at a stenocardia. At such pain operation on implantation of system for chronic stimulation eliminates or erases;removes not only a pain, but also its or her reason - a spastic stricture of coronary vessels and accordingly an ischemia, often being alternative to shunting operations.

4. A headache - painful syndromes owing to damage of craniocerebral nerves (traumatic, inflammatory and other parentage). In news on our site you can familiarize also with the first experience of treatment of the MIGRAINE by a method nejromoduljatsii.

5. An epileptiform neuralgia, etc. facial pains.

6. Consequences of traumas, disturbances of a circulation, a neuroinfection and dr.:

Painful syndromes owing to disturbances of a cerebral circulation (thalamic pains).

Painful syndromes owing to oncologic processes.

7. Complex regionarnyj a painful syndrome - KRBS (kauzalgija).



For more detailed information glance on our site - www.nsi.ru/6dept./functional/

I also shall respond to your letter.



http: // www.nsi.ru/6dept./functional