WHAT IS IT? MIGRAINE HEADACHE
A vascular headache is typically termed a ‘migraine’.
A history of 5 or more similar headaches is necessary to be diagnosed as a migraine sufferer.
Signs & Symptoms
A migraine headache is one that:
has a sudden onset
causes inability to carry on with normal activities of daily living
will be one sided
has a throbbing nature
causes visual disturbances (loss peripheral vision, flashing) onset 20 min before headache
has a duration of hours
can be aggravated by climbing stairs
can be eased with migraine medication
can be eased with vomiting
What Causes It?
Triggers such as sensitivity to light, smells, foods, noise
Possible family history
Medication (endocrine – oral contraceptive, HRT, or vasodilators)
How to Self Manage
Medication (eg sumatriptan or aspirin)
Lie in dark room
Identify triggers and avoid them
Likely to be an ongoing issue
Trigger identification is important
Patients generally become good at sensing the onset and manage their condition appropriately (often with medication).
How Physio Helps
Joint mobilisation or manipulation
Muscle and neural stretches
Acupuncture or dry needling
Pilates exercises and deep cervical flexor education
Ergonomic advice (e.g. - workstation setup; correct pillow height)Joint mobilisation or manipulation
Posture awareness and advice