Triptan,Overuse,Headache,inter health Triptan Overuse Headache
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It is interesting to note that we nowhave another condition (or complication) in the headache and migraine industry Triptan Overuse Headaches! This was always going to happen as it did withMedication overuse headache. Whilst for many of my patients, thetriptans were their best friend initially, eventually over time they werefinding that they were needing to take another one in decreasing intervals,i.e. their effectiveness is decreasing or .. perhaps it is that the cause ofthe sensitisation process is worsening. It is imperative that the source of thesensitisation of the brainstem be determined. Essentially the brainstem is influencedby four systems: * serotonin * diffuse noxious inhibitory control system * information from structures inside the head blood vessels, teeth,gums, eyes, sinuses etc * information from structures of the upper neck muscles, ligaments,capsules, joints etc Of the above the easiest to confirm oreliminate is information from the neck. Can you imagine how one of my patientswho was experiencing migraine daily and who was taking Imigran (a triptan)three a times day for the past 10 years, felt when her migraine eased within 30seconds after placing her head into a retracted (i.e. the opposite to a pokingchin posture) position she burst into tears! What a moment .she realised herneck was contributing to her migraine. YourHeadacheSoultions.co.uk is one voiceof the Watson Headache Institute. The Watson Headache Institute wasestablished to increase the awareness of cervicogenic (neck) disorders inheadache and migraine by imparting my (and that of others) clinical experienceand knowledge; to present and discuss past and present relevant research and toundertake and support rigorous clinical and scientific research in thisspecialty. Appropriate and up-to-date knowledge isself-empowering; I believe that every headache sufferer has the right to knowtheir headache diagnosis as precisely as possible (and what it means), to knowthe nature of their headache disorder, its outcome and possible types oftreatment. What has yet to gain acceptance is my(and that of others) belief, supported by my unparalleled clinical experienceand a significant body of international research, that it is incorrect toconsider headache and migraine types as totally different entities and thatcervicogenic (neck) disorders can be instrumental in the headache and migraineprocess. Although Physiotherapy, Chiropractic andOsteopathy are different disciplines, we are supporters of the idea thatheadache and migraine sufferers, no matter what their diagnoses, can be helpedto live their lives more effectively through appropriate neck treatment.However, because treatment of the neck does not fit the medical model ofheadache and migraine, the model has demonstrated little interest in exploringthis as an option. It is essential that all factors, which have the potentialto sensitise the brainstem, be investigated equally. Currently this is not the situation theneck is largely disregarded. So, whilst YourHeadacheSolutions.com isalso about Education, it is also a directory for headache and migrainesufferers to source practitioners who have a particular interest in and areskilled in examination of the neck as a source of your headache or migraine to create a more comprehensive approach and provide an alternative,medication-free treatment.
Triptan,Overuse,Headache,inter