Massage therapy has been used successfully to treat chronic pain and tension.
But did you know that it helps relieve and prevent the pain associated with migraines and tension headaches?
Therapeutic massage offers a noninvasive and medication-free approach to help manage your chronic headaches.
Research has shown that massage may reduce the frequency and severity of headaches.
Massage for migraines targets specific muscle groups that may be contributing to your headache.
We have a wonderful massage therapist here at The Manhattan Center For Headache & Neurology who is licensed and trained in technique for chronic headache.
By: Brooke Steiger, FNP
It’s hot and humid outside! During these summer months, it’s very important to stay hydrated. Not drinking enough fluids and not eating fluid rich foods can result in your body not getting enough of the fluids that it needs. This may cause a dehydration headache, a secondary headache caused by not having enough fluids. This is especially common during the summer months when you are more active than usual and enjoying the beautiful weather outside. Be aware of becoming dehydrated. Common signs of dehydration include extreme thirst, reduced urination, dark colored urine, confusion, dizziness, fatigue, dry, sticky mouth, loss of skin elasticity, low blood pressure and increased heart rate. People at higher risk of dehydration include: people who live in higher altitudes, infants and young children, elderly people, people with chronic illnesses (diabetes and kidney disease), endurance athletes and people who live in hot climates. But remember, anyone can become dehydrated if it’s hot outside and you are active! Severe dehydration may result in seeking medical attention to restore fluids. During this 4th of July holiday increase your fluid intake and replace lost electrolytes with a sports drink! Try to temporarily decrease physical activity in extreme heat. The Manhattan Center for Headache & Neurology wishes you a very happy and festive Independence Day Celebration. Stay cool and hydrated! Have fun and celebrate!
Prevention is the key to managing migraines and headaches. Here are some non pharmacological methods of migraine and headache reduction. In our practice we recommend below preventatives which minimize headache frequency.
Magnesium 200-600 mg
Gluten free Diet
Peppermint and Lavender Essential Oil
Herbs: Feverfew and Butterbur
B complex Units (Vitamin B20
Call us to discuss these options! We look forward to helping you!
A retinal migraine is a rare type of migraine that involves an aura. Unlike most migraines with aura, a retinal migraine affects vision in one eye only. When a headache causes you to temporarily lose vision in one eye, it is a Retinal Migraine. The headache will also occur at the same time or within an hour of the vision problems.
Retinal migraines happen when a blood vessel in the eye spasms, causing a reduction in the blood flow to the eye. As the blood vessel relaxes and blood flow returns to normal, the symptoms usually disappear, and the vision comes back.
Emotional stress, tension, and being overtired, too much caffeine or caffeine withdrawal, bright lights or loud noises, changes in sleep patterns, hormonal changes in women, medications that lead to swelling in blood vessels, excessive or regular use of pain relievers for headaches, not eating or drinking enough, individuals with a personal or family history of migraines, retinal migraines also affect women more often than men.
A retinal migraine involves repeated attacks of certain visual disturbances, which usually happen before the headache phase of the migraine.
Symptoms: flashing, sparkling, or twinkling lights, a blind spot or partial loss of vision, temporary blindness
Migraine headaches may be: pulsing or throbbing, moderate to severe in pain intensity, susceptibility to exacerbation by activities, such as walking or climbing stairs
A migraine headache may also cause: nausea and vomiting, increased sensitivity to light, increased intolerance to sound.
To learn more about retinal migraines contact MCHN and speak to one of our caring providers!
By: Rajni Bala NP
This is a chronic persistent headache that varies in severity, and always occurs on the same side of the face and head. A very small percentage of patients will have pain on both sides of the head and face. Hemicrania Continua is more common in women than in men. The cause of this disorder is unknown.
This diagnosis is given if a patient has the following:
a one-sided daily or continuous headache of moderate intensity with occasional short, piercing head pain (3-5 times per day) for more than 3 months without shifting sides.
The headache responds to indomethacin.
The headache is accompanied by one of the following: eye redness and/or tearing, nasal congestion and/or runny nose, ptosis (drooping eyelid) and miosis (contracture of the iris). Occasionally, some patients may experience forehead sweating and migraine symptoms, such as throbbing pain, nausea and/or vomiting, or sensitivity to light and sound.
This disorder can be either chronic (daily headaches), or remitting, in which patients may have up to 6 months of daily pain, then experience pain free periods of weeks to months until the pain returns. Physical exertion and alcohol use may increase the severity of headache pain in some patients. If you are experiencing any of these symptoms, please call us for a consultation today.
The FDA granted a de novo request for approval of a smartphone-controlled electroceutical for the acute treatment of migraine with or without aura in adult patients who do not have chronic migraine. The Nerivio Migra is a wearable device that goes on the upper arm and this device is controlled from your smartphone.
It was invented by Theranica, an Israeli company, with the goal of relieving migraine pain without the side effects of medication.
Nerivio Migra is the 1st FDA approved low cost, low side effect wearable device for the acute treatment of migraine.
The Nerivio Migra has 2 electrodes on the inside of the arm band.
Through a patient’s smartphone, it generates electrical impulses, sending them to the brain to release the body’s own painkillers to the nerves.
Similar to a nicotine patch, you place the Nerivio Migra device on your arm above the elbow. The device communicates wirelessly via Bluetooth with your smartphone, which regulates the electrical pulses and sets a timer. A 45-minute treatment can bring relief for pain within two hours.
In tests, 66.7% of the 252 migraine sufferers in 13 clinics felt relief after 2 hours, compared to 28% of those using a placebo, or dummy device.
Depression can be linked to physical symptoms. This can include feeling fatigue and a decrease in energy. You may also have some insomnia and/or early morning awakening. Conversely you may feel more tired than normal or have excessive sleepiness. It is also possible to have persistent aches and pains, cramps, headaches, or digestive problems that do not resolve with treatment. A change in your appetite is possible, and can occur either with an increase or a decrease in appetite.
Without proper treatment depression can have a significant impact on your daily life. Your career, hobbies, and lifestyle may all be affected. Treatment may consist of prescription management for your headaches, SSRI’s and behavioral therapies.
Call the Manhattan Center for Headache & Neurology to help you treat your headaches associated with depression. Speak to one of our caring providers to discuss the best treatment option for you!
Many adult may struggle with ADHD, and do not know that they have it. ADHD is easier to recognize in kids, but the symptoms in adults are more subtle. Indications of adult ADHD may include:
- Difficulty with getting organized. Responsibilities such as paying bills, your job, and dealing with children can make organization issues more obvious.
- Driving recklessly and frequent accidents. ADHD can affect your attention, so people are more likely to speed and cause accidents.
- Marital problems. Adults with undiagnosed ADHD may have poor listening skills and not able to honor commitments leading to arguments with partner.
- Being easily distracted, which can lead to underperformance at work.
- Being, restless, edgy or tense
- Delay in starting tasks that requires a lot of attention.
- Not meeting deadlines or being late for events. This is often due to distractions and underestimating the time to finish a task or an assignment
- Outbursts of anger. People with ADHD have trouble with controlling their emotions. They may get angry over minor issues, and their anger often fade quicker than before the person involved has gotten over it.
- Issues with prioritizing such as spending hours on something minor instead of focusing on bigger obligations.
Adult ADHD can be hard to diagnose, as these symptoms can also be signs of other medical conditions. If you think you have it, call The Manhattan Center For Headache & Neurology to schedule an evaluation.
Tanesha Reynolds, DNP, FNP-BC
Most patients with epilepsy also suffer from headaches. Headaches are common mostly after tonic-clonic seizures, but can also follow simple and complex partial seizures. These headaches are called post-ictal headaches because they occur after seizure activity. Post-ictal headaches are usually generalized, steady/throbbing with a duration from 6 – 24 hours and can be very disabling resulting in loss of time from routine activities.
Though less common, a headache may also occur before a seizure. A headache is sometimes the only symptom of a seizure and is a type of aura as it warns of a coming seizure. These headaches are called pre-ictal headaches, because they occur before the start of any seizure activity. These headaches are usually short-lasting with a throbbing, steady or sharp quality.
A headache can also occur during a seizure episode. This is very rare, but are actually seizure symptoms. Can be pounding, but also sharp and steady. Onset can be sudden or pain can just build gradually. Ictal headaches are seen in all types of epilepsy.
Patients with seizures are twice as likely to have migraine headaches. Migraines and seizures have very common symptoms. They can both be triggered by the same things such as stress, alcohol, hormones, fatigue, dehydration. Also, the aura before a migraine is very similar to the aura before a seizure which may consists of flashing lights, zig-zag lines, distorted images, blind spots, etc.
Don’t be afraid to seek medical treatment if you have both headaches and seizures.
Tanesha Reynolds, DNP, FNP-BC
The ulnar nerve runs the entire length of the arm, there are several places along the nerve that can become compressed or irritated. This compression or irritation is known as ulnar nerve entrapment. Ulnar nerve entrapment is the second most common entrapment nerve pain in the upper body. Ulnar nerve entrapment happens most often at or near the elbow, particularly on the inner part of the elbow. This is known as cubital tunnel syndrome. Ulnar nerve entrapment can also happen less frequently at or near the wrist.
- Intermittent numbness and tingling in the ring and pinky fingers
- A weak grip in the affected hand
- A feeling of the pinkie and ring fingers “falling asleep”
- Difficulty controlling fingers for precise tasks, such as typing or playing an instrument
- Sensitivity to cold temperatures
- Pain or tenderness in the elbow joint, especially along the inner aspect
- In severe and long-standing cases, muscle wasting of the hand may also occur.
Treatment for ulnar nerve entrapment depends on how severe the entrapment is.
Initial treatments for ulnar nerve entrapment may include anti-inflammatory medication and physical therapy.
use of anti-inflammatory medications to reduce swelling
elbow braces or splints to keep the joint straight at night
exercises and physical therapy to help the nerve slide through the arm correctly
If the ulnar nerve entrapment is severe or nonsurgical approaches to treatment fail, a doctor may recommend surgery to fix ulnar nerve entrapment.
By: Rajni Bala, NP, RN