Thursday 7 June 2018

The Migraine World Summit Summary: Day 5


Day 5

Gretchen Tietjen: Body pain, Allodynia & Fibromyalgia

Migraine & Body – Body aches & hair hurts

Allodynia
- Pain without painful stimulus
- “Central sensitization”
- Examples include; combing hair, putting on glasses or earrings and pain whilst washing hair (sensitivity to heat or cold)
- Light touch can be extremely painful
- 80% will say they have experienced this with a migraine

Chronic migraine – can experience allodynia outside of an attack as well

Migraine comorbid conditions
1. Endometriosis (nerves to areas of endometriosis growths)
2. IBS
3. Interstitial cystitis
4. Chronic fatigue syndrome
5. Fibromyalgia (not problems with muscle itself – problem with nerves to muscles)

Central sensitization – trigeminal nerves (sinus, face & head) – explains why some people think they are experiencing sinusitis.

Allodynia sufferers
-        More likely to smoke
-        Higher BMI
-        More than one pain condition

Migraine and body pain- is it fibro?
-        Trigger points on the body; back of shoulders, spine, hips, elbows, legs. Sensitive on specific body points.

What can help?
1. Physical therapy
2. Exercise
3. Water therapy
4. CBT
5. Tai Chi
6. Mindfulness
7. Yoga.
8. Physio/ Psychologists

Medications
1. Fibro – duloxetine, pregabalin, Cymbalta (Approved by FDA)
2. SSRI (am) + Tricyclic antidepressant (amitriptyline) (pm) – combination of two can work well together. Anti-depressants can work well for migraine too.
3. Antivirals possibly for fibromyalgia

If you are able to stop the pain in your body – Allodynia usually calms down as well.

Communication between different doctors is very important. Brief your new doctor. Tell neuro what is happening with gynae for example. Accessing your notes from different areas can be difficult.

Neuro can make referrals to other specialists where required for example to a physio or rheumatologist.

SHARE:

13 comments

  1. Read latest information about leg vein diseases and their prevention. leg vein problem solution regular Exercise and laser therapy. This blog is very useful.

    leg vein problems

    ReplyDelete
  2. On the off chance that you feel any indications of vein or varicose vein, at that point you ought to be contact with vein treatment New Jersey. Now and then it very well may be a major issue so don't be postponement and visit best vein facility.

    ReplyDelete
  3. Thank you for sharing the best information and suggestions, I love your content and in case if you feel any symptoms of Spidervein on your face or any vein related query, I would suggest you to please visit Varicose Vein Treatment Texas.

    ReplyDelete
  4. Great work man i would like to congratulate you on this effort http://www.fifthavephysio.com/

    ReplyDelete
  5. Hi there, I read your blogs on a regular basis. Your humoristic style is witty, keep it up! Thank You for Providing Such a Unique and valuable information, If you are looking for the best Care After RF Ablation, then visit Spider and Varicose Vein Treatment Clinic. I enjoyed this blog post.

    ReplyDelete
  6. This is a great article with lots of informative resources. I appreciate your work this is really helpful for everyone. Check out our website Common Causes of Back Pain for more Knee and Back Pain Treatment Specialist related info!

    ReplyDelete
  7. common illness that can happen to any male. Erectile dysfunction is defined as a condition in which an erection is not sufficient enough to achieve satisfactory sexual activity professionally, or a state in which erection is not maintained and for further info please click this link here http://www.imfaceplate.com/JasmineAllardyce/what-is-erectile-dysfunction.

    ReplyDelete
  8. Really helpful down to the ground. Happy to read such a useful post. I got a lot of information through it and I will surely keep it in my mind. Keep sharing. If you are looking for some useful data and information regarding How To Cure Spider Veins then visit Spider and Varicose Vein Treatment Clinic.

    ReplyDelete
  9. This comment has been removed by the author.

    ReplyDelete
  10. Great job for publishing such a nice article. Your article isn’t only useful but it is additionally really informative. Thank you because you have been willing to share information with us. Back Pain Treatment Malaysia

    ReplyDelete
  11. Thanks for this great post, i find it very interesting and very well out and put together. I look forward to reading your work in the future.Hunza Valley Supplement

    ReplyDelete
  12. I have bookmarked your websites to get better information that is really helpful for us who do not have the knowledge. Your post is as usual always awesome. https://www.vipmedicalgroup.com/

    ReplyDelete
  13. You've provided some very useful information. I'm glad I came into this article because it provide a lot of important information. Thank you for sharing this article with us.Bioidentical Hormone Replacement Therapy in Marietta GA

    ReplyDelete

MINIMAL BLOGGER TEMPLATES BY pipdig