Knee pain can be caused from wounds to the knee or hip. Did you know the knee joint is made out of three articulating bones: the femur – which is the thigh bone; tibia – the shin bone; and patella – the knee top.
These bones are held together by several ligaments and the quadriceps muscle assists with solidness. The joints additionally have menisci which help to shape the knee’s surfaces joint so they can articulate more positively and help to give some lubrication.
The joint is additionally encompassed by a few bursae – liquid filled sections which help with lubrication between the distinctive structures. Knee pain can form from harm to any of the above structures, so its important to take care of your knee.
Types of knee pains:
The distinctive sorts of wounds to the knee are characterized by the affected structure of the knee and the instrument by which it’s harmed. There are numerous sorts of knee pains one can encounter for instance:
Knee sprains are wounds to the ligaments that hold the knee together. Multiple ligaments settle the knee and keep it in the arrangement. The anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) balance out the knee in development from front to back and cross one another amidst the knee joint. The medial collateral ligament (MCL) and sidelong lateral collateral (LCL) balance out the knee so that the bones don’t slide from side to side.
Ligament sprains are reviewed by the measure of extending or tearing of the ligament strands and the amount of shakiness it causes as follows:
Grade 1 knee sprain: The ligament is extended and excruciating, yet strands are not torn and no instability is available.
Grade 2 knee sprain: The ligament strands are torn mostly, gentle instability may occur.
Grade 3 knee sprain: The ligament strands are totally torn and the knee is shaky.
Knee strains happen when tendons or muscles encompassing the knee are extended, generally because of hyper-flexion or hyper-extension of the knee. These strains can prompt agony outside of the knee joint. The patellar tendon extends from the lower kneecap to the tibia’s front bone at the leg’s front.
Knee bursitis happens when a liquid filled pocket (called a bursa) in the knee is aggravated, excited, or contaminated. Bursas are liquid filled sacs situated around joints that go about as safeguards that minimize the contact between different tissues, for example, the muscles and tendons around the joints. In the knee, there are two primary bursas: one over the kneecap (patella), and one beneath the knee joint close to the tibia’s front bone.
Tears of the meniscus:
Tears of the meniscus can happen from harm within the knee. The average and horizontal menisci are semi-round bits of the ligament that go about as safeguards and smooth pads for the thighbone (femur). These menisci can be harmed intensely or can slowly crack because of abuse and/or aging.
Knee joint separation:
Knee joint dislocation can happen because of high-effect, extensive power wounds to the knee (games, vehicle mishaps). This is not a common injury yet has serious harm to all the anatomical segments of the knee and can incorporate harm to the veins and nerves about the knee. This requires crisis treatment or surgery.
Knee cracks happen from direct hits to the bones. Patella, or kneecap, breaks happen when a man or woman falls down onto their knees and the kneecap splits due to force. Breakdown of the highest point of the tibia bone in the knee can happen from sudden pressure harm to the knee, particularly in individuals with osteoporosis. Different cracks of the long bones (fibula, tibia, and femur) are uncommon with disengaged harms to the knee.
Knee Pain Statistics
Knee pain is an exceptionally basic condition and continuous issue displaying to general specialists. The general commonness of knee pain in the populace is roughly 19%. The occurrence increments relentlessly with age.
The occurrence of the knee pain has been observed to be marginally more regular in females contrasted with men. The general predominance of knee pain in ladies is roughly 20%. While, the general commonness of knee pain for men of all ages is somewhere around 15 and 20%. Knee pain, especially perpetual knee pain is less normal in youngsters because of decreased occurrence of degenerative joint sickness.
Supartz treatments are a joint liquid treatment affirmed for the treatment of osteoarthritis (OA) in the knee in patients who have reacted inadequately to non-pharmacologic treatment and basic analgesics. This medication is a reasonable, viscous fluid that is infused into the knee joint. It is intended to give long haul torment alleviation by supplementing the body’s characteristic synovial liquid, which is corrupted because of OA. Supartz is controlled by intra-articular infusion once per week for a sum of five infusions. Supartz treatment can help ease your agony, enhance your versatility, and get you back to your typical exercises.Supartz is being used since 1987 and around 143 million infusions has been given.
What is Supartz?
Supartz is the world’s most endorsed joint liquid among the large number of Americans who endure with crippling incessant knee torment. Presently, new natural medicines are assisting numerous torment alleviation.
Firstly, Supartz is not a drug. It’s an answer of cleansed hyaluronan, a characteristic concoction found in the body’s joint tissues and in the liquid that fills the joints. The body’s common hyaluronan acts like an ointment and safeguard in wellbeing joint liquid. On the off chance that you have Osteoarthritis, it diminishes the liquid’s capacity to ensure and greases up your joints.
Before using Supartz:
Some therapeutic conditions may cooperate with Supartz. Tell your specialist or drug specialist if you have any medicinal conditions, particularly if any of the accompanying apply to you:
If you are pregnant, wanting to wind up pregnant, or are bosom sustaining.
If you are taking any solution or nonprescription prescription, home grown arrangement, or dietary supplement.
If you have sensitivities to prescriptions, sustenance, or different substances.
If you are adversely affected by flying creatures or flying creature items (eg, eggs, plumes, poultry). A few brands of Supartz may contain fixings that originate from chickens.
If you have gotten another injectable drug in the same joint in which Supartz will be infused
A few medicines may interact with Supartz. Tell your doctor if you are taking some other solutions, particularly any of the accompanying:
Quaternary ammonium salts (e.g., benzalkonium chloride) in light of the fact that symptoms may happen.
Northstar Integrated Medicine Center
Northstar offers a wonderful Supartz Injection therapy for the treatment of Osteoarthritis. This astounding treatment provided by them is an injectable characteristic substance that lubricates the joint from the inside, assisting restore for working so you can return back to your day by day routine and activities with less agony, more scope of movement and more certainty.
Supartz Injections at Northstar are managed with the assistance of an expert to guarantee least side effects. Northstar’s definitive objective is to help you with this procedure with sympathy, commitment, and wisdom.
Supartz Injection Process at Northstar:
When you get a Supartz infusion, the specialists’ objective at Northstar is to position a needle into what is known as the joint space, the space between the finishes of the bones.
Before embedding the needle, the doctor will feel your joint to focus precisely how to position the needle.
When the passageway point is recognized, the doctor will clean the zone with liquor and will spray the zone with a solidifying spay. The spray’s coldness serves to decrease agony, making the needle’s passageway verging on effortless.
Sometimes, the specialist will utilize a sort of x-beam called fluoroscopy to see the needle inside the joint and guide it to the right spot. Ultrasound is likewise turning out to be more regular for this reason.
Before giving the infusion, the specialist might aspirate the joint, or draw liquid out of it utilizing a needle and syringe.
The specialist will then inspect the liquid by eye and may send it to a lab to assess it for indications of contamination (white platelets), harm (red platelets), precious stones (demonstrating gout or pseudo-gout), or aggravation.
Notwithstanding its helpfulness for a conclusion, joint aspiration can bring about the joint to feel good and versatile. Suctioning the liquid in a knee joint likewise brings down the danger that the liquid will pool behind the knee, a condition called Baker blister. Once the liquid has been depleted, the proposed pharmaceutical is infused into the joint. The doctor then moves the joint around to scatter the solution and puts a gauze on the infusion site.
Your specialist may approach you to maintain a strategic distance from strenuous exercises for several days taking after the infusion. Most patients experience next to zero distress amid the infusion. In case you’re worried about the infusion, converse with your specialist at Northstar about approaches to lessen any mellow agony that may happen.
Supartz treatment is sanction for 5 week by week infusions, yet a few patients may benefit from just 3 infusions.You may not feel better instantly, but in a couple of days you ought to notice a lessening in agony and swelling. If you are uncertain about joint infusions, recall that keeping your joints solid assists you with keeping up a sound body and an uplifting viewpoint.
How it works:
Torment from osteoarthritis happens when corrupted ligament in the knee results in expanded provocative procedures. With torment receptors terminating at all times, amid ordinary development, the hyaluronic corrosive in the synovial liquid in the knee gets to be weakened and separated. Minor measures of pain in the knee can bring about restricted development and a further debasement of the joint structures, which thusly brings about considerably poorer quality synovial liquid etc.
It’s vital for individuals who experience the ill effects of knee osteoarthritis to keep up ordinary development in their knees. This keeps the further decay of the joint. SUPARTZ infusions offered by Northstar keeps this breakdown by restricting torment and permitting the patient to keep up common levels of action.
Benefits of Supartz:
Northstar Integrated Health & Physical Medicine Center offers Supartz treatment, Natural-Knee Therapy, which enhances irritation and facilitates torment without surgery or substitution.
Supartz treatment can help you in assuaging your agony, enhancing your versatility, and getting you back to your ideal action level.
Different advantages of this treatment alternative are that it is non-surgical and in addition non-pharmacological.
Side Effects of Supartz Injection:
Like any medicine, Supartz Injections ought to be managed with the assistance of a wellbeing expert to guarantee least symptoms. Patients make inquiries with respect to symptoms of Supartz. A percentage of the less serious effects are:
Warmth, torment, solidness, swelling, or puffiness where the medicine was infused;
Queasiness, stomach torment.
Deadness or tingly feeling.
Icy side effects, for example, stuffy nose, sniffling, sore throat.
Tingling or skin aggravation around the knee.
Northstar Works for You
Northstar Integrated Health & Physical Medicine’s Center will likely furnish patients with a social insurance encounter that is considered well beyond. They guarantee to make the best conceivable appraisal of your condition with the goal that they can figure out what it is that you have to assist you with recouping and to stay better. They put stock in instructing patients about all the treatment alternatives that are accessible and what their office can give to you. It is the essential objective of their office to help patients with their needs from a comprehensive and element viewpoint and methodology. They value respecting the patient’s condition from the physical, mental, enthusiastic, otherworldly, social, mental and vivacious perspectives. It is their aim to put the understanding’s prosperity to begin with, as a basic and standard human right, bringing about every patient getting the quality care that everybody merits. They regard and respect the astuteness within you: that your body can mend and restore itself when all obstructions are legitimately distinguished and tended to.
It is commonly thought that herniated discs and bulging discs are the same thing. However, they have a few differences that are worth being mentioned.
A herniated disc occurs when there is a crack in the outer layer of the disc or the annulus. The crack affects the disc and allows the inner material of the nucleus pulposus to erupt from the disc. This is where a bulging disc is different.
A bulging disc bulges outside the space it would normally be in in your vertebrae. However, it does not explode. It will affect a larger area of the disc that a herniated disc would. It is more common to have a bulging disc but it is also more painful. However, it is possible to have a bulging disc and feel any pain.
Herniated Disc Causes and Therapies
As discussed in the previous section, a herniated disc is the result of a disc in the vertebral spine being torn or deformed. There are several symptoms that come along with a herniated disc. They are all dependent on the location and intensity of the hernia.
For example, a herniated disc that comes from a car accident may have initial lower back pain. This is pretty common. Hernia pain can be crippling for the first few months. If the pain in the lower back does not come to an end, it could imply that the disc is putting pressure on a root nerve.
Treatment Methods for Herniated Discs
There are a few different treatment methods for herniated discs. Treatment generally begins with rest, ice and heat, and anti-inflammatory medicine. During this stage, any twisting or bending are prohibited, as they will restrict healing. It is impertinent that you seek advice from a medical professional before you begin any treatment method. It is never a good idea to self diagnose.
If the pain in the herniated disc has not improved within the first stage, your doctor may prescribe a stronger treatment such as steroids. These will help to target the inflammation of the nerves that are caused by the hernia.
If your disc affects the sciatic nerve, you may have a condition known as sciatica. This is when a bigger herniated disc rupture applies direct pressure on the sciatic nerve. The pressure causes pain in the lower back and burning sensations in the leg and foot. There are new treatment options available for helping to get rid of the painful symptoms that come with herniated discs and sciatica. A small surgery can be done in order to remove the rupture from smaller incisions. In addition there are new anti-pain agents that can target the irritation from the sciatic.
Hernia and Treatments
When the victim of a herniated disc loses control of their bladder and bowel function, it is essential to undergo major therapy to replace an artificial disc. This is known as ‘cauda equina‘ syndrome and is a medical emergency. A small percentage of all hernia operations have a side effect called “failed back surgery syndrome.” When you are deciding on the medical treatment you want to pursue, it is important to look at all of your options. It is also important to consider the risks that come with the different treatments. You may determine that some of the risks are not worth it in regards to your health. There are over thirty possible treatments for a herniated disc so you are not limited to a small array of treatments. They range from surgical to non-invasive.
Keep in mind that there are oral medications available but they help to alleviate the pain and treat the symptoms as opposed to curing the pain. Overuse of medication can cause additional symptoms such as liver dysfunction and constipation.
Another pain relief remedy comes in the form of steroid injections. These are injected directly into the tissue. However, this treatment can cause damage to the cartilages if it is applied more than twice a year.
It is not all bad news. There are natural pain management options that are just as effective as surgery and medicine. They may be even more effective. There are herbal remedies that come in a gel form that can be applied to the affected area. These will reduce inflammation, painful nerves and tissue swelling. If you are seeking these methods, make sure you are getting advice from someone who is registered as an alternative medical healer. Ice packs are a proven therapy and are often recommended over heat therapy. Ice helps to reduce the inflammation and swelling around the pinched nerve. It is important to repeat the treatment on a regular basis, or about ever hour. You will begin to feel less pain within a few hours and even less pain after a couple of days.
Another way to relieve the pain of a herniated disc is to bounce on a gym therapy ball. All you need to do is bounce gently on the ball for five minutes. This aids the support of blood flow and nutrients to the disc gel. This provides pain relief much faster.
Massage therapies also help with relieving the pain of a herniated disc. Make sure you seek out a professional trainer or trained massage therapist to help you with this therapy. It is important to be consistent with your exercising in order to successful in healing.
If you have tried all of these methods and still have pain, you may need to seek surgery. However, how much pain is unmanageable is up to you and the decision is ultimately yours. If you are thinking about surgery make sure you find a doctor who can perform one of the less invasive surgeries that are available. This will lead to fewer complications and faster recovery time.
Bulging Disc Causes and Therapies
Bulging discs are one of the most serious spinal injuries a person could endure. The pain is so intense that it could lead to a disability. The causes of a bulging disc are various. It can be genetic as well as from toxins building up in your body. Toxins will weaken the walls of the spinal discs, which will then develop into bulging discs.
These toxins can build up for a number of reasons including (but not limited to): poor diet, insufficient water intake, smoke, and excessive alcohol consumption. All of these habits make a big difference in the health of your spinal discs.
What is interesting, though, is that spinal discs are not designed to feel pain. Of course this sounds peculiar because of all the pain that comes with this condition. However, think about it for a second. The main job of the spinal discs is to absorb shock. If you felt this you would be in constant pain. That makes sense, right?
Why are Bulging Discs so Painful?
The spinal nerves are directly behind the discs of the spine. When you have bulging discs, the bulge will apply pressure to the nerves and cause a lot of pain.
There are also disabilities that are commonly associated with bulging discs. This is because the spine controls the entire body. If there is pressure applied to the nerves they are going to stop functioning as they are supposed to. If there are bulging discs in the cervical spine (neck) you will experience neck pain but may also have headaches, shoulder, arm and head pain, or numbness or weakness, chest pain, or thyroid problems (which could lead to weight problems). You may not have thought of these symptoms just from pain in the neck but it is more common than you think. This is because the nerves in the neck control all of these parts of the body.
Bulging discs in the lumbar region of the spine can lead to back pain which may travel down the leg and lead to the feet or even bowel and bladder problems. In addition you may experience sexual organ dysfunction. I know these sounds scary but don’t worry. There are treatments available to help solve the problem. Unfortunately, they may not always be very effective.
Most doctors will prescribe medications, pain injections, and physical therapy or even suggest surgery as a last resort. The treatments are all designed for numbing the aggravated nerve and reducing the inflammation in the area.
Sure this sounds all fine and dandy but it is temporary relief. They do not solve the cause of the problem, which is the injured disc. Bulging discs no not help the spinal cord with blood flow. Blood is important because it carries oxygen and nutrients to tissues that have been injured. This leads to faster healing. When the discs do not receive the blood supply healing can be pretty problematic.
Using Physical Therapy on Bulging Discs
This is the most common treatment. This usually involves an ultrasound, hot packs, or therapeutic massage. This therapy is nice and easy because it only requires you to stretch, and relax.
Chiropractors will sometimes use spinal manipulation and traction when they are treating bulging discs. If the treatment is used properly you will see good results. This is because there is pressure applied to the source of pain.
Using Medication on Bulging Disc
There are medicines such as painkillers, relaxants, and anti-inflammatory medicines that can be used in the treatment of bulging discs. These help to relieve the pain while aiding your muscles to relax.
Cortisone injections are effective medicines that are injected into the spinal canal. They help to give you fast relief of pain and inflammation. However, they can lead to irritation of your nerves. The con to this kind of treatment is that you may become dependent on drugs. This means that the recurrence of the pain will require a higher dosage of medicine. Long-term use of painkillers may cause health problems down the line.
Using Spinal Decompression on Bulging Disc
This is different from the methods that were discussed in the previous method. There are not drugs used in this treatment but the results are also effective. When using this method you can relieve yourself from pain while treating the disc problem. This method uses computer-controlled pumps to enable spine rehydration to the disc. This can re-position the spine tissues to their original location. This will give you relied in a more natural way.
Another alternative is a do-it-yourself technique in your home. What you need to do is get an inversion table and hang upside down or angle it in your home. This will take the pressure off your spine and allow you to build and strengthen core muscles to keep your back strong.
The treatment you choose to take it up to you. Everyone has different preferences. No matter what you do you will see results. Some treatment plans work faster than others. Some are more painful to do and challenging. You need to consult with your doctor before trying any treatment plan. Make sure the plan is safe for you. Also, be patient. Never try a new treatment plan before moving on to another one.
“I can’t tell you how many shows I’ve done with full-blown migraine headaches.” – Jonathan Taylor Thomas
Before we can stop or prevent a migraine, we first need to know what triggers such pain. By knowing what can cause it, we will be able to find ways to avoid it.
For people who have not experienced migraines, they might consider it as a mild disease and others might just see it as just an inconvenience. However, for someone who has been a victim of this painful condition, finding a way on how to prevent it is a priority.
Headache Vs. Migraine
There are people who mistakenly believe a headache is a migraine, and unfortunately they would be incorrect. There is a difference.
A headache is an almost universal experience; most of us have some kind of headache at some time in our lives. The classification system of headaches used by the medical profession is one of the longest in medicine, with many types and causes.
The first is based on symptoms (called primary headache disorders) and includes migraines, tension-type headaches and cluster headaches.
The second is based on their causes (called secondary headache disorders). This would include headaches associated with a head injury, stroke, substance misuse and/or their withdrawal (including alcohol), infection, disorders of the neck, eyes, nose, sinuses or teeth.
If you experience recurring (regular) headaches it is helpful to understand the type of headache which you have in order to manage your condition effectively.
How is a headache different from a migraine?
There is a difference between a headache and a migraine headache. Headaches are not usually accompanied by symptoms associated with migraine. However, it is quite likely that if you have migraine you will also experience other headaches.
Headaches can vary greatly in their duration, cause and severity. A hangover headache, for example goes within a few hours and headaches associated with an infectious illness improve when the illness is over.
It is really important to identify the type of headache you have so you can get the right sort of treatment and advice. A headache can be the result of a whole variety of factors such as head injuries, infections and other medical conditions.
In general terms, migraines are experienced as a headache of at least moderate severity usually on one side of the head and occurring with other symptoms such as nausea, vomiting, sensitivity to light and noise (though some people experience migraine without headache). The headache is usually made worse by physical activity. Migraines usually last from 4 to 72 hours and in most cases there is complete freedom from symptoms between attacks. Certain factors are involved in triggering an attack in those predisposed to migraine. These are usually called “trigger factors” and can include lifestyle, and hormonal changes.
Now we know what a migraine is, let’s go to what the triggers are so we can avoid them.
What prompts a migraine is not yet fully understood, however, pain management specialists do know that many factors can trigger a migraine.
Keeping a journal of known triggers—such as certain foods, sounds, or bright lights—may be beneficial in avoiding future migraine attacks. It’s also crucial to never overuse or abuse any prescription treatment for migraine. Misuse of medication can lead to increased migraine attacks and chronic migraine symptoms.
A dramatic increase or decrease in physical or psychological stress can trigger migraine. Danish researchers found that a majority of migraine patients report that stress is linked to the onset of migraine attacks. Other researchers have reported that between 50 and 80 percent of migraine patients say stress triggers their migraine headaches. Some patients experienced migraine in the aftermath of a stressful event, while others experienced a new attack in the midst of a stressful event.
Lack of Sleep or Jet Lag
Sleep disturbance is one of the most common factors linked to migraines. Insufficient sleep is often cited as a trigger for acute migraine attacks, and excessive sleep is a frequently reported trigger as well. Jet lag and changes in your work schedule can also be linked to the onset of migraine with insomnia being the most common sleep disorder associated with chronic migraine. Chronic migraine patients who suffer from insomnia are at increased risk for anxiety or depression.
These conditions have one thing in common: sleep disturbance. Fortunately, many patients report that sleep often relieves their migraine headaches.
The artificial sweetener aspartame and the flavor enhancer monosodium glutamate (MSG) may trigger migraines. Scientists have experimented with aspartame but so far have yielded conflicting results leaving the issue of its possible effects among migraine patients remains unresolved. There is some evidence that clinical depression patients may experience worsened symptoms after consuming aspartame.
MSG is a “flavor enhancer” used to impart a savory flavor to various foods. Many people in the general public believe MSG can trigger headaches, however controlled research has failed to identify a link between the consumption of MSG and headache, or any other condition in normal individuals. However, a recent study concluded that MSG could trigger headache and pain in the face and head. It may be wise to avoid this additive.
Hunger or Dehydration
Migraine patients would do well if they avoid skipping meals. Research consistently shows that skipping meals is frequently linked to the onset of migraine although it remains uncertain how this happens. Speculation is it’s probably related to falling blood glucose levels.
Dehydration has also been suggested as a possible migraine trigger with the failure to drink enough water being linked to the onset of headaches. A small survey of migraine sufferers revealed that “insufficient fluid intake” was linked to headache onset in about 40 percent of responding people.
Highly Caffeinated Beverages
Some experts have reported that excessive caffeine consumption may trigger migraines, which is why it’s wise to monitor your intake of caffeine from coffee, tea, soft drinks, and energy drinks. Caffeine levels can be surprisingly high in energy drinks, and some researchers have noted that caffeine withdrawal may also trigger a headache. Other experts warn against over-consumption of caffeine.
Why would women have a special case of migraines? For one, birth control pills are a known as a migraine trigger.
But would you believe there is such a thing called menstrual migraines? Men are probably not aware of this.
Migraines in women are connected to the changes in the levels of estrogen (female hormones) during a woman’s period (also called the menstrual cycle). These female hormonal levels dramatically decrease just before the beginning of the menstrual discharge.
When these hormones like progesterone and estrogen drop to their lowest, migraines occur routinely during or after the drop. And since these migraines are associated to the menstrual cycle, it is expected that the migraine attacks will end during pregnancy. However, it is possible that women during the first three months of pregnancy would still have headaches but they will diminish after the first trimester.
You might ask, what happens to the women when they reach menopause? Menopause is the period of permanent cessation of menstruation, usually occurring between the ages of 45 and 55. There is still a possible migraine trigger for women who are in menopause like the hormone replacement therapy. The purpose of this therapy is to relieve symptoms of the menopause.
They say that an ounce of prevention is better than a pound of cure. Some of the migraine triggers mentioned above can be avoided (like avoiding drinking highly caffeinated beverages), however there are instances that the triggers cannot be avoided (if you need to ride a plane for example). But there are preventive treatments available to us on these situations to avoid a migraine attack.
There are numerous medications that have been shown to be effective in the preventative treatment of migraine. Details of some of the more commonly used preventative treatments are outlined below. The choice of treatment can be influenced to varying degrees by the particular pattern of migraine, patient co-morbidity, tolerability, teratogenecity, potential side effects, ease of use, and patient choice. Guidelines on the choice of preventative medication have been produced by the British Association for the Study of Headache, and the American Academy of Neurology, among others.
Preventative treatments should be commenced at a low dose, to minimize the possibility of developing side effects. The dose should be steadily and regularly increased until, ideally, the medication works, or else until intolerable side effects kick in, or until a maximum dose is reached, whichever comes first. It can thus be concluded whether that medication is going to work or not for that individual patient. If it doesn’t another preventative treatment can then be tried.
Assuming the preventative treatment works well, that medication can then be continued for a few months, after which begins a process of weaning the dose down. It is unusual for migraine frequency suddenly to bounce back again during weaning down. Migraine frequency does rise and fall in people’s lives, however, and it is acknowledged that patients may need to take preventative treatment on several occasions during their lifetime.
Beta-blockers such as propranolol, metoprolol and nadolol have been used as preventative treatments for migraine since the 1970s. They are effective treatments, especially for patients with frequent migraines interspersed by periods of headache freedom. Many patients tolerate beta-blockers well and take them for many years, but they can cause tiredness, dizziness, cold extremities, decreased libido, and nightmares. They may also exacerbate asthma, a fact that often limits their use in young people.
Propranolol is the most commonly used medication in the preventative treatment of migraine; it should be started at 20-30 mg daily (in divided doses) and increased steadily to as high as 240 mg daily. Some patients may respond well to this medication: the once daily prolonged release formulation may be a reason, though this has never been systematically tested in migraine.
Tricyclic antidepressants were developed in the 1960s, but first entered use in migraine use over the next two decades. Medications such as amitriptiline, nortriptiline or dosulepin are now as commonly used for headaches and neuropathic pain as for depression; the doses used in migraine are generally much lower than those regarded as effective for depression. The commonest side effects are drowsiness, dry eyes, and dry mouth; tricyclics are usually taken in the evening, about twelve hours before the patient wishes to get up. Amitriptiline may be started at 10-25 mg daily, and steadily increased to 70-100 mg daily. Some patients with chronic daily headache may only respond to doses as high as 150-200 mg daily.
It is of course understandable that we will not always be ready to take the preventive treatments. Sometimes, patients will only make the complaint when the migraine is occurring or has already occurred. For such cases, it will be best to consult a pain management specialist. Here’s one of the treatments recommended by them:
Tx360® is a single-use, disposable catheter that delivers medication through the nasal passages to a difficult-to-reach ganglion located at the back of the nose easily, safely, efficiently and accurately (only 0.6cc of medication needed).
When used as indicated, Tx360® delivers the medication immediately proximate to the ganglion to achieve a Sphenoplatine Ganglion or SPG block. Interventional radiologists, neurologists, internists, emergency departments and pain specialists are interested in utilizing Tx360® for a safe, comfortable and quick delivery of the medication required for the SPG block procedure.
The drug delivery innovation, Tx360®, is drawing the attention of physicians who treat patients with chronic and episodic migraine, cluster headache, and chronic daily headache and for other applications. The SPG blocks have been studied for many disorders for over a century. More recently however, the block has been associated with profound neuromodulation of the SPG complex, resetting the chaotic signaling associated with chronic migraine with both immediate and sustained results.
To know more about the treatments available for migraines, it is best to discuss this at length with a pain management specialist. Contact the specialists at NorthStar Health at 630-795-1889 or visit www.nstarhealthpmc.com.