Is there any effective treatment for migraines?

Migraine is a common symptom in life, and there are many causes of symptoms. Here's a look at common triggers and how to deal with them.

Migraine headaches are mainly non-pharmacological and medicated.

Non-pharmacological** methods can use some oxygen therapy, psychological counseling, stress relief, maintaining a healthy lifestyle, and avoiding some of the triggers of various migraines. For example, some people may be prone to headaches after staying up late, and some people may have headaches after drinking coffee, and these migraine triggers should be avoided as much as possible in life.

The ** of the drug mainly includes non-specific painkillers and specific analgesics, which should be considered according to the degree of headache, accompanying symptoms, and previous medications, and individualized. In clinical practice, I regret that some non-steroidal antipyretic and analgesic drugs are very commonly used, such as ibuprofen, sanlipain, etc.;

There are also some ergot drugs; There are also some calcium ion antagonists, such as flunarizine; There is also a class of relatively specific drugs for migraine that are commonly used, that is, triptan drugs, so the first type of migraine can choose a variety of regimens, and specific choices can be made according to the patient's situation.

Migraine is a common symptom in life, and there are many reasons for symptoms. Here's a look at common triggers and how to deal with them.

Migraine includes the following:

1. Psychology**: Most patients with migraine have anxiety, depression, and excessive worry, and psychological counseling is very important.

2. Prophylactic**: Especially for patients with regular attacks, it is recommended to take oral drugs to prevent headache attacks before attacks, such as propranolol, sodium valproate or flunarizine, amitriptyline and other preventive drugs. During an attack, oral analgesics such as nonsteroidal anti-inflammatory drugs such as ibuprofen, diclofenac sodium, etoricoxib, or ergotamine caffeine or sumatriptan succinate may be used.

3. Surgery**: Some migraine patients** are related to patent foramen ovale of the heart, if the attacks are more frequent, accompanied by visual aura, it is also necessary to screen the heart foaming test and right heart sonography. If there is a patent foramen ovale, closure surgery is very helpful for migraines**.

4. Drugs**, **drugs are divided into non-specific analgesics and specific analgesics:

1. Non-specific analgesics, including ibuprofen, indomethacin, aspirin, sanlipain, analgesic tablets and other drugs.

2. The specific analgesics are triptans, and the efficacy of triptans is better than that of ergotamine and caffeine compound preparations.

The choice of migraine medication should be based on the stratification and step-by-step principle, which means that the degree of migraine disability should be assessed before the drug is chosen, and if the patient has moderate to severe migraine, migraine-specific drugs**, such as triptans**; If the degree of migraine is mild, a step-by-step type can be given**, that is, non-specific analgesics are given first, and then specific analgesics** are given after they are ineffective, and these drugs** should not be given for more than 10 days per month, so as not to form drug dependence.

Migraine is a type of headache with an unknown cause, and the real cause factors are unknown, but it may be related to genetic, endocrine, metabolic, environmental, mental, psychological and other factors. Then for migraine, certain measures can be taken to relieve it, but it is difficult to **. When there is a migraine, you can use local massage, use the index finger to the temple to the hairline, and use the fist to press it; You can also use a cold compress, with an ice pack on the headache area, the cold can make the blood vessels constrict, whether it can be properly relieved.

The goal of migraine is to reduce or stop headache attacks, relieve concomitant symptoms, and prevent headaches. **Includes drugs** and non-drugs**, and drugs ** are divided into episodic and prophylactic**. In addition, self-regulation is also an important means of non-pharmacology**.

1. Drugs**.

1. Non-specific ** drugs:

1) Non-steroidal anti-inflammatory drugs (NSAIDs), such as acetaminophen, aspirin and ibuprofen.

2) Barbiturate sedatives and opioids, because barbiturates and opioids are easy to become addictive, only suitable for other **ineffective severe migraine patients.

2. Specific ** drugs:

1) Ergot preparations: 5-HT receptor non-selective agonists, commonly used drugs are ergotamine and dihydroergotamine, which can terminate the acute attack of migraine.

2) Triptans: may exert analgesic effects by constricting cerebral blood vessels and inhibiting nerve pain transmission in peripheral nerves and secondary neurons of the "trigeminal nerve neck complex".

2. Surgery**.

Surgery is usually not required**.

3. Others**.

In addition to medications**, patients with migraine may also receive non-pharmacological interventions, including massage, physiotherapy, biofeedback**, cognitive-behavioural**, and acupuncture.

Migraine is a kind of throbbing headache that is reversed, and it is the "big one" among many types of headaches. It is often preceded by flashes, blurred vision, numbness of limbs and other aura, about a few minutes to about 1 hour or so of the pain of one side of the head jumping and jumping, and gradually worsening, until nausea, vomiting, the feeling will be better in a quiet, dark environment or after sleep headache relief. Neurological and psychiatric dysfunction may occur before or during the onset of headache.

At the same time, it is a progressively worsening disease, often with increasing frequency. According to research, people with migraine are more likely than the average person to have a local brain injury, which can lead to stroke. The more migraines they have, the larger the damaged area of the brain.

Long-term recurrent headache history, normal intervals, normal physical examination and family history of migraine are not difficult to diagnose. Ophthalmoplegia can be caused by an aneurysm, and arteriovenous malformations can also be associated with migraine, and the diagnosis should be confirmed by a CT scan of the head or cerebral angiography. Complex migraine is often caused by an organic disorder and should be neuroimaging.

Occipital or temporal lobe tumors may also present with visual field defects or other visual symptoms in the early stages, but eventually with increased intracranial pressure as the disease progresses. Temporal occipital headache in older adults should rule out temporal arteritis, superficial temporal or occipital artery thickening like a rope, markedly diminished or absent pulses, and characteristic multinucleated giant cell infiltrates on arterial biopsy.

There are so many causes of pain that it's hard to generalize. Therefore, blindly relieving pain**, or even blindly giving dehydration to lower intracranial pressure**, may not be the best mode of diagnosis and treatment, and early and accurate identification of headache ** is the primary measure in the face of headache emergency.

First of all, you should pay attention to your diet, and then you should also pay attention to rest, and never open the window when you sleep at night, and you can also wear a hat when you go out, and then you should also pay attention to supplementing protein and calcium.

You can take Western medicine, because Western medicine is also very helpful for this kind of migraine, which can improve the situation, and you can take Chinese medicine to recuperate, which will be mild.

You can use medications**, or acupuncture, or massage, change the quality of sleep, eat more foods that help you sleep, and also pay attention to avoid food.

In general, migraines are caused by nerve compression in the neck. When the misaligned bones in the neck are corrected, the migraine will disappear.

Warm method. Eat more foods such as ginger, shallots, and red dates.