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"What is there to be sick?" It's a bone! "- My favorite joke about headaches and migraines. Nothing explains, but comforts, at least. All about the problems with the "bone" was told by Svetlana Yavorskaya, MD, neurologist, head of the Center for Diagnosis and Treatment of Headache and Dizziness at the Clinic "Semeynaya".


Listen to the headache

How does it hurt? 
There is a sense of compression, squeezing - "how the hoop tightened" or "how to squeeze in a vice". Pain is scattered all over the head, although in one side it can be more intense. Sometimes accompanied by a sensation of blood rush and difficulty breathing. Depends on the position of the head, can increase with walking, coughing and laughing, as well as a sudden change in the weather.

"What is there to be sick?" It's a bone! "- My favorite joke about headaches and migraines. Nothing explains, but comforts, at least. All about the problems with the "bone" was told by Svetlana Yavorskaya, MD, neurologist, head of the Center for Diagnosis and Treatment of Headache and Dizziness at the Clinic "Semeynaya".

What is it? The pain is caused by an increase in the tone of the scalp. And that - a strain of muscles. Stress is the same - stress or static overload of the neck (for example, during long work at the computer or sitting behind the wheel). The diagnosis is as follows: "tension headache."

How to treat? You yourself probably use painkillers from a group of non-steroidal anti-inflammatory drugs or combined analgesics. The doctor can prescribe a course of muscle relaxants - drugs that relax the muscles. Sometimes you need medications that reduce depression and anxiety.

How does it hurt? 
Strongly, before vomiting. Sometimes the pain is accompanied by drowsiness or dizziness. The discomfort grows in the standing position, when walking, every step "pushes into the head". Very often it is combined with excess weight or visual impairment.

What is it? This pressure is changing. With normal intracranial pressure, the brain "drifts" in the cerebrospinal fluid in the cavity of the skull and is supported by vessels and nerves, like anchors. When the indicators are violated (both with increasing and decreasing), the "tension" of the intracranial structures changes - and discomfort appears.

ATTENTION! Sometimes such pains arise due to brain tumors and intracranial hematomas. So be sure to consult a doctor.

How to treat? First of all, it is necessary to eliminate the cause of the disease - a violation of intracranial pressure. You need a healthy diet and proper nutrition. Medication (or even surgical) treatment will be selected by a doctor.

How does it hurt?
Pulsating pain, usually only on one side of the head. The Aesculapius of Ancient Greece called it hemicrania, which means "half of the head". Now the word was reduced to a vulgar "migraine". It can last up to three days, accompanied by nausea, vomiting, intolerance to light, loud sounds. Sometimes a visual anomaly (aura) can be a harbinger of the appearance of a migraine - you see bright colored rings and stripes or feel a slight tingling all over your body.

What is it? So far no one has answered this question accurately. It is known that the disease is associated with impaired brain function, with which it is not clear. Studies have shown that people exposed to migraines have overactive areas in the trunk of gray matter.

How to treat? For the removal of light attacks use non-steroidal anti-inflammatory drugs or combined analgesics. If these drugs do not help - prescribe drugs from the group of triptans, specifically designed to treat migraines. If the seizures are troubled more than three times a month, then without the intervention of a doctor you definitely can not do, you will need to develop a prevention program.

How does it hurt? 
The pain grows gradually. It spreads to the neck, back of the head, whiskey, passes over to the eyes. The forehead seems to be "poured with lead."

What is it? May be evidence of inflammation of the frontal sinuses, neuritis of the first branch of the trigeminal nerve, sinusitis. Even allergies, stress and dental problems can be the cause.

How to treat? Do not engage in self-treatment and see a doctor to clarify the diagnosis: "severe forehead" may be a symptom or precursor of dangerous diseases.

How does it hurt? 
The pain pulsates in the back of the head. It can appear suddenly, two or three times a day, and after a few minutes it disappears without a trace. It is accompanied by a decrease in concentration of attention, dizziness.

What is it? Concussion. Even if the trauma occurred many years ago, it can remind of itself.

How to treat? Usually prescribed painkillers, soothing and hypnotics (mainly in the form of tablets).

How does it hurt? 
Sharp, piercing pain, which strikes like lightning and shoots toward the face. Attacks last for several seconds and follow each other at short intervals. At the time of the attack, an involuntary contraction of facial muscles occurs, and certain areas on the face become hypersensitive. Even touching the cheek provokes a headache.

What is it? Trigeminal nerve. The cause of its inflammation can be some infectious and colds.

How to treat? Exclusively complex: medicines, physiotherapy, reflexotherapy. In especially severe cases - even surgical methods.

How does it hurt? 
The pain begins in the neck and / or back of the neck, rises up the head, sometimes gives in the hand or in the eye. It predominates in one half of the head and is strengthened when turning. Dizziness, nausea and even loss of consciousness are possible.

What is it? This is the so-called headache of a reflected nature, its cause is outside the brain and facial parts. There is an ailment due to changes in the biomechanics of the spine, adjacent ligaments and tendons, due to muscle tension.

How to treat? You need manual and psychotherapy.

A remedy for pain and wrinkles

"To use botulinum toxin for the treatment of headaches became after observing patients who were corrected by facial wrinkles," says Margarita Naprienko, MD, neurologist, headache specialist, consultant to the company "Merz Pharma." - They noted that the aesthetic procedures gave an unexpected, but pleasant side effect. Now botulinum toxin type A is prescribed for severe migraine (more than eight attacks per month), chronic tension headache, combined pain, cervical muscle tension, and also in cases when standard therapy is ineffective.

"What is there to be sick?" It's a bone! "- My favorite joke about headaches and migraines. Nothing explains, but comforts, at least. All about the problems with the "bone" was told by Svetlana Yavorskaya, MD, neurologist, head of the Center for Diagnosis and Treatment of Headache and Dizziness at the Clinic "Semeynaya".

The mechanism of action is based on the interruption of the vicious circle: muscle spasm - pain - muscle spasm. After the injection, the muscle simply ceases to contract. The effect, as a rule, occurs within two weeks and lasts for an average of six months. If after this period the seizures come back, they no longer reach the former acuteness, and with the repeated administration of the drug, a smaller dose is required. "

Migraine after Disease

The flu is almost always accompanied by pain in the forehead, temples and superciliary arches in combination with chills and weakness due to fever. If the flu has passed, and the pain has remained is badly. It is possible that it was provoked by a purulent inflammation in the sinuses of the nose. It was necessary to take seriously the treatment of the common cold and timely release the nose from accumulated mucus and viruses. To this end, doctors recommend regular irrigation and irrigation with sea water, which provides anti-inflammatory effect, increases local immunity and significantly relieves you of feelings of discomfort.
"Most often, the forehead and the bridge of the nose hurt during frontaches, and in the case of genyantritis - the area around the eyes," explains Sergei Ryazantsev, professor, doctor of medical science, deputy director of scientific research at the St. Petersburg Institute of Ear, Nose and Throat, expert Institute of Aqua Maris. - Sometimes, the bursting pain increases with pressure or inclination and weakens in a horizontal position. Runny nose may persist, and may not be clearly pronounced, but, as a rule, worried about nasal congestion. With such symptoms it is necessary to contact an ENT specialist, he will send for an additional examination and prescribe antibacterial therapy, washing and other necessary procedures. " Do not be afraid: the sinus punctures are an ancient method, which in our time is practically not applied!
Important! If the headache has appeared recently or has been troubling you for a long time, but has changed its nature and stopped responding to treatment, or if it is combined with a fever, rash, cramps or other alarming symptoms - do not delay the visit to the neurologist!

Pain in menstruation

If you do not know what we're talking about, you're lucky! In general, the problem in the international classification is called: menstrual migraine. According to some reports, every third woman of childbearing age is familiar with it firsthand.
The causes of PMS-migraine, as well as migraines in general, have not yet been reliably established. Any doctor - gynecologist, endocrinologist or even a therapist - will certainly say in an instructive tone something like: "The main reason is a sharp drop in the level of estrogens in the body before the monthly". But how do the sex hormones beat your brain so well? And why do not they beat everyone, but only one in three? No one knows yet. The only thing WHO insists on is that it is necessary to distinguish between menstrual migraines from a simple migraine accidentally fallen on critical days: after all, the methods of treatment will differ.
"Currently, there are three methods of treating menstrual diseases," explains Olga Loginova, MD, obstetrician-gynecologist at the European Medical Center, "lifestyle changes, drug therapy and alternative therapy." The paths leading to your salvation are so simple that sometimes they are hard to believe. But the main problem is that it is difficult for them to follow. For example, Olga Loginova insists that you should:

  1. Sleep at least eight hours a day. And not only during the PMS, but always! Then the head will not so painfully react to hormonal fluctuations.
  2. Do sports or at least do exercises - at least 20 minutes each day. Each! And not just before the menstruation.
  3. Have sex. Let not every day, but still regularly (at least two or three times a week).

If such simple and natural methods will not save you (or you can not follow them), then you need pills. And it's not just about painkillers. "Tricyclic antidepressants, serotonin uptake blockers, and combined oral contraceptives are among the drugs of choice," explains Olga Loginova. Yes, the very contraceptives, which many of us are afraid of out of habit, can not only regulate the demographic situation, but also treat menstrual migraines, and at the same time other symptoms of PMS. You, of course, understand that a specific drug with a therapeutic goal should be selected only by a gynecologist-endocrinologist.
Alternative methods are usually referred to as attempts to compensate for changes associated with a hormonal shock in the second phase of the cycle. Many doctors recommend the use of folic acid (400 mcg per day - from ovulation to the first day of menstruation). Someone is prescribed calcium with vitamin D, magnesium, vitamins E and B6. In any case, the method should be selected individually and after a detailed examination. In the meantime, maybe you'll try to still sleep for eight hours every day?

Diary of health

If you fall with a wild headache on the first day of menstruation or the day before it - there's nothing to think about. But if you have a migraine at least a couple of times a month, then it makes sense to conduct a "migraine diary" and in it to mark, for example, a red felt-tip penis for a month, and for black - the days of migraine. If it is found that pain always attacks the same days of the cycle (for example, in the first and the sixteenth), everything is clear! But if migraine overtakes you in different periods of life (including sometimes against the background of menstruation), then it's not the PMS, and the neurologist will help you sooner than the gynecologist.

Menstrual migraine

Basically a scourge of women with a very clear cycle and a reliable reproductive system. Let this console you! But it happens that menstruation comes irregularly, and even completely disappear, but the head still cracks. "Perhaps the pain is due to the presence of a tumor (in the vast majority of cases of benign) of the hypothalamic-pituitary region of the brain," explains Olga Yatsishina, MD, doctor of the highest category, endocrinologist of the European Medical Center. - This tumor (pituitary adenoma) produces the hormone prolactin. A hyperprolactinemia leads to violations of the menstrual cycle and to infertility. So timely detection and treatment of adenoma will save you from migraines and infertility. And, by the way, from excess weight. "
To get involved in taking painkillers is not necessary: ​​with frequent use, they themselves can cause a so-called abuzusnuyu, or drug-dependent headache.

Who is to blame for the headache?

Sources of headaches are sometimes so far from the skull that it is very difficult to guess the cause-effect relationships. Surely you could not imagine that it's all your fault ...

"What is there to be sick?" It's a bone! "- My favorite joke about headaches and migraines. Nothing explains, but comforts, at least. All about the problems with the "bone" was told by Svetlana Yavorskaya, MD, neurologist, head of the Center for Diagnosis and Treatment of Headache and Dizziness at the Clinic "Semeynaya".

... armchair without armrests
"When you type on a computer, your elbows hang freely, not resting on anything. And this is very harmful, - warns Sergei Gauthier, orthopedic traumatologist, manual therapist of the network of medical clinics "Semeynaya". - The fact is that the hands are attached to the skeleton with the clavicle and, as a matter of fact, keep only on the muscles of the neck and shoulders, hang on them. The hand weighs an average of 3-5 kg. The neck muscles are not adapted for such long static loads. Over time, they are overloaded, they can enter a state of spasm. As a result, there is a violation of the outflow of venous blood from the head - here's your headache. Therefore, the main advice: when typing, keep your elbows on the table or armrests of the chair. The sliding shelf for the keyboard in this respect is a dangerous invention. "

... flat feet
It would seem: where are the feet, and where is the crown? "And, nevertheless, these problems are often related," says Sergei Gauthier. - When one foot is flatter than the other, or one falls more inward (valgus deformation), the legs are of different lengths (although it can be unnoticeable with the naked eye). As a result, there is a skew of the pelvis, and then - and the skew of the entire spine. On the one hand, muscles are overextended, and on the other hand, the load is less. This imbalance in some causes pain in the back, and in others - in the head. "

... bezrybe
I thought, you should not always be advised to replace meat with sea bastards? The fact is that sea fish, seafood and algae are the main sources of iodine. And it is necessary for the formation of thyroid hormones. "With a lack of thyroid hormones, fluid retention occurs in the body, a decrease in the contractility of the heart, and the speed of blood flow. This leads to a non-rough edema of the brain membranes, - explains Olga Yatsishina, MD, doctor of the highest category, endocrinologist of the European Medical Center. - There are feelings of heaviness and pain. Most often in the morning, on waking. In addition, hypothyroidism is an important factor in the development of dystrophic changes in the spine - and they, in turn, also provoke a headache. "

Migraine: frequently asked questions

What frequency of attacks of a headache should already be considered a problem and an occasion for the reference to the doctor?

Responds to Vitaly Akimov, MD, neurologist at the European Medical Center:
It depends on the type of ailment. The headache of tension two or three times a week against the background of the emergency is not a catastrophe. She leaves as the rhythm of life normalizes. Migraine twice a month - a lot. It is better to see a doctor. In general, every patient himself determines what is great for him: if you do not want to suffer every three months, do not suffer and do not suffer.

Is it true that sex helps with migraines?

Responds to Olga Loginova, MD, obstetrician-gynecologist EMC:
It is believed that the role of serotonin deficiency in the brain plays a big role in the development of migraine. During sex and especially orgasm, the production of this substance is dramatically increased, which helps to quickly cope with the headache. Only a small percentage of women in the world suffer from migraine after sex, most of it really helps to heal.

What is more harmful: to suffer a headache or take painkillers?

Responds to Vitaly Akimov, MD, neurologist EMC:
I do not need to endure . Most often, the headache is one of the two most common types - tension or migraine. Pain relief is not always necessary for their relief. Sometimes it is enough to lie down in a quiet, darkened quiet place and relax; someone is helped by a change in the situation. And it is possible that you just forgot to eat. If this does not help, then you can take the medicine. There are many over-the-counter and prescription drugs that help with headaches. But we must understand that the "right" remedy will depend on the type of disease, on how often it occurs, on the severity level. Frequent use of pain medication can lead to increased pain. Therefore, the treatment should be selected together with the doctor.

Can I get a headache with massage or manual therapy?

Responds to Sergei Gauthier, an orthopedic traumatologist, manual therapist of the network of medical clinics "Semeynaya":
Before contacting the chiropractor, you need to undergo an examination with a neurologist, if necessary, take an X-ray, an MRI. If it is found that the headache is associated with osteochondrosis, then a competent manual therapist will help more reliably than the course of drugs. About 90% of chronic headaches caused by osteochondrosis can be removed with the help of manual therapy.

Definitely my headaches are associated with osteochondrosis. Will orthopedic mattresses and pillows help me in this case?

Responds to Sergei Gauthier, an orthopedic traumatologist, manual therapist of the network of medical clinics "Family":
If the pain occurs after sleep, I want to believe that this is due to the wrong position of the head and the situation will correct the orthopedic pillows. But it's not so simple. During the day, while you are on the move, the muscles work and get a normal blood supply. During sleep, they pass into a passive mode, because of the deterioration of blood supply they accumulate decay products (lactic acid) and pain occurs. If you have osteochondrosis, no pillow will fix the situation. One should not be lazy and do exercises to stretch the muscles of the neck. The best means is yoga. It combines the most balanced set of exercises for stretching and strengthening. Our task is not to extinguish the pain, but to restore the correct movement in the spine and improve the blood supply to the muscles.

I can not quit smoking. Half a day without a cigarette - and I have terrible headaches. What to choose - a bad habit or a migraine?

Responds to Vladimir Mazulevsky, a psychiatrist-narcologist, head of the Center for Acute Conditions of the Clinic for the Treatment of Addiction EMC:
Most often, the question of physical dependence on nicotine is not worth it. Smoking is a way to structure your time, fill pauses. This is a kind of behavioral ritual. When it changes, the level of anxiety increases, often accompanied by a violation of autonomic functions, hence the pain. Find a healthier way to fill the void. But sometimes smoking is a way to adjust the subdepressive state. That is, you already have it, and it must be treated, but the cigarette masks the problem. If, when giving up smoking, apathy appears and appetite increases, accompanied by weight gain, this is a direct indication for visiting a specialist. You may need to have a psychotherapeutic and medication correction.

When The Head Is Aching

"What is there to be sick?" It's a bone! "- My favorite joke about headaches and migraines. Nothing explains, but comforts, at least. All about the problems with the "bone" was told by Svetlana Yavorskaya, MD, neurologist, head of the Center for Diagnosis and Treatment of Headache and Dizziness at the Clinic "Semeynaya".


Listen to the headache

How does it hurt? 
There is a sense of compression, squeezing - "how the hoop tightened" or "how to squeeze in a vice". Pain is scattered all over the head, although in one side it can be more intense. Sometimes accompanied by a sensation of blood rush and difficulty breathing. Depends on the position of the head, can increase with walking, coughing and laughing, as well as a sudden change in the weather.

"What is there to be sick?" It's a bone! "- My favorite joke about headaches and migraines. Nothing explains, but comforts, at least. All about the problems with the "bone" was told by Svetlana Yavorskaya, MD, neurologist, head of the Center for Diagnosis and Treatment of Headache and Dizziness at the Clinic "Semeynaya".

What is it? The pain is caused by an increase in the tone of the scalp. And that - a strain of muscles. Stress is the same - stress or static overload of the neck (for example, during long work at the computer or sitting behind the wheel). The diagnosis is as follows: "tension headache."

How to treat? You yourself probably use painkillers from a group of non-steroidal anti-inflammatory drugs or combined analgesics. The doctor can prescribe a course of muscle relaxants - drugs that relax the muscles. Sometimes you need medications that reduce depression and anxiety.

How does it hurt? 
Strongly, before vomiting. Sometimes the pain is accompanied by drowsiness or dizziness. The discomfort grows in the standing position, when walking, every step "pushes into the head". Very often it is combined with excess weight or visual impairment.

What is it? This pressure is changing. With normal intracranial pressure, the brain "drifts" in the cerebrospinal fluid in the cavity of the skull and is supported by vessels and nerves, like anchors. When the indicators are violated (both with increasing and decreasing), the "tension" of the intracranial structures changes - and discomfort appears.

ATTENTION! Sometimes such pains arise due to brain tumors and intracranial hematomas. So be sure to consult a doctor.

How to treat? First of all, it is necessary to eliminate the cause of the disease - a violation of intracranial pressure. You need a healthy diet and proper nutrition. Medication (or even surgical) treatment will be selected by a doctor.

How does it hurt?
Pulsating pain, usually only on one side of the head. The Aesculapius of Ancient Greece called it hemicrania, which means "half of the head". Now the word was reduced to a vulgar "migraine". It can last up to three days, accompanied by nausea, vomiting, intolerance to light, loud sounds. Sometimes a visual anomaly (aura) can be a harbinger of the appearance of a migraine - you see bright colored rings and stripes or feel a slight tingling all over your body.

What is it? So far no one has answered this question accurately. It is known that the disease is associated with impaired brain function, with which it is not clear. Studies have shown that people exposed to migraines have overactive areas in the trunk of gray matter.

How to treat? For the removal of light attacks use non-steroidal anti-inflammatory drugs or combined analgesics. If these drugs do not help - prescribe drugs from the group of triptans, specifically designed to treat migraines. If the seizures are troubled more than three times a month, then without the intervention of a doctor you definitely can not do, you will need to develop a prevention program.

How does it hurt? 
The pain grows gradually. It spreads to the neck, back of the head, whiskey, passes over to the eyes. The forehead seems to be "poured with lead."

What is it? May be evidence of inflammation of the frontal sinuses, neuritis of the first branch of the trigeminal nerve, sinusitis. Even allergies, stress and dental problems can be the cause.

How to treat? Do not engage in self-treatment and see a doctor to clarify the diagnosis: "severe forehead" may be a symptom or precursor of dangerous diseases.

How does it hurt? 
The pain pulsates in the back of the head. It can appear suddenly, two or three times a day, and after a few minutes it disappears without a trace. It is accompanied by a decrease in concentration of attention, dizziness.

What is it? Concussion. Even if the trauma occurred many years ago, it can remind of itself.

How to treat? Usually prescribed painkillers, soothing and hypnotics (mainly in the form of tablets).

How does it hurt? 
Sharp, piercing pain, which strikes like lightning and shoots toward the face. Attacks last for several seconds and follow each other at short intervals. At the time of the attack, an involuntary contraction of facial muscles occurs, and certain areas on the face become hypersensitive. Even touching the cheek provokes a headache.

What is it? Trigeminal nerve. The cause of its inflammation can be some infectious and colds.

How to treat? Exclusively complex: medicines, physiotherapy, reflexotherapy. In especially severe cases - even surgical methods.

How does it hurt? 
The pain begins in the neck and / or back of the neck, rises up the head, sometimes gives in the hand or in the eye. It predominates in one half of the head and is strengthened when turning. Dizziness, nausea and even loss of consciousness are possible.

What is it? This is the so-called headache of a reflected nature, its cause is outside the brain and facial parts. There is an ailment due to changes in the biomechanics of the spine, adjacent ligaments and tendons, due to muscle tension.

How to treat? You need manual and psychotherapy.

A remedy for pain and wrinkles

"To use botulinum toxin for the treatment of headaches became after observing patients who were corrected by facial wrinkles," says Margarita Naprienko, MD, neurologist, headache specialist, consultant to the company "Merz Pharma." - They noted that the aesthetic procedures gave an unexpected, but pleasant side effect. Now botulinum toxin type A is prescribed for severe migraine (more than eight attacks per month), chronic tension headache, combined pain, cervical muscle tension, and also in cases when standard therapy is ineffective.

"What is there to be sick?" It's a bone! "- My favorite joke about headaches and migraines. Nothing explains, but comforts, at least. All about the problems with the "bone" was told by Svetlana Yavorskaya, MD, neurologist, head of the Center for Diagnosis and Treatment of Headache and Dizziness at the Clinic "Semeynaya".

The mechanism of action is based on the interruption of the vicious circle: muscle spasm - pain - muscle spasm. After the injection, the muscle simply ceases to contract. The effect, as a rule, occurs within two weeks and lasts for an average of six months. If after this period the seizures come back, they no longer reach the former acuteness, and with the repeated administration of the drug, a smaller dose is required. "

Migraine after Disease

The flu is almost always accompanied by pain in the forehead, temples and superciliary arches in combination with chills and weakness due to fever. If the flu has passed, and the pain has remained is badly. It is possible that it was provoked by a purulent inflammation in the sinuses of the nose. It was necessary to take seriously the treatment of the common cold and timely release the nose from accumulated mucus and viruses. To this end, doctors recommend regular irrigation and irrigation with sea water, which provides anti-inflammatory effect, increases local immunity and significantly relieves you of feelings of discomfort.
"Most often, the forehead and the bridge of the nose hurt during frontaches, and in the case of genyantritis - the area around the eyes," explains Sergei Ryazantsev, professor, doctor of medical science, deputy director of scientific research at the St. Petersburg Institute of Ear, Nose and Throat, expert Institute of Aqua Maris. - Sometimes, the bursting pain increases with pressure or inclination and weakens in a horizontal position. Runny nose may persist, and may not be clearly pronounced, but, as a rule, worried about nasal congestion. With such symptoms it is necessary to contact an ENT specialist, he will send for an additional examination and prescribe antibacterial therapy, washing and other necessary procedures. " Do not be afraid: the sinus punctures are an ancient method, which in our time is practically not applied!
Important! If the headache has appeared recently or has been troubling you for a long time, but has changed its nature and stopped responding to treatment, or if it is combined with a fever, rash, cramps or other alarming symptoms - do not delay the visit to the neurologist!

Pain in menstruation

If you do not know what we're talking about, you're lucky! In general, the problem in the international classification is called: menstrual migraine. According to some reports, every third woman of childbearing age is familiar with it firsthand.
The causes of PMS-migraine, as well as migraines in general, have not yet been reliably established. Any doctor - gynecologist, endocrinologist or even a therapist - will certainly say in an instructive tone something like: "The main reason is a sharp drop in the level of estrogens in the body before the monthly". But how do the sex hormones beat your brain so well? And why do not they beat everyone, but only one in three? No one knows yet. The only thing WHO insists on is that it is necessary to distinguish between menstrual migraines from a simple migraine accidentally fallen on critical days: after all, the methods of treatment will differ.
"Currently, there are three methods of treating menstrual diseases," explains Olga Loginova, MD, obstetrician-gynecologist at the European Medical Center, "lifestyle changes, drug therapy and alternative therapy." The paths leading to your salvation are so simple that sometimes they are hard to believe. But the main problem is that it is difficult for them to follow. For example, Olga Loginova insists that you should:

  1. Sleep at least eight hours a day. And not only during the PMS, but always! Then the head will not so painfully react to hormonal fluctuations.
  2. Do sports or at least do exercises - at least 20 minutes each day. Each! And not just before the menstruation.
  3. Have sex. Let not every day, but still regularly (at least two or three times a week).

If such simple and natural methods will not save you (or you can not follow them), then you need pills. And it's not just about painkillers. "Tricyclic antidepressants, serotonin uptake blockers, and combined oral contraceptives are among the drugs of choice," explains Olga Loginova. Yes, the very contraceptives, which many of us are afraid of out of habit, can not only regulate the demographic situation, but also treat menstrual migraines, and at the same time other symptoms of PMS. You, of course, understand that a specific drug with a therapeutic goal should be selected only by a gynecologist-endocrinologist.
Alternative methods are usually referred to as attempts to compensate for changes associated with a hormonal shock in the second phase of the cycle. Many doctors recommend the use of folic acid (400 mcg per day - from ovulation to the first day of menstruation). Someone is prescribed calcium with vitamin D, magnesium, vitamins E and B6. In any case, the method should be selected individually and after a detailed examination. In the meantime, maybe you'll try to still sleep for eight hours every day?

Diary of health

If you fall with a wild headache on the first day of menstruation or the day before it - there's nothing to think about. But if you have a migraine at least a couple of times a month, then it makes sense to conduct a "migraine diary" and in it to mark, for example, a red felt-tip penis for a month, and for black - the days of migraine. If it is found that pain always attacks the same days of the cycle (for example, in the first and the sixteenth), everything is clear! But if migraine overtakes you in different periods of life (including sometimes against the background of menstruation), then it's not the PMS, and the neurologist will help you sooner than the gynecologist.

Menstrual migraine

Basically a scourge of women with a very clear cycle and a reliable reproductive system. Let this console you! But it happens that menstruation comes irregularly, and even completely disappear, but the head still cracks. "Perhaps the pain is due to the presence of a tumor (in the vast majority of cases of benign) of the hypothalamic-pituitary region of the brain," explains Olga Yatsishina, MD, doctor of the highest category, endocrinologist of the European Medical Center. - This tumor (pituitary adenoma) produces the hormone prolactin. A hyperprolactinemia leads to violations of the menstrual cycle and to infertility. So timely detection and treatment of adenoma will save you from migraines and infertility. And, by the way, from excess weight. "
To get involved in taking painkillers is not necessary: ​​with frequent use, they themselves can cause a so-called abuzusnuyu, or drug-dependent headache.

Who is to blame for the headache?

Sources of headaches are sometimes so far from the skull that it is very difficult to guess the cause-effect relationships. Surely you could not imagine that it's all your fault ...

"What is there to be sick?" It's a bone! "- My favorite joke about headaches and migraines. Nothing explains, but comforts, at least. All about the problems with the "bone" was told by Svetlana Yavorskaya, MD, neurologist, head of the Center for Diagnosis and Treatment of Headache and Dizziness at the Clinic "Semeynaya".

... armchair without armrests
"When you type on a computer, your elbows hang freely, not resting on anything. And this is very harmful, - warns Sergei Gauthier, orthopedic traumatologist, manual therapist of the network of medical clinics "Semeynaya". - The fact is that the hands are attached to the skeleton with the clavicle and, as a matter of fact, keep only on the muscles of the neck and shoulders, hang on them. The hand weighs an average of 3-5 kg. The neck muscles are not adapted for such long static loads. Over time, they are overloaded, they can enter a state of spasm. As a result, there is a violation of the outflow of venous blood from the head - here's your headache. Therefore, the main advice: when typing, keep your elbows on the table or armrests of the chair. The sliding shelf for the keyboard in this respect is a dangerous invention. "

... flat feet
It would seem: where are the feet, and where is the crown? "And, nevertheless, these problems are often related," says Sergei Gauthier. - When one foot is flatter than the other, or one falls more inward (valgus deformation), the legs are of different lengths (although it can be unnoticeable with the naked eye). As a result, there is a skew of the pelvis, and then - and the skew of the entire spine. On the one hand, muscles are overextended, and on the other hand, the load is less. This imbalance in some causes pain in the back, and in others - in the head. "

... bezrybe
I thought, you should not always be advised to replace meat with sea bastards? The fact is that sea fish, seafood and algae are the main sources of iodine. And it is necessary for the formation of thyroid hormones. "With a lack of thyroid hormones, fluid retention occurs in the body, a decrease in the contractility of the heart, and the speed of blood flow. This leads to a non-rough edema of the brain membranes, - explains Olga Yatsishina, MD, doctor of the highest category, endocrinologist of the European Medical Center. - There are feelings of heaviness and pain. Most often in the morning, on waking. In addition, hypothyroidism is an important factor in the development of dystrophic changes in the spine - and they, in turn, also provoke a headache. "

Migraine: frequently asked questions

What frequency of attacks of a headache should already be considered a problem and an occasion for the reference to the doctor?

Responds to Vitaly Akimov, MD, neurologist at the European Medical Center:
It depends on the type of ailment. The headache of tension two or three times a week against the background of the emergency is not a catastrophe. She leaves as the rhythm of life normalizes. Migraine twice a month - a lot. It is better to see a doctor. In general, every patient himself determines what is great for him: if you do not want to suffer every three months, do not suffer and do not suffer.

Is it true that sex helps with migraines?

Responds to Olga Loginova, MD, obstetrician-gynecologist EMC:
It is believed that the role of serotonin deficiency in the brain plays a big role in the development of migraine. During sex and especially orgasm, the production of this substance is dramatically increased, which helps to quickly cope with the headache. Only a small percentage of women in the world suffer from migraine after sex, most of it really helps to heal.

What is more harmful: to suffer a headache or take painkillers?

Responds to Vitaly Akimov, MD, neurologist EMC:
I do not need to endure . Most often, the headache is one of the two most common types - tension or migraine. Pain relief is not always necessary for their relief. Sometimes it is enough to lie down in a quiet, darkened quiet place and relax; someone is helped by a change in the situation. And it is possible that you just forgot to eat. If this does not help, then you can take the medicine. There are many over-the-counter and prescription drugs that help with headaches. But we must understand that the "right" remedy will depend on the type of disease, on how often it occurs, on the severity level. Frequent use of pain medication can lead to increased pain. Therefore, the treatment should be selected together with the doctor.

Can I get a headache with massage or manual therapy?

Responds to Sergei Gauthier, an orthopedic traumatologist, manual therapist of the network of medical clinics "Semeynaya":
Before contacting the chiropractor, you need to undergo an examination with a neurologist, if necessary, take an X-ray, an MRI. If it is found that the headache is associated with osteochondrosis, then a competent manual therapist will help more reliably than the course of drugs. About 90% of chronic headaches caused by osteochondrosis can be removed with the help of manual therapy.

Definitely my headaches are associated with osteochondrosis. Will orthopedic mattresses and pillows help me in this case?

Responds to Sergei Gauthier, an orthopedic traumatologist, manual therapist of the network of medical clinics "Family":
If the pain occurs after sleep, I want to believe that this is due to the wrong position of the head and the situation will correct the orthopedic pillows. But it's not so simple. During the day, while you are on the move, the muscles work and get a normal blood supply. During sleep, they pass into a passive mode, because of the deterioration of blood supply they accumulate decay products (lactic acid) and pain occurs. If you have osteochondrosis, no pillow will fix the situation. One should not be lazy and do exercises to stretch the muscles of the neck. The best means is yoga. It combines the most balanced set of exercises for stretching and strengthening. Our task is not to extinguish the pain, but to restore the correct movement in the spine and improve the blood supply to the muscles.

I can not quit smoking. Half a day without a cigarette - and I have terrible headaches. What to choose - a bad habit or a migraine?

Responds to Vladimir Mazulevsky, a psychiatrist-narcologist, head of the Center for Acute Conditions of the Clinic for the Treatment of Addiction EMC:
Most often, the question of physical dependence on nicotine is not worth it. Smoking is a way to structure your time, fill pauses. This is a kind of behavioral ritual. When it changes, the level of anxiety increases, often accompanied by a violation of autonomic functions, hence the pain. Find a healthier way to fill the void. But sometimes smoking is a way to adjust the subdepressive state. That is, you already have it, and it must be treated, but the cigarette masks the problem. If, when giving up smoking, apathy appears and appetite increases, accompanied by weight gain, this is a direct indication for visiting a specialist. You may need to have a psychotherapeutic and medication correction.

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