5 Migraine Treatments to Avoid

5 Migraine Treatments to Avoid

5 Migraine Treatments to Avoid
At least five of the most common medical treatments for migraines are unnecessary and potentially risky, argued the American Headache Society (AHS) in the November/December issue of the journal Headache.

After performing a meta-analysis of the research and consensus of its members, the AHS recommended that patients and doctors think twice before using the following five treatments:


  1. Brain scans in people with stable headaches that meet the criteria for migraine.
  2. CT-scans should not be used when MRI is available. MRI can pick up on more conditions causing headache than CT-scans and does not expose patients to radiation.
  3. Surgery. Surgical deactivation of migraine trigger points is still considered experimental, and should be avoided outside of a clinical trial.
  4. Narcotics. Opioid and butalbital-containing pain medications should not be the first line of treatment. These pain killers are effective but can be habit forming, especially in patients with chronic pain conditions.
  5.  Prolonged use of over-the-counter pain medications. Reaching for ibuprofen or other over-the-counter pain medications day in and day out can wreck havoc on your kidneys, liver, and stomach. There is also a real risk of medication overuse headache. The AHS recommended that patients not take over-the-counter pain medications more than twice a week.
"There are a lot of strategies that can work that are better than just grabbing handfuls of Motrin," explained AHS president Dr. Elizabeth Loder. Biofeedback therapy teaches patients to change how their body responds to pain and physical symptoms.

Preventive strategies like having a regular exercise routine, keeping a headache journal, stress reduction techniques, and monitoring your diet for certain "headache trigger" foods can also help.Research has even suggested that regular exercise was as effective as a drug called topirmate for preventing migraine headache. Many patients also find that chiropractic adjustments can reduce the frequency and severity of their migraines.

Primary reference:
Loder, E. et al. Choosing wisely in headache and migraine: The American Headache Society's list of give things physicians and patients should question. Headache 2013: doi:10.1177/0333102411419681. http://onlinelibrary.wiley.com/doi/10.1111/head.12233/pdf.
Secondary references:
Varkey E, et al. Exercise as migraine prophylaxis: A randomized study using relaxation and topiramate as controls. Cephalalgia 2011; doi:10.1177/0333102411419681. 

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Posted in Chiropractic, Healthy Lifestyle. Tagged as charlotte chiropractor southpark 28209, headache, migraine.

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Why Chiropractic is the Best Solution for Sciatica Pain


Sciatica and chiropracticSciatica and chiropractic
Sciatica pain is often so debilitating that it forces people to miss work and other normal activities.  Of all patients with low-back pain, sciatica patients have the highest level of disability (1).  In fact, patients with sciatica are disabled for an average of 72 days according to Norwegian public-health records.
Fortunately, a recent study offers hope to sciatica patients: chiropractic care can speed the recovery from sciatica flare ups and allow patients to return to work sooner (2).

The study evaluated 44 Norwegian workers after they came to the hospital with severe sciatica pain. Most of those patients had been experiencing pain for three or more weeks prior to their hospital visit.
The hospital chiropractor examined each patient to evaluate his/her posture and gait, range of motion, and palpation of the lumbar spine.

The chiropractic then performed various joint adjustments to the spine and other limbs that had been injured through patients compensating for pain. Ice treatment was also used to relieve soft tissue soreness.Patients were treated daily in the hospital and later three times a week for the first two weeks. Some patients needed additional follow-up treatment but typically did not exceed 14 treatments.

In matter of 21 days, 91% of patients returned to work full-time. Two patients returned to work part time. Researchers concluded this study demonstrates the potent benefits of collaboration between chiropractors and orthopedic surgeons. Chiropractic care can put an end to your sciatica pain so you can begin living your life fully again.

Posted in chiropracticChiropractic NewsSciaticasciatica treatmentUnderstanding Sciatica
  1. Arana E, Marti-Bonmati L, Vega M, et al. Relationship between low back pain, disability, MR imaging findings and health care provider. Skeletal Radiology 2006;35(9):641-7.
  2. Orlin JR, Didriksen A. Results of chiropractic treatment of lumbopelvic fixation in 44 patients admitted to an orthopedic department. Journal of Manipulative and Physiological Therapeutics 2007;30:135-139.