Erin Thackston's BlogWhat Causes Headaches?

Five major welfare advice: how welfare programs in the workplace can reduce the costs of Workers' Compensation: Tip 4: Migraine

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Migraine – 15 Tips diagnsis and Treatment for
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Note: Always consult your physician before starting a program treatment of any medical condition you may have.

Employers need to be aware of several important aspects of migraine.

1. It is a very common condition.

2. It is not the same as the type of tension headaches most people experience at some point.

3. Accurate diagnosis and proper treatment will help many, but not all employees through an acute attack without delay.

4. Drugs designed to disrupt the onset of migraine usually have at least 45 minutes to perform. In the interim noise, and light can worsen the headache, by what a quiet dimly lit the place is of great help in the recovery and return of taxes.

5. An employer who reasonably accommodate the needs, you can find a more loyal, productive worker.

Anatomy of a Migraine

Migraine is a brain disorder, not a problem with blood vessels as we used to think. An area at generally towards the back of the brain, begins to use sugar and oxygen slower than normal pace. This reduced brain activity gradually spread throughout the brain, taking about 24 hours to reach its maximum. The headache begins about the time it comes around the brain. Some changes in the rate of oxygen use persist for up to seven days after the headache. Some migraine suffers experience a burning sensation pain in the head affected by migraine for a day or two after the headache, and many complain of a brain fog or loss (workersxzcompxzkit) sharpness for a time after the headache. Once you start headache, is a chemical interaction with transmitting nerve impulses that cause inflammation, pain receptors in the fifth cranial nerve and blood vessels producing some of the symptoms.

Prophylacticly Migraine is treated with measures to reduce frequency and / or severity of headaches and the use of abortion measures designed to relieve the headache once it arrives. Prophylactic measures begin your search Triggers of migraine. Some people are increasingly hungry causes a migraine. Others say that certain odors trigger an attack. Sometimes bright or flashing lights causing migraine. In many people, however, there is no clear trigger. Maintain a daily record of what has been eating, drinking and feeling just before a attack can help identify triggers.

Some suffer from migraine have fewer attacks if they receive chiropractic treatment. In others, unconsciously, his teeth will lead to headaches and can be alleviated by the special equipment provided by a dentist. Two classes of drugs prescription used primarily for high blood pressure also decrease in attacks in some people, even though migraine has nothing to do with high blood pressure. A group of drugs originally used to treat depression helps some, though there is a causal relationship between depression and migraine. Vitamin A, Coenzyme Q10, and a preparation counter, Petadolex7, have proved more effective in trials of prescription drugs.

A group of drugs called triptans to abort often headaches much more effective than the-counter (OTC resources)-the-more. Counter remedies often block the pain enough to allow the victim to continue the work, but not completely alleviate all symptoms of migraine. For Conversely, when the triptans do the job, stop nearly all the effects of migraine. Not every migraine sufferer can safely use triptans. For example, People with high blood pressure ideally require monitoring when taking the first dose, to ensure that your blood pressure will not rise inappropriately. Some migraines, particularly hemiplegic or basilar migraine should not be treated with triptans.

Criteria for Diagnosis of migraine

Migraines are very common. Before puberty, children have more often than girls, but after puberty of women to catch up and pass, affecting 18% of women and 6% of men. Many migraine sufferers are not aware of their headaches are migraine, and many do not seek medical treatment. People can have more than one type of headache, so it is important to distinguish which symptoms are associated with the type of headache. Common misconceptions about migraine include:

1. The idea that all migraines are associated with visual disturbances called auras.

2. The belief that only headaches lasting several days and forcing the patient to stay in a room dark and quiet are migraines.

3. The idea that migraines are tension headaches, just a little more serious.

Diagnostic criteria for migraine without aura

1. At least five headache that lasts a lifetime between 4 and 72 hours without treatment or between 3 and 72 hours for ever.

2. Either of the following:

a. moderate to severe intensity (Moderate intensity interferes with normal activity and efficiency of the limits, severe intensity prohibits normal activity.)
b. One? Face (The pain is mostly limited or worse on one side.)
c. Aggravated by activity such as climbing stairs.
d. Strong, pulsating or throbbing rarely feature.

3. At least one of the following:

a. Nausea or more rarely vomiting
b. Both
c. Sensitivity to light (photophobia) y. sensitivity to sound (phonophobia).

4. At least one of the following:

a. History, physical and neurological examination suggest that there is no organic disorder;
b. One or more of the following background, physical or neurological exam suggest a disorder organic then discarded;
c. Organic disorder is present, but the migraine attack (workersxzcompxzkit) does not occur first time in close temporal relation to the disorder.

If you have an aura (see below) that do not have to meet all the criteria for migraine without aura.

Diagnostic criteria for migraine with aura

1. At least 2 attacks fulfilling criteria BD

2. Aura, which consists of at least one of the following, but no motor weakness:
a. Fully reversible visual symptoms including positive aspects (eg, flashing lights, spots or lines) and / or negative features (eg, loss of vision).
b. totally sensory symptoms reversible including positive features (eg pins and needles) and / or negative features (such as numbness).
c. Fully reversible dysphasic speech disturbance

3. At least two of the following:
a. Homonymou s visual symptoms and / or unilateral sensory symptoms
b. At least one aura symptom develops gradually over 5 minutes and / or different aura symptoms occur in succession over 5 minutes
c. Each symptom lasts more than 5 and 60 minutes less.

4. Headache fulfilling criteria BD for 1.1 Migraine without aura begins during the aura or follows aura within 60 minutes.

5. Not attributed to another disease

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About the Author

Sanford S. Leffingwell, M.D., M.P.H., FACOEM is a board certified specialist in occupational medicine, with degrees from Harvard University, University of Colorado School of Medicine and The Johns Hopkins School of Hygiene and Public Health. He can be reached at hlm@hlmconsultants.com.

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