Chronic Pain: Migraines
Chronic Pain: Migraines
- Migraine is one of the most common health conditions in the world—more prevalent than diabetes, epilepsy, and asthma combined. A little less than 15 percent of the world’s population suffer from migraines
- An observational study recently found that people who get migraines have a different blood vessel structure in their brains compared to those who do not get migraines, causing greater asymmetry in hemispheric cerebral blood flow
- Environmental factors appear to play a significant role in triggering a migraine attack. This includes certain foods and drinks, hormonal changes, stress, external stimuli like scents or lights, dehydration and changes in the sleep cycle
- Both aspartame and MSG are notorious for causing headaches and triggering migraines. Aspartame can also trigger other neurological symptoms such as visual disturbances and tingling in the extremities
- Preventing migraines begins by avoiding the triggers. Most often this means eating healthy whole foods (avoiding most processed ones) and managing your stress effectively.
Migraine headaches are one of the most common health conditions in the world—more prevalent than diabetes, epilepsy, and asthma combined.1 Migraine headaches are also one of the top 20 causes of disability among adults. I wonder how we could change the world if all these people received proper testing (blood analysis), food allergy testing (if needed), chiropractic evaluation and even acupuncture treatments. How many of them would get great symptomatic relief and truly get their lives back?
More than 37 million Americans suffer from migraines; nearly five million of them experiencing at least one migraine attack per month.2 All in all, an estimated 13 percent of the world’s population suffer from migraines to a greater or lesser degree.
This condition is more prevalent among women, with about 15-18 percent of women worldwide getting them, compared to six to seven percent of men. About 60 percent of women affected have menstrual-related migraines, meaning they tend to coincide with their cycle.
Despite its prevalence, migraines are still one of the most poorly understood medical disorders out there. Part of the problem has been that the experiences of those suffering from migraines vary greatly and the lack of specific diagnostic testing used in mainstream medicine to make a definitive diagnosis.
Aside from throbbing, searing pain, which may one-sided or distributed on both sides, some experience “auras” prior to onset, while others do not. There may also be nausea, vomiting, fever, chills, sweating, and/or sensitivity to light, sound, and smells.
Those who have never had a migraine before can be quite frightened by the neurological symptoms, which can simulate a stroke where one starts to have visual disturbances, even short-term visual loss and/or seeing spots or wavy lines, and/or tingling in your arm or leg. These findings can sound like many other neurological conditions and be difficult, to sum up.
Hypothetical Explanations for Migraines Existence:
A meta-analysis of 29 genome-wide association studies recently identified five genetic regions linked to migraine onset and 12 genetic regions linked with migraine susceptibility.5,6 In addition to that, they also found a whopping 134 genetic regions that appear to heighten migraine susceptibility. Yet even with this information, what can be done to combat this problem?
Another study published early in 2018 suggests that the searing, throbbing pain that is the hallmark of a migraine may be due to overactive pain-signaling from sensory neurons in your brain.7
A third hypothesis is that a migraine arises as a result of a disorder of your nervous system, most likely in your brain stem.8 Although most regions of your brain do not register or transmit pain signals, a network of nerves called the trigeminal nerve system does. Pain is relayed through the trigeminal network to an area in your brain stem called the trigeminal nucleus. If this hypothesis is correct, it also is a likely explanation for why migraine sufferers respond well to both neural input from a chiropractic manipulation and the overall energy balancing achieved through acupuncture.
From there, it is conveyed to the sensory cortex in your brain, which is involved in your awareness of pain and other senses. What first activates your trigeminal nerves, setting off your migraine, however, is still under debate, but some researchers believe that a wave release of neurotransmitters across your cortex can directly stimulate your trigeminal nerves, setting off the chain reaction that ends in the transmitting of pain signals. No singular hypothesis has emerged to explain the occurrence of migraine in ALL sufferers. Besides those already mentioned, other theories include:
- Changes in the brain chemical serotonin. When levels drop, blood vessels including those in your brain become swollen and inflamed, which can lead to migraine pain.
- A disruption of the subtle energies circulating throughout your body, along with unresolved emotional issues that manifest in your body as headaches.
- Vitamin B deficiency. In one study, vitamin B6, B12, and folic acid supplements were found to produce a two-fold reduction in migraines over a six-month period.9 Previous studies, such as a 2004 study in the European Journal of Neurology, have also reported that high doses of B2 (riboflavin) can help prevent migraine attacks10
Are Food Allergies Causing Your Migraines?
Searching the medical literature in PubMed.gov using the search terms “migraine” and “food allergies” will provide you with nearly 160 different studies of this kind, so do yourself a favor and don’t dismiss this potential connection.11 I have encountered several dozen patients over the years who relay to me that their neurologist doesn’t see this as a valid connection. This should give us all reason to pause with concern…
One randomized, double-blind, cross-over study published in 2010 found that a six-week long diet restriction produced a statistically significant reduction in migraines in those diagnosed with migraine without aura.12 Some of the top migraine-inducing foods identified include wheat and gluten, cow’s milk (yogurt and ice cream), sugar, yeast, corn, citrus fruits, eggs, aspartame, MSG and even grain-based cereals.
How Can Diet Benefit Migraine Patients?
Quite a few people have reportedly rid themselves of migraines on the Paleo Diet, which can be summarized as “any food that can be eaten without being processed.” That eliminates the following: grains, bread or pasta, and no pasteurized dairy. Fresh fruits and vegetables, some nuts and oils along with wild-caught fish, organic poultry and grass-fed lean meats are all allowed on a Paleo plan.
As always before setting out to correct an established medical issue it would be advised to seek out a qualified physician who utilizes third-party laboratory testing to identify the root cause(s) of any disease state. Our office is looking forward to helping you get back on track as soon as possible.
1. The Migraine Trust
3. PLOS One 8(7): e71007
4. Huffington Post July 26, 2013
5. Nature Genetics 45, 912–917
6. Huffington Post June 24, 2013
7. Huffington Post April 22, 2013
8. Scientific American July 21, 2013
9. NutraIngredients.com April 2, 2009
10. European Journal of Neurology 2004 Jul;11(7):475-7
12. Cephalalgia 2010 Jul;30(7):829-37