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Migraines
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Causes - Unknown; possible central nervous system disorder that produces secondary intracranial vasoconstriciton followed by vasodilation.
- triggers: stress, food, allergies, medication weather changes, auditory or olfactory stimuli, hormones, postural dysfunction or abberrations
Signs/Symptoms - Family history -(70%)
- Moderate to intense pain 4-72 hours
- early morning onset common
- hypersensitivity to sound, light and smell
- nausea, vomiting
- cold extremities and sweating
- withdraw to dark, quiet room
- fatigued and drained afterwards
- with or without an aura (visual disturbance) found more in women
Special Tests/Contraindications
Differential Diagnosis
During Migraine, massage may be contraindicated depending on symptoms. Do not cause vasodilation (no heat or deep work) Avoid music, bright lights and fragrance
Treatment Plan - Increase Relaxation, decrease pain. Prone may be poorly tolerated. Cold hydrotherapy to head and neck. Hand and foot massage may be tolerated. Manual lymph drainage. Release sub-occipitals. Triggerpoint therapy.
Between attacks decrease sympathetic nervous system firing, hot hydrotherapy, essential oils (peppermint and lavender)