person with a headache

Goodbye Headache

Find out how you can reduce, or potentially eliminate your headache for good!

Give Your Partner What they want…No more headaches

If your partner suffers from headaches, imagine how grateful they would be if you could get rid of it for them!

I KNOW they would be over the moon, thrilled.

In this video series, I will be sharing with you 3 main types of headaches people suffer with, and how YOU can be the hero by solving their headache problem 

 

Video Transcript

All right. So today we’re going to be talking about. And if you or your partner has headaches, then you know why this topic is so important. Headaches can vary in intensity from kind of a knowing background noise to a severely debilitating, leaving you curled up in a ball, in a dark room or in a closet, crying yourself, hopeless, crying to yourself, hoping you fall asleep.

The reason for this is there’s so many different types of headaches and, they can, again, vary in severity. So today we’re going to talk them about a couple of different ones that we can, help with, and that you’re able to do, some things and take some steps to help reduce the chance of having these headaches and effectively treating them.

So if you’re able to give your partner, or your. Kind of those tools and strategies, so they can get rid of their headache a while. You’re just going to be the biggest hero in their eyes because as we all know, headaches really suck. So I hope you find this information helpful to scroll down below.

We’re going to be talking about the different types of headaches, tension type headaches, migraines, and cervicogenic headaches. So I hope you find this useful and see you on the other side next.

Tension Headache

How to Solve your Tension-Headache 

The most common type of headache. Find out what they are, and how to avoid getting them by watching the video.

Tension Headaches

Hey Dr. Joe Tanti here, and we are going to be talking about tension headaches in this video. Tension headaches are the most common type of headache. The second most prevalent disorder in the entire world. So they affect up to about 80% ofpeople per year. Again, depending on where you look at these statistics, it affects up to about 38% of people.

But a lot of people per year, Anyways, the reality is it just affects a lot of people. We kind of categorizethese as infrequent, common or chronic type of tension headaches. These vary from one time or one day per month, that’s infrequent frequent. We have between one to 14 headaches per month and chronic is over 15.

So 15 plus, and the common triggers for the tension type headaches as you may. And. Well, no includes stress, mental tension decreased range ofmotion in your neck. And also we get what we call trigger points in the muscles of muscle musculature of the neck on through the traps, the sternocleidomastoid this muscle in the front here.

Oftentimes I find in the scalings and upper back as well. So why does this type of headache happen? So I’m going to kind of describe a little bit of a call pathogenesis or the mechanism of action that actually causes these headaches to occur. So essentially there’s activation of the, we called nociceptors or of these nerves in the musculature.

Erin and around our neck. So these nociceptors, they send signals. These signals travel to our spinal cords and then the singles in travel up the spinal cord into certain areas of the brain stem andbrain, the trigeminal, cervical nucleus. And this is an area that receives a lot of information from various areas of our body.

Face in our skull and our neck. So this overlap in information at the trigeminal cervical nucleus essentially can cause a lot of problems. The, this overlap causes these stroke. There’s no susceptivesignals to then share their innovation and then become painful. So areas that share innovation.

The muscles and joints internet with these doses up the nerves in her neck also become painful. So we’re feeling pain down here or no susceptive signals down here. And then we perceive that pain elsewhere in the cranial basically in our cranium or in our head. Chronic tension headaches. Now this is due.

So these are ones that occur chronically. So 15 or more times per month, that’s over half the time you’re experiencing a headache. And this is develop these developed due to prolong no susceptive input or sensitization from these prayer cranial myofascial structures. So from the structures. Our head and the muscles and this results in a sensitization of the, these neurological pathways both in the peripheral nervous system, but also within the central nervous system.

And this is what creates it to be such a problem. This sensitization sensitization essentially means where a signal or a perception shouldn’t be perceived as painful in a, in a normal situation. Well, when an area’s sensitize it, it now becomes painful. So there is a decrease in the pain modulation essentially at the trigeminal cervical nucleus, and an increase in activity in these other structures and then pain essentially.

Tension headaches are also known to be kind of onthe migraine spectrum and it all has to do with this poor. Our body’s inability to inhibit the pain pathways in our, in the nervous system. So what tension headaches typically feel like? They’re, they’re typically not there. They’re not throbbing.

Oftentimes they’re both sides. They could be mild or moderate. They might have. You might say you have a low pain tolerance, a lot of stress. These arenot typically aggravated from physical activity. So exercising, walking, running upstairs, these things don’t typically aggravate it. Oftentimes they’re worse with head movement.

So moving her head side to side, doing this kind of thing that seems to agitate. Oftentimes we’ll feel the headache kind of in, through our temples. We’re not going to have any neurological signs, so no numbness, tingling no double vision, anything like that. Oftentimes we can get these tension headaches at a close time.

So when we get a migraine, if you get migraines as well, we’re going to get into that in the video below,it feels like doll pressure. Sometimes you feel like fullness or just heavy or just really tight. Sometimes it feels like you’re being your head’s being tight, like wearing a tight band or a tight hat, or it’s being compressed.

So what can we do to help manage these tension headaches? And what can you do for your partner to help overcome these tension headaches? Well, the gold standard of care and physical or manual therapy includes things such as myofascial therapy. To desensitize, trigger points and muscles. So massage.

So if you did a good neck massage and upper backmassage, that would really help reduce the tensionin the musculature and those trigger points and decrease those no susceptive nerves. From traveling to the spinal cord, up to the trigeminal, cervical nucleus exhibiting the paint. So that could be extremely helpful.

You can help with some stretches exercise, go for a run, go for a walk help them. De-stress. So oftentimes we kind of hold our attention. We start doing this people that sit at a desk all day, people that are in high stress situations, oftentimes their shoulders are kind of hung up by their ears. So helping get them to relax a little bit, that can oftentimes be quite helpful.

Other things that could be helpful as well. I don’t think you should do this. In fact, don’t do it, but oftentimes manipulation or mobilization of the neckand upper back regions can be quite effective. So chiropractic manipulation mobilization. Traction on the neck. Also again, just reduction in stress.

That’s going to be extremely important to help reduce the intensity and frequency of these types of headaches. So I hope that’s helpful. Next we’re going to be talking about cervicogenic headaches, and then the third video, we’re going to be talking about migraine headaches. So stay tuned and talk to you soon.

Cervicogenic Headaches

If your headache is coming from your neck, it may be a cervicogenic headache. Find out how they occur, and what you can do to fix them.

Cervicogenic Headache

All right. So we already talked about tension headaches. Now we’re going to talk about called cervicogenic headaches. You know, these essentially means cervicogenic means it’s coming from your neck and headache obviously means you know, headache. So these are similar. These are secondary type of headache.
[00:00:21] And they’re commonly involved with the upper part of your neck, the three spinal nerves that come from the very, very top of the neck. The joints in this region as well. Unlike the tension type headache they’re not really in S instigated or caused by peri cervical structures. But by the actual Mio dural bridges connecting the dura to the deep posterior.
[00:00:47] Neck musculature. Most common pain triggers include the very top. So C1, C2, and C2 and C3 joints. Those are the joints right at the top of your neck here. [00:01:00] Oftentimes the, one of the most. Most clear diagnostic tests, we call the seated circle, flection and rotation test essentially where we tuck your head down and, and rotate to the side.
[00:01:11] You could do that both sides. And that will oftentimes light someone up like a tree that has this type of headache. Essentially. You feel this headache is coming from right there. You can, you just know it’s coming from there. Oftentimes it’ll radiate out sometimes to the side. So similar to the tension headache the nociceptive signals.
[00:01:32] In these areas in the joints and nerves in the upper part of the neck they travel into the spinal cord through thatdorsal hornin the spinal cord and they travel up into the trigeminal cervical nucleus here, the sensory fibers from the upper cervical nerve roots. They interact with the cervical or sorry, the sensory fibers from the trigeminal nerve.
[00:01:56] So the nociceptive signals can [00:02:00] sometimes be referred into that trigeminal nerve the sensory distribution as well. It means into the, essentially the face trigeminal nerve. It kind of travels in through the different regions of the face here. So oftentimes majority of times, 72%. Pain starts in, through the back of the neck here.
[00:02:18] And then it travels upwards. Sometimes it’s made worse with neck movement. In fact, most of the time it’s made worse with neck movement. It can last hours. It can last weeks typically not throbbing and it can be either moderate or severe type of pain very common after whiplash type of injury.
[00:02:37] So if you’ve been in a motor vehicle accident or you’ve been in trauma or you’ve fallen, we’ve hit your head. The pain can really fluctuate in intensity. Sometimes it’s really bad sometimes it’s like, okay. Oftentimes it’s on one side. So again, typically you feel it here and then it shoots up to the one side.
[00:02:56] Sometimes though it can be on both sides. [00:03:00] Sometimes you’ll get pain down and through the arm and shoulder as well. You’re typically not going to get any nausea, no vomiting, no sensitivity to light or sound. And oftentimes there’s a history of a neck trauma. So you’ve been in some type of accident already fallen, or someone’s hit you in the neck.
[00:03:15] Something’s happened to your neck? Had pain. So usually the. Again, starts to bother the neck here. And then it travels out of there sometimes behind the eyes sometimes to the temple, sometimes like a Ram horn kind of up above like this. Oftentimes the average onset of these types of problems are at age 40.
[00:03:33] But I’ve seen them in everyone from like in their teens and above from there. It’s gold standard treatment for this type of problem similar to the tension type headache. But this is really where. Chiropractic manipulation really shines. If you have this type of headache if you get your neck mobilized and manipulated get those joints moving more appropriately with the chiropractic adjustment that’s going to feel [00:04:00] fan freaking tastic.
[00:04:01] Don’t do that on your own, please. You’ll probably just end up hurting yourself. So go see a chiropractor. They’ll be, I’ll help you out with. Exercise is really important. So take your partner on a walk, go to an exercise class, get moving movement is helpful. Myofascial therapy. So if you’re to do a little bit of massage, some gentle traction, some stretching in, through their neck that would feel fan freaking tastic as well.
[00:04:24] Sometimes in the office, we’ll do some neuro mobilization just to promote some mobility. In that dura and create some desensitization of those structures to help minimize the pain intensity as well. Sometimes medically, these are treated and I’m not a medical doctor. I’m not saying you should do this.
[00:04:42] But sometimes they’ll give them things such as a and said, so Advil, ibuprofen, acetaminophen these don’t really seem to help most of the time. Sometimes it numbs it a little bit but doesn’t really get rid of it. So those are the things you can do for your partner. If they’re having this type of problem get [00:05:00] moving, you need to exercise, do some trigger point work in through the musculature.
[00:05:06] And, but also get them in to see your chiropractor. Cause they’re going to adjust their neck and that’s going to feel fanfic fantastic. All right, next, we’re going to talk about migraines and what you can do to help overcome these migraines and exactly what they are. And we’ll see you soon.

Migraines

Quite possibly the worst type of headache there is. Find out how to get out of the dark closet, curled up in a ball, and back to your life! Watch the video to learn what Migraines are, why they occur, and what you can do to stop them.

Migraines

All right. So now we’re going to be talking about migraines and as many people know, migraines areone of the major causes or types of headaches that people suffer with, affects up to over 20% of people worldwide. Most commonly effects women.More often than men, women get it about, 18.2% of women gets migraines and only about 0.5% of men get them.

So women really drew the short straw on this topic.Anyway. So first we’re going to talk about some of the background about migraines, kind of the pathogenesis or mechanism of them, what they are. And I’ve been talking about some strategies, so you can help, eliminate your mind. And help really control them.

So the first thing to know about migraine is that it’snot really a thing you can get rid of. It’s more of a condition that we’ve moved. It’s like when someone has a diabetes, diabetes type one, for example, and they’re managing it really well. They don’t have any flare ups are able to maintain their blood sugars levels.

They have no problems with anything because they’re taking the steps to treat it. That’s kind of like when someone has a migraine. When we’re notdoing the things that are going to be helpful for it, and we get a flare up or you get the headache or the actual migraine, but it’s not something that youcan really get rid of, at least in my experience.

And from what I’ve read, so about over a majority of migraine sufferers, have a family history or people in their family that have. If your mother and your father both had migraines all year, about 75% chance of having them yourself. We’re going to talkabout, I’m also going to be giving you a nice screening tool at the end here.

It’s just three quick questions to see if you may potentially have a migraine it’s called the ID, migraine screen. So why do migraines occur and what are they? Well, they’re really complex neurological thing, a phenomenon that occurs and,the mechanism behind them is not really well known.

Theories behind why they happened. That’s alwaysseems to be changing the, but the exact mechanism is not well known, because they’re so complex. The one theory that people used to think was due to the blood vessels in the brain, they would kind of contract and shrink down and come and blamed.

And that’s not really a viable. That’s kind of been ruled out as a possible mechanism. Migraines can also vary in intensity and severity and their presentation can be different in everyone. Some people get aura, some people get different types of aura. So that’s why I feel that there’s not a one mechanism of action to causes these migraines.

So with migraine, there’s essentially four phases. The first. It is called the, pre monetary phase. And this occurs a couple hours before the headache actually occurs. There seems to be some type of a dysfunction between how different areas of the brain communicate with each other. With the, how they connect and this connectivity between the hypothalamus, the thalamus and the cerebral cortex, occurs.

And this can cause a lot of different issues such as,alterations in how you perceive pain, perhaps mood changes, cognitive issues. Again, it varies from person to person. Once we hit that second phase, this is the aura. Now again, not everyone experiences aura, essentially what it is is there’s this wide cortical, depolarization of the brain, essentially in different areas and it affects how the brain is behaving.

So some people they’ll see some visual things they’ll see kind of floaty spots. Sometimes people kind of lose their vision. Sometimes people will, There can be such a wide variety of peoples or as. And again, depends where that deep polarization in the brain is occurring. That causes that sometimes this aura, occurs with the headache majority of the time.

It’s right before the headache though. So that thirdphase is again, the headache. This has to do wherethe. Trigeminal afferent nerves kind of get triggered. There’s these neuropeptides such as substance P and CGRP. They, there what’s actuallycaused the headache. So they cause a lot of, expansion or vasodilation and neurogenic inflammation or inflammation of the nerves, in the brain essentially.

And in the facial. Or sorry that trigeminal nerve and, this causes the actual headache that the intensification and the, the length and duration of the headache as well. That fourth phase is that we’ll call post, postdrome. This is, kind of the migraine hangover. It doesn’t affect everyone that has a migraine, but a lot big percentage about 60 to 70% of people will get this.

This can manifest itself in many different ways. Sometimes people get kind of psychiatrically, they behave different sensory disturbances, sometimes digest digestive, or just kind of these bag generals.So the keys for managing migraines, number one istrying to reduce the triggers and, trying to reduce, risk factors for migraine.

So I’m just going to list out a couple of these risk factors for migraine. Some you can change some, you obviously can’t. So changing the ones that youcan, it’ll be really helpful, then we’re gonna talk about triggers. So some common risk factors for migraine, of course, our family history of migraine.

So if your parents had migraines, well, you really should have chose better parents. If you’re overweight or obese, if you have low cardiovascular fitness, impaired insulin sensitivity, if you’re overusing medication hypertension, if you’re a history of stroke, low calcium, low levels ofcalcium or high cholesterol or vitamin D deficiency,these are all risk factors, coronary artery disease, and also, young females.

So, prepubescent females, and being in your thirties. So obviously can’t control your. What wereyour parents, but you can control some of these other factors as well. We’re going to talk about triggers that majority of people do have triggers. Some people haven’t been able to identify them.

If you aren’t able to identify your triggers. What I would suggest doing is getting a headache diary. And every time you have a migraine, just write down before or during or after the headache goes away, what circumstance you’re in? What did you eat, where you sleeping? Well, what environment were you in?

Were you on a vacation? Is there a lot of stress. Was there a lot of light, cause identifying those triggers is going to be really key for you helping to reduce the frequency intensity of these migraines. So some common triggers include things such as stress of odors sleeping late. So if you don’t have aregular sleep schedule, hormones such when females are on their women were on their menstrual cycles that can sometimes initiate a headache.

Sorry. Sometimes neck pain, heat or not eating different lights, different foods, the weather. So thebarometric pressures, sometimes people in a certain areas of the country are going to get more migraines than if they’re in another area of the country. Alcohol, if you’re a certain exercises, poor sleep, smoke.

Head trauma, extra increased stress, different medications can cause it as well. It also having, other illnesses this can contribute, as we’ve mentioned, a couple of those risk factors. So migraines, typically present, about the last 24 to 48 hours long. They can be increased with. Some of the symptoms may be increased yawning.

This is that first phase that we’re talking about, irritability or neck stiffness. And you kind of also get the sense that you’re going to actually get a headache. So if that’s coming on, then you, you may actually have migraines. And we talked about the aura again, that affects and boats only 20, 25%of people’s one of four people.

Again, this can cause a bunch of different visual disturbances. And we get the headache or migraine. It can last anywhere from a couple hours.Sometimes several days I’ve met a couple of people that would last a couple of weeks, unfortunately. So a really quick screening tests youcan do. If you answer a two of three of these, the answer is yes.

You’re very likely to actually suffer from migraines. The first is, are you nauseated or nauseous or sick to your. When you have a headache, has the headache limited your activities for a day or more in the last three months? And it does light bother you more or a lot more, when you have a headaches, if you answered two or three of these questions, as yes, odds are, you do have migraines, or have migraine.

And if you answered no, then chances are, you may not have my rate, but a different type of. So what are the possible different treatment strategies, for migraine? Well, number one, of course, as I mentioned before, it’s trying to identifyyour triggers and avoid those as much as possible. That’s that’s number one.

That’s the biggest thing. That you can do, another option as well. Chiropractic care seems to be helpful for some people who have migraine, manipulation of the neck and of the upper back and soft tissue therapy in those areas, can also be quite helpful in either prophylactically reducing migraine intensity or frequency, or, sometimes people will use it if they’re having a.

Then they’ll get these procedures done and it can be quite helpful. My experience shows that it’s helpful for some people, but not for others. So, it’s worth a shot or a trial of care to see if it’s beneficialfor you. Some things you can do for your partner tohelp reduce their likelihood of a mild.

Is gets help reduce their stress. You can also do some soft tissue care, in, through their neck and upper back. So some gentle massage, some gentlestretches, in those regions to help alleviate some of that muscular tension and also reducing their stress levels. Also if you’re able to identify those triggers, with them and helping them avoid those triggers as much as possible, that’s going to be a great, great.

There’s also a couple other nutraceuticals that seem to have been shown to be helpful for some people with migraine, including taking riboflavin, coenzyme Q 10, for adolescents, typically magnesium as well and butterbur. Also medically a lot of people will be taking certain medications to help, reduce these migraines.

These can either get in, take, be taken prophylactically or, during flare. And talk to your medical doctor about that. They’ll be able to prescribe you the right medication. Sometimes there’s a little bit of trial and error. Again, migrainesare extremely complex, so there’s not one type of migraine and there’s not one type of therapy or intervention you can do to eliminate all different types.

So trying to figure out which kind you have and finding out what works best for you is the key. Hope you find that it’s helpful and talk against you.

Headache Summary

What are the take away key points to solve headaches, once and for all?
To Summarize

All right. So we’ve talked about the different types of headaches. We have tension headaches, feeling a lot of tightness in through here kind of comes around. It feels like someone’s questioning your head. Typically. Typically it’s both sides, initiated by stress. Oftentimes we have the surface Magenic headache, which is if you have pain in the neck and then it shoots up either over top to the side pot, sometimes behind the eye or down the arm a little bit.

Cervicogenic headache. And then we have the migraine, which has those four phases. First we have a poster or prodrome, and then we have the aura and then we have the headache, that we have that a migraine hangover. And this can affect people differently, depending on the type of migraine. It’s typically pulsating, usually one side, but sometimes both.

You oftentimes get sensitivity to light. It might be nauseous or actually throw up. And, the third one is, re basically feel like you have to lock yourself in a room essentially, to, or having difficulty, doing normal day-to-day things going upstairs, walking. Doing normal tasks is extremely challenging because of this headache.

And we manage these different headaches differently. So again, the first one that affects everyone is, every type of headache is managing stress, trying to alleviate that stress, keep the shoulders relaxed. We’re not up like this all the time. For the cervicogenic headache, make sure you’re getting enough rehab, and actually overcoming these injuries that you may have sustained to your neck.

So make sure you’re doing that appropriately, for migraines, really avoiding those triggers. So identify what your triggers. Trying to avoid those and reduce those risk factors that we talked about as well. That will go a long way in helping you and, or your partner, reduce their chance of getting these types of headaches.

I hope you found this to be a very helpful and valuable. If you have any questions, feel free to reach out to me, by emails on the site here. Joe talked to you at Dr. Joe talked to you.com or you can always shoot me text, like, work cell is, (587) 604-6462. And if you want to set up a 10 minute chat, feel free to text 10MIN to that number, and we can do that.

So again, hopefully, you found this helpful and hopefully you can be the hero in your partner’s eyes, by helping them reduce their headaches, hopefully, eliminate them. That’d be a great, great thing. So again, hopefully you found this helpful and talk to you soon. Thanks..

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