More than a headache. Four questions and answers about migraines

THE Migraine ought to be emphasised as a result of it’s a pathology that impacts 12-15% of the world’s inhabitants. It is the second reason behind years of dwelling with incapacity worldwide (purposeful incapacity for every day actions, household work, skilled work). It is vital to notice that though it primarily impacts folks aged 30 to 49 years, kids and the aged are additionally affected; impacts ladies (one in 5) and males (one in 16); it impacts us all both as a result of we undergo or know somebody who does.

1- What does migraine seem like?

Let’s begin by going deeper into the idea of migraine: a migraine is mainly a headache (headache). This signifies that it’s a headache that isn’t brought on by one other illness. This is a average to extreme, stabbing/throbbing ache on one aspect of the pinnacle, often related to movement illness and intolerance to mild, noise, and typically smells. It lasts as much as 72 hours if untreated or ineffectively handled. It is usually accompanied by neurological signs (aura) or is commonly accompanied by visible modifications. Before, throughout, and after a headache, many sufferers report fatigue, cravings for sure meals, gradual considering, neck discomfort, and different signs for hours to days.

Andrea Costa© DR

2- Are many exams wanted to diagnose migraine?

No, the prognosis of migraine is medical. This signifies that after taking a medical historical past and performing a basic and neurological examination, it ought to be carried out by a physician competent on this space. Some sufferers may have further diagnostic exams, primarily to rule out different illnesses.

3- Does the migraine go away?

In most instances, it won’t disappear fully. Although it’s a lifelong illness that can not be cured, there are efficient therapies that may scale back signs and considerably enhance the standard of life. When a headache begins, the affected person might flip to a robust headache reliever, which is able to shorten the length of the signs. Examples of those therapies are paracetamol, non-steroidal anti-inflammatory medication (ibuprofen, naproxen, diclofenac…), triptans (zolmitriptan, eletriptan, naratriptan…) and hepants (not but accessible in Portugal). With efficient therapy, the vary of migraine signs will be shortened to 1 to 2 hours.

Also learn: Portuguese Headache Society: Migraine surgical procedure is experimental

4- But is it attainable to shorten the times with migraine?

When migraines are frequent and/or very disabling (eg, driving the affected person to the emergency division), numerous preventive drugs can be utilized. Botulinum toxin can be a very helpful and efficient therapy for power migraine when the headache lasts for no less than half a month. This remedy can scale back the variety of days a affected person suffers from migraines and finally the depth of signs.

Because it’s such a widespread and disabling illness, the scientific neighborhood has labored exhausting to develop more practical medication with fewer unwanted effects. Thus, in 2021, new preventive medication had been accepted in Portugal, the goal of which is the neurotransmitter (CGRP) elevated in migraine – anti-CGRP or anti-CGRP receptor antibodies. This promising, selective drug group has fewer unwanted effects and is extra helpful in controlling migraines, decreasing the variety of headache days, and in some instances decreasing the depth of ache and its impression on sufferers’ high quality of life. sick.

Migraine therapy shouldn’t be restricted to those medication and in every case it is very important complement it with different therapies (together with bodily workouts in addition to rest strategies…) and to appropriate aggravating elements akin to sleep and sleep. temper swings, amongst others..

We perceive this now A migraine is way more than a easy headache! Often a number of days a month, the lack to “be and be” has a important international impression on the affected person’s life. Unfortunately, migraine victims are sometimes misunderstood and discriminated towards – what number of are “do you’ve got a headache once more?”, “did you get something?”, “do you miss it once more?” can hear the phrases.

Monitoring of those sufferers by specialised and differentiated specialists within the area is crucial. In this regard, I tackle today and the next day: charge your migraines! Appreciate different folks’s migraines! Seek particular medical consideration.

* The article is signed by Andrej Costa, a neurologist at CUF Porto Hospital

Also Read: Surgery Improves Quality of Life for Migraine Sufferers

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