Treatment of chronic headache begins with the identification of all the triggers, both obvious and hidden, that are acting on the brain.
The first step is to identify the medications and dietary items that could be causing rebound headaches. For example you may want to stop automatically reaching for the pill bottle or the coffee cup.
The next step is to find the main areas in the head and neck that are sending abnormal messages. The jaw and the small joints on each side of the neck (facet joints) are the likeliest problem areas. It takes a sensitive touch to discern one neck facet joint from another and gauge if it moves as it should. An experienced physiotherapist, chiropractor, massage therapist, osteopathic practitioner, or headache doctor can usually locate the problem.
The tricky part is getting the right combination of treatments. Because of the multifactorial nature of headaches, as many triggers as possible must be attacked and corrected simultaneously for treatment to work.
The sensitivity of the headache centres can be reduced with a course of prescription medication called ‘prophylaxis.’ Prophylactic medications may take 3 to 6 weeks before their full effect is realized. Two different medications with different actions can be combined in lower doses for greater effect. Some examples of the medications used are certain blood-pressure pills, antidepressants, or antiseizure medications. Herbal medicines and/or amino acids may be used instead of, or in addition to prescription medications for those who prefer a more natural approach.
Physical therapy should be initiated next. This implements gradual corrections in body posture, body movement (biomechanics), and in the ergonomics of the work and home environment.
Lifestyle and rebound-causing agents are next. Sleep, diet, and exercise must be as regular as possible. Caffeine, codeine, acetaminophen, aspirin and triptans (if used daily) must be tapered off rapidly or quit abruptly. The patient must expect to be quite uncomfortable at this stage for 2 to 4 weeks while the body ‘detoxifies’ itself. Plenty of fluids, fresh fruit, hot baths, and naturopathic cleansing treatments may help. Do not plan any major events during this time.
A treatment called ‘nerve blocks’ is rapidly becoming the definitive method of treating chronic headache. This technique uses local anaesthetic to temporarily freeze the nerves responsible for conducting trigger signals to the brain. This is a safe, effective, simple treatment that allows the body’s own healing ability a window of opportunity. While these trigger signals are stopped, the brain’s filters can be repaired and start up again. If offending triggers are eliminated as well, headaches may
never recur.
Once the daily pain cycle is broken, some treatment for the occasional headache is needed. The group of medications referred to as triptans, stops the chain of events leading to neurogenic inflammations, eliminating the headache, not just covering it up. Pain relievers used sparingly can help. If practiced frequently, self-healing techniques such as Yoga, Tai Chi, Qi Gong and mindful meditation, may stop headaches or prevent the release of stress hormones that spur them on.
Chronic daily headaches do not have to be a fact of life. Careful inventory of triggers, changing of some daily habits and a well thought out treatment plan may get rid of this life-robbing scourge.
Find out how we can help you contact us today.