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How to solve headaches: A Visual Guide to Migraine Headaches


Headache Relief | How to Stop a Headache: Tension, Sinus & Migraine

Types of headaches

Mild headaches

Headaches and migraines can vary in the degree of pain they bring and where the pain is located (the temples, the center of the head, the sinus area). For example, headaches can vary from ones that cause severe pain (chronic or debilitating migraines) to ones that are more irritating than painful (mild headaches).

Mild headaches are more irritating than painful. A mild headache won’t interfere with your daily functioning, and they tend to cause a mild or nagging pain on both side of the temples or in the middle area of the forehead. The most common cause of a mild headache is tension, stress, eye strain, or sinus congestion. The headache often feels like a tight squeezing pain around the head, especially in the temples.

Moderate headaches

A moderate headache is one that will impact your daily functioning to some extent and is characterized by medium intensity migraines or headaches.

Moderate headaches are typically caused by stress, harsh light or sound, allergies, tension at home or work, or eating really cold foods, like ice cream. These headaches are often aggravated or worsened by strong aromas (perfume, cleaning products, smoke, gasoline, car exhaust) and loud sounds.

Severe headaches

A severe headache, also called a primary headache, will definitely interfere with your ability to function at home, at work, or socially. Severe headaches are painful and are often classified as intense migraines or “cluster headaches,” which means they cause pain in several areas of the head (temples, between the eyes, etcetera) at the same time.

A severe headache or migraine can last from a few hours to several days and they are very painful. Often, these types of headaches must be treated by a physician, who may prescribe a prescription medication to help alleviate the pain and occurrence of these headaches.

Chronic migraines

Chronic and severe migraines are often called “debilitating headaches” because they often render individuals completely helpless in the face of them, making work and daily tasks impossible. Debilitating headaches are painful and long lasting, draining you of energy and time, because that kind of pain is very exhausting.

An incredibly painful headache should never be ignored as it may be indicative of a severe head injury or underlying illness. It is strongly advised that anyone suffering with debilitating headaches, especially if they come on very suddenly, to speak with a physician immediately or go to the emergency room – especially if the headache is more painful than those experienced in the past.

History of Headache – Migraine & Headache Australia

Headache in Ancient Times

The history of headache and neuroscience goes as early as 7000 BC, when signs of ancient neurosurgery were evident. Neolithic skulls show that trepanation (the removal of a segment of bone from the skull) was widely performed. Trepanation may have been performed to release demons and evil spirits from the head. Ancient man believed these spirits were the cause of headaches and disorders such as madness and epilepsy.   Trepanning was still recommended by some 17th century physicians for the treatment of migraine. In 1660, William Harvey recommended trepanation to a patient with intractable migraine.

The Ebers Papyrus, dating back to about 1200BC and named after a professor of Egyptology, mentions migraine, neuralgia, and shooting head pains, and is said to be based on earlier medical documents from around 1550BC. Following the instructions on the papyrus, the Egyptians would firmly bind a clay crocodile holding grain in its mouth to the head of the patient using a strip of linen. The linen bore the names of the gods whom the Egyptians believed could cure their ailments. In actual fact, the process may have relieved the headache by compressing the scalp, and possibly collapsing distended vessels that were causing the pain.

Hippocrates – in 400 BC – was the first to describe visual symptoms of migraine. He described a shining light, usually in the right eye, followed by violent pain beginning in the temples and eventually reaching the entire head and neck area. Hippocrates also noted the association between headache and various activities such as exercise and intercourse.

Headaches have long been attributed to digestive disturbances and to the flow of bile, one of the digestive juices. Almost 2,000 years ago the Roman physician Galen commented: “How constantly do we see the head attacked with pain when yellow bile is contained in the stomach: as also the pain forthwith ceasing when the bile has been vomited.” Hippocrates, attributing migraine to vapours rising from the stomach to the head, realised that vomiting, when possible, could partially relieve the pain of headache. The vomiting attacks of childhood, often migrainous in nature, are still referred to as “bilious attacks”.

Headache in the Middle Ages

Manuscripts have survived of Hildegard of Bingen (1098-1180) – a nun and mystic of exceptional intellectual and literary powers who was able to replicate her “visions” and left detailed drawings and written accounts of what she experienced. Because the description is so detailed, it gives conclusive evidence that migraine caused her visions.

European medieval treatments of headache included drug-soaked poultices applied to the head, and opium and vinegar solutions. The vinegar in the solution was probably used to open the pores of the scalp, allowing the opium to be absorbed quickly through the skin.

The Scientific Era

Three hundred years later, in 1672, Thomas Willis introduced the term “neurology”. Willis made extraordinarily accurate observations of migraine, and was aware of the many causes of migraine attacks, including heredity, changes of season, atmospheric states, and diet. Willis also introduced the vascular theory of headache, stated that migraine was caused by vasodilatation, pointing out that headache symptoms were related to slowly ascending spasms beginning at the peripheral ends of the nerves.

Then in the late 1770s, Erasmus Darwin (the grandfather of Charles Darwin), believing that headaches were caused by vasodilatation, proposed the theory of treatment by centrifugation, spinning the patient around in a centrifuge to force the blood from the head to the feet.

In 1873, Edward Liveing published “On Megrim, Sick-headache, and Some Allied Disorders: A Contribution to the Pathology of Nervestorms”, the first major treatise devoted to the subject of migraine, where Liveing published his theory that migraine was a brain dysfunction caused by “nerve storms” originating in the brain. Liveing also believed the relationship of migraine to epilepsy was obvious, both being caused by central nervous system discharges. These views differed greatly from the vascular theory.

William Gowers – known as one of the founders of modern neurology and an eminent physician in the late 1800s – subscribed to the neurogenic theory of headache propounded by Liveing. In 1888 Gowers published the most influential textbook of neurology at the turn of the century, “A Manual of Diseases of the Nervous System”. In his passage on the treatment of migraine, Gowers emphasised the importance of a healthy diet. Gowers also invented the headache treatment that came to be known as the “Gowers mixture”, a solution of nitroglycerin in alcohol combined with other agents. Gowers advocated marijuana to relieve the acute attack of headache. One of the first to divide the treatment of headache into prophylactic and episodic, Gowers advocated continuous treatment with drugs to render attacks less frequent, and treatment of the attacks themselves.

The 20th Century

Much headache and migraine research is still based on the actions of receptors in the brain, using the work on immunology and receptors for which Paul Ehlich won his Nobel Prize in 1908.

In the late 1930s, Harold Wolffe was the first person to study headache in the laboratory, performing many laboratory experiments which supported the vascular theory of headache.

Australia’s Role

Research into migraine and other headaches began at The Prince Henry and Prince of Wales Hospitals in Sydney in the 1960s and rapidly achieved international recognition.
A leading member of the Sydney team, Peter Goadsby (now Professor of Clinical Neurology at University College and Honorary Consultant Neurologist, National Hospital for Neurology and Neurosurgery, Queen Square, London) had undertaken research into the way that the brain controlled blood flow to the scalp and to the brain itself. These studies helped to explain why the arteries open up in migraine and cause severe headaches to throb with each pulse.

The fame of the Department of Neurology at The Prince Henry Hospital rested on research into headache and movement disorders. The discovery that a chemical agent serotonin was discharged from blood platelets at the onset of migraine explained a report from America that the intravenous injection of serotonin caused the headache. This was confirmed at Prince Henry but too many side-effects were experienced by the patients to make this an acceptable treatment.

These observations attracted the attention of Dr Patrick Humphrey in the United Kingdom and stimulated him to find a substance that had the beneficial effects of serotonin while minimising the possibility of unpleasant side-effects. Thus were the triptans born – Imigran, Naramig, Zomig – that have improved the life of so many migraine sufferers. The research laboratory at Prince Henry continues to make advances in the knowledge of pain pathways in the brain to answer the question “Why and how does the head ache?”.


Slide Presentation – Professor James Lance
Migraine and Other Headaches 2000   Professor James Lance

Prepared by Louise Alexander, PhC, Grad Dip Comm Mngt, Former National Director of the Brain Foundation. Reviewed by Professor James Lance, AO, CBE, MD, Hon DSc, FRCP, FRACP, FAA, Consulting Neurologist, and author, “Migraine and Other Headaches”

Guide | Physical Therapy Guide to Headaches

The American Physical Therapy Association believes that consumers should have access to information that could help them make health care decisions and also prepare them for a visit with their health care provider.

APTA has determined that the following articles provide some of the best scientific evidence on how to treat headache. The articles report recent research and give an overview of the standards of practice for treatment both in the United States and internationally. The articles line to a PubMed* abstract of the article, which may provide free access to the full article, so that you can read it or print out a copy to bring with you to your health care provider.

Oguz AE, Baykan B, Ertas M, et al. The persistence versus interchangeability of migraine and tension-type headaches in a 5-year population-based validated survey. Cephalalgia. 2019;40:39–48. Article Summary on PubMed.

Straube A, Andreou A. Primary headaches during lifespan [published correction in J Headache Pain. 2019;20(1):71). J Headache Pain. 2019;20(1):35. Article Summary on PubMed.

Burch R. Migraine and tension-type headache: diagnosis and treatment. Med Clin North Am. 2019;103(2):215–233. Article Summary on PubMed.

Liang Z, galea O, Thomas L, Jull G, Treleaven J. Cervical musculoskeletal impairments in migraine and tension type headache: a systematic review and meta-analysis. Musculoskelet Sci Pract. 2019;42:67–83. Article Summary on PubMed.

Szikszay TM, Hoenick S, von Korn K, et al. Which examination tests detect differences in cervical musculoskeletal impairments in people with migraine? A systematic review and meta-analysis. Phys Ther. 2019;99(5):549–569. Article Summary on PubMed.

Maistrello LF, Rafanelli M, Turolla A. Manual therapy and quality of life in people with headache: systematic review and meta-analysis of randomized controlled trials. Curr Pain Headache Rep. 2019;23(10):78. Article Summary on PubMed.

De Leeuw R, Klasser GD, eds. “Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management.” Chicago, IL: Quintessence Publishing USA; 2018.

*PubMed is a free online resource developed by the National Center for Biotechnology Information. PubMed contains millions of citations to biomedical literature, including citations in the National Library of Medicine’s MEDLINE database.

25 Ways to Cure a Headache

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25 Ways to Cure a Headache

Escaping to a relaxing spa for the day is the perfect way to cure a headache. However, I know we don’t all have that luxury (at least I don’t – and I’m guessing you don’t either if you’re here reading my list instead of chillin’ at the spa)… so I asked the Slap Dash Minions for their best natural ways to cure a headache. Some of the answers might surprise you!

1. Kale – There may be some truth to this one.
2. Hydration – This is definitely true. If you have a headache, you might be dehydrated. Drink up!
3. Vicks Vapor Rub around your hairline – Rubbing Vicks on your temples does help!
4. Coffee – or any large amount of caffeine. This one works, but isn’t the best option because caffeine withdrawals actually cause headaches.
5. Gatorade – as long as it’s not a migraine, Gatorade works in the same way water does… but better.
6. 2 teaspoons of hot sauce – Lifehacker says you can cure headaches with peppers. Try it and let me know how it goes. 😉
7. Eucalyptus and mint candle – scents like mint, peppermint, eucalyptus, etc help when rubbed on your temples or if you breathe them in (like with bath salts, candles, etc).
8. Lavender – This is a calming scent, so I’m assuming it works on stress headaches.
9. BC Headache powder – Yes! From experience, I know this one works. It tastes disgusting, but is 100% worth it. BC Headache Powder
10. The gym – Not sure how you can make yourself go to the gym when you have a bad headache, but if you can, it might help.
11. Sleep – I know it’s not always an option, but sleep in a cold, dark room helps my headaches.
12. Divorce – Ha!
13. Sex – Not sure about that one, get away from me with that noise when I have a headache!
14. Hot shower – or a cold one, depending on your triggers/relief.
15. Hot rice pack on the back of your neck, or a cold one. I prefer cold.
16. Selling your kids to the gypsies. Then drugs and sleep. Yes this was an actual suggestion. #DontJudge 😉
17. Bloody Mary – or any alcohol. I’m not sure about this one… lol.
18. Ice pack on your head, eyes, and neck. Frankincense oil on your thumb pressed to roof of your mouth. I haven’t tried this one but a good friend recommended it.
20. Yoga – Best yoga poses for headache relief
21. Comfort food – Obviously this isn’t the best options, especially if you’re trying to lose weight… but headaches suck! Eat some mac & cheese and call it a day.
22. Fresh air and sun. Though you might not feel like it with a headache, getting outside should help – unless you’re sensitive to sun. Then, back to square one. 🙂
23. Acupuncture – I know from experience that this works! I use my Zensufu Mat for headaches often.
24. Silence! — Not sure what that is… 😉
25. Peppermint oil – This one is worth repeating. Peppermint oil is amazing!


your best remedy for headache relief?

Water Can Heal – Water and Headaches

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When one starts to get the tightening sensation in the head, it’s so, so easy to reach for a bottle of pain-relief medication. But, many over the counter drugs have side effects that could even be worse than the headache itself! Therefore it is better to consider other more natural alternatives instead of looking for a quick fix. All headaches stem from either chemical, emotional, or structural problems. Instead of taking painkillers to alleviate a headache, it is more beneficial to find out the underlying causes of them to prevent them from happening in the future. Painkillers only mask the symptoms and if taken in excess over long periods of time, they can cause other health conditions.

One of the major causes for headaches is dehydration. To treat your headache naturally with water, it is a good idea to first find out what type of headache you have. First, there are chronic tension headaches that can result from stress overload, fatigue and even from physical problems, psychological and emotional issues and depression. Then, there are cluster headaches, which are categorized by coming in groups of one to four a day in a set cluster periods that could be days or months. Hormonal headaches are similar to migraines in that they affect only one side of the head, and they are also frequently accompanied by nausea, vomiting and sensitivity to light and/or noise. Finally, there are sinus headaches, which can be experienced after a cold or other medical condition.

Water can aid as a treatment to all of these headaches. In tension headaches, it was noted above that a cause can be fatigue. Fatigue is a side effect of dehydration. So, if dehydration is the cause of the fatigue and fatigue is the cause of the headache- start by treating the fatigue and get hydrated. Try to drink as much water as possible over a time span. Consuming large amount of water at once could lead to water intoxication. However, tension headaches could also be a symptom of other problems, it is a good idea to seek help from a medical professional if the headaches persist.

Here is an example of using water to heal headaches. A woman by the name of Margi contributed a piece of advice at clusterheadaches.com, reporting that her husband’s headaches have not come back since he started drinking a glass of water at least every hour. Additionally, the hot water from a nice, warm shower or bath can help relax those tightened muscles.

As far as preventing headaches, staying hydrated can help. But not all forms of liquid are helpful. In fact, a very common form of headache can come in the form of caffeine withdraw. Of course, having a coffee or soda can give the body what it wants and help ease the headache pain, but it could also begin a vicious cycle.

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5 Bizarre and Scary Historical Headache Cures

Since the late nineteenth century, analgesic drugs have been available to the masses to alleviate general pain, including that caused by headaches. While that might not always do the trick, it sounds a lot better than these alternative treatments from history.

1. Burn your head

Naturally, if your brain feels like it might explode out of your skull, the thing to do is add more fire. That’s what Arateus of Cappadocia, an ancient Greek physician, recommended. Hilariously, Arateus notes that his suggestions might just be “hazardous treatments”:

[S]have off the hair (which yet on its own is good for the head) and cauterize [burn] superficially down to the muscles. If you wish to cauterize down to the bone, carry it out at a site where there are no muscles. For if you burn muscles, you will provoke cramps. Some physicians incise down to the bone on the forehead along the border of the hair. They abrade or chisel the bone down to the diploe and let flesh grow over the place. Others perforate the bone down to the meninges. These are hazardous treatments. You have to apply them when the headache persists after all that has been done; the patient keeps courage and the body is vigorous.

2. Put a dead mole on it

Praise be for Ali ibn Isa al-Kahhal (“the oculist”), who managed to bring medicine forward several hundred years through his work. Ibn Isa was—back in the 10th century—the first physician to discover the symptoms that sufferers of Vogt-Koyanagi-Harada syndrome, an eye disease, would regularly present. And though he was in many ways a smart man ahead of his time, the lack of certainty in medicine at the time meant that ibn Isa was a little wide of the mark sometimes. It was for that reason he could say with a straight face that the best way to head off those pangs of pain was to lash a dead mole to your head. Problem solved.

3. Run a warm, sweet bath

Moses Maimonides was a 12th century physician and astronomer born in Cordoba. And because headaches are as old as time immemorial, even back then people came to Maimonides complaining of head pain. His cure was unconventional, but didn’t involve dead moles or worse: immerse yourself in a bath of warm, sweetened water (honey was best), which acts to draw out the vapours that bring aches to one’s head. Truthfully, it’s not terrible advice—plenty of people after a hard day, possibly feeling fuzzy in the head, will run a bath and soak in it for several hours.

4. Add some eels to the bath

Electricity and the brain do not mix all that well, truth be told. Yet for centuries now, electricity and the brain have been mixed through medicine. (Electroshock treatment is just one example. ) The Dutch Society of Sciences published a set of treatises in 1762, contained within which is a scene reported from South America espousing the benefits of electric eels in easing brain pain:

When a slave complains of a bad headache, he has them put one of their hands on their head and the other on the fish, and they thereby will be helped immediately, without exception.

Hear that? Without exception.

5. Trepanning

Ah, the age-old act of trepanning: so popular that it achieved a resurgence as a headache treatment 2500 years after it first appeared. The cavemen around in the 8th century BC put holes in their skulls to alleviate pressure on the brain (without a care for the damage they were doing to their bodies). The treatment never properly went away, but it did fall out of fashion.

Until the 1600s. Suddenly, trepanation was everywhere! Trepanning happened hither and thither, great holes being bored into brain-bearing skulls to prevent pain. If only they’d had the ability to pop some pills, an awful lot of suffering and exposure to infection could have been avoided.

How To Take The Ultimate Shower For Headache Relief

Today I’m sharing a recent discovery of mine that combines the soothing effects of a warm shower with the headache-busting power of essential oils!

Heat therapy can be a useful tool for treating a variety of things that make us feel crummy. From the common cold to garden variety soreness, the heat from a warm bath, a hot water bottle, or a heating pad can help ease discomfort and help us feel better!

I can personally vouch for the healing magic of a warm shower, especially when it comes to my frequent headaches. And I recently stumbled across a simple way to make a warm shower even more effective against headache pain, and that’s what I’ll be sharing with you today!

The Secret Behind The Ultimate Headache Relieving Shower

I realized that I could amplify the headache relieving effects of a warm shower by incorporating Complete Relief, my new headache-busting essential oil blend! Introducing this blend into the warm, steamy environment of your shower is an easy and natural way to relieve headache pain and start feeling better fast.

How To Relieve A Headache In The Shower

Step 1 – Select Your Water Temperature

Hot water (or water that’s as warm as you can tolerate it) is great for easing all sorts of aches and pains, including tension headaches. However, it’s important to know that it’s not always the best choice!

If you tend to experience nausea as a side effect of headaches or migraines, hot water could make your nausea worse. In that case, cool water is your best bet for finding relief from both the headache and nausea!

Step 2 – Add Essential Oils

There are a few different ways to bring Complete Relief into the shower with you to help relieve a headache. Choose your favorite, or try them all to find out which one works best for you!

Method #1: Make A Shower Disk

Combine 1 cup of baking soda with 1/2 cup of Epsom salt, then add just enough water so that it holds its shape when you pinch it. Add 30 drops of Complete Relief to the mixture, stir well, then scoop it into the cavities of a silicone mold.

Allow the disks to air dry for up to 24 hours, then remove them carefully from the mold and store in an airtight container.

To use your shower disks, just place one on the floor of your shower. As it dissolves, the therapeutic oils will be released into the air where you can breathe them in!

Method #2: Add To Shampoo

Pour your usual amount of shampoo into your hand, then add a few drops of Complete Relief to it. Massage the shampoo and essential oils into your scalp to target your headache directly (and clean your hair while you’re at it!)

Method #3: Roll It On

Before you step into the shower, use the Complete Relief Ready-To-Apply Roll-On to swipe the blend onto your chest, shoulders, and the back of your neck. The steamy air and warm water will quickly carry the therapeutic aroma of the oils throughout your shower, and you’ll be feeling better in no time!

Step 3 – Relax And Rest

While you’re taking your shower, focus on taking slow, deep breaths. Play some relaxing music or nature sounds, and allow the water and essential oils to work their magic.

After your shower, drink a big glass of cool water, and lie down and rest for a while if possible. And if you can sneak a nap it, that’s even better! There’s very little a shower-and-nap combo can’t cure, in my experience! 🙂

What’s your best tip for getting rid of a headache?

90,000 Headache from painkillers

Everyone knows what the threat of alcohol abuse, smoking, drug use, but what happens from the frequent use of headache pills is unknown for many.

Yulia Azimova, a neurologist, cephalgologist, Ph.D.

“Why didn’t anyone tell me about this before?” This rhetorical question I hear from almost every patient with abusal headache when we discuss their diagnosis.Abuse headache occurs paradoxically – it is caused by painkillers if you drink too much of them.
The name of the abusal headache comes from the English word abuse, abuse, although the Russian “burden” would be appropriate. Where is the line beyond which the abusus begins? It is known: a month you can take no more than 15 tablets of analgesics with one component, 10 – combined analgesics or triptans (special drugs for relieving migraine pain). Moreover, the abusal headache is superimposed on the headache that the person has already had.Nobody drinks painkillers just for fun!

In four out of five cases, abusal headache is a complication of migraine, the outcome of improper treatment. Delaying the start of effective preventive therapy for migraine, attempts to solve the problem with nootropics-vasoactive drugs, manipulations with the neck, improper relief of an attack – these are the direct roads to an abusal headache.

With abusus, the headache loses some specific symptoms, it is rather “different”: moderate and intense, throbbing and constricting, in different parts of the head, with and without nausea and photophobia.But pain in the neck, soreness when touching the scalp, morning pains are very common symptoms. They arise because chronic exposure to pain medications alters the perception of pain. Anxiety and depression, sleep disturbances are inseparable companions of abusus.

It is also important to know that abusus, although rarely, can occur not only with migraines, but also with other types of headaches, including potentially dangerous ones.

Chronic use of painkillers can be dangerous for the body, damage the stomach, liver, kidneys.And at the same time, not to solve, but to aggravate the problem of the headache. Abuzus breaks life, subduing all plans for a headache.

Frankly speaking, it is VERY difficult to treat abusus. The most important task of the patient is to completely abandon the drug being abused. And the doctor’s task is to make your need for painkillers less, give you another painkiller in return, remove anxiety, depression. Relapses are frequent, so you need to be prepared for long-term treatment.

Therefore, it is better not to allow the development of this headache.What to do? In no case should you exceed the threshold of 10 painkillers per month !!!
But this does not mean that pain must be endured – this is also a path to chronic disease. If you notice that you have already taken 8 doses of triptans or analgesics in a month, see your doctor. At this stage, preventive treatment works great!

By the way, I write in the patient’s discharge how much painkillers can be taken. It’s good if your doctor makes the same recommendation.
You can track the number of painkillers using any version of the headache diary, paper, application or our @Migrebot in Telegram.

And yes, I would like the packs of headache pills, like cigarettes, to have information for patients about the risk of developing abusus. ”

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90,000 Why headaches: unexpected reasons

Reason: Smoking

Smoking causes headaches.And not only in the person who smokes, but also in those people who are next to him. Inhalation of nicotine leads to constriction of blood vessels in the brain, which provokes a severe headache. Quitting smoking and / or avoiding secondhand smoke is very helpful for people with cluster headaches. This is a very painful one-sided headache that can hurt your eyes and nose.

Reason: Caffeine

In moderation, caffeine is good for you, it is even included in some headache medications.However, frequent coffee consumption can lead to headaches. But it is also not recommended to completely give up coffee, since abrupt cessation of caffeine consumption also provokes a headache.

Reason: Cheese

Aged cheese, including blue cheese, cheddar, parmesan and Swiss cheese, can trigger migraines in some people. A substance called tyramine is to blame for everything. The longer the cheese ripens, the more tyramine it contains.

Reason: Red Wine

Tyramine is also found in red wine and other alcoholic beverages. In addition, alcohol can cause dehydration, which can lead to headaches. If you cannot refuse red wine, consult your doctor, he may prescribe a drug for prevention.

Reason: sausage

There are 2 arguments against sausages: they contain tyramine and nitrites, which provoke headaches in some people.A headache caused by food additives tends to spread to the entire head (as opposed to a migraine, which only affects one half of the head).

Cause: Hunger

If you skip a meal, your headache may appear even before you feel hungry. The reason is the lowering of blood glucose levels. However, candy will not help you, since the rise in blood sugar will be short-lived, you need a full meal.

Solution: Calculate the cause

If you know what triggers the headache, you can prevent it. Start keeping a headache diary and record meals, stressful situations, changes in the weather, and physical activity. Record the time when the headache starts and ends. So you can figure out your reason and you can get rid of it

The Solution: Deal With Stress

Unfortunately, we cannot avoid stressful situations, but we can control our emotions.Managing stress with your own strategies or massage can help relieve headaches.

Solution: stretch your legs

Moderate exercise is an excellent “cure” for stress. In particular, walking protects against headaches and tension. By swinging your arms as you walk, you relax your neck and shoulder muscles. This will help against tension headaches.

The Solution: Eat Regularly

Eating a balanced diet at regular intervals throughout the day will help avoid sudden fluctuations in blood sugar.Try to eat proteins with complex carbohydrates, such as chicken and brown rice. Remember to drink enough water – dehydration also causes headaches. You need 2-3 liters of water per day.

Solution: drugs

Currently there is a large selection of drugs for headache: acetaminophen, aspirin, ibuprofen, naproxen. Such medications should be taken as soon as you feel a headache. But don’t overuse them.This can lead to persistent headaches. If you experience frequent severe headaches, see your doctor.

When to see a doctor

If the headache is very severe or lasts more than two days, you should consult a doctor and describe your feelings in detail to him. Call an ambulance if the headache is accompanied by blurred vision or movement, confusion, seizures, fever, or increased neck tone.

Chronic daily headache | Stavropol Regional Clinical Hospital

What is chronic daily headache?

“I started having headaches, which usually occurred in the afternoon.I could continue to work with the headache, although it was difficult for me to concentrate. I’ve noticed that a couple of pain-relieving pills can reduce pain. Gradually, headaches appeared more and more often, and now I take painkillers almost every day. My head hurts almost all the time. ”

Chronic daily headache (CHDH) is not a diagnosis. This is a term that combines headaches that occur 15 or more days a month for more than 3 months.

What are the types of chronic daily headache?

There are several types of HEGB and they differ for a reason.The most common are chronic tension headache and headache associated with overuse of drugs (pain relievers) (abusal headache). If you would like more information, there is an information leaflet on tension headaches. Abuse headache can develop from migraines and tension headaches.

Who gets HEGB?

Oddly enough, this condition is very common. About one out of 20 patients have this problem at different times in their lives.CHEHD is more common in women than in men; it can also develop in children.

What are the symptoms of HEHD?

The main manifestation is very frequent headaches. The pain can be of different intensity, its nature is usually dull. In addition to pain, there is often a feeling of fatigue, lightheadedness, irritability, and sleep disturbances. Sometimes the headache can be unbearable, although the severity of it can change during the day. Medication-related headaches tend to be greatest in the morning.

Can HEGB get through?

Treatment for CHEHD depends on the diagnosis and its cause. The selection of the correct therapy is very important, therefore, a doctor’s supervision is necessary. For all types of CHEHD, temporary relief can be provided by pain relievers and anti-migraine drugs, but in many cases the effect is only partial and passes quickly. Such treatment can worsen the condition.

If the headache has already been triggered by excessive intake of painkillers, then these drugs must be discontinued.Stopping taking the “culpable” drug helps to reduce the frequency of headaches.

Do you need additional examinations?

Regardless of the current cause of chronic daily headache, there is no diagnostic test. The diagnosis is based on your description of the characteristics of the headache and accompanying symptoms, and it is imperative that there are no abnormalities in the medical examination. Try to describe your headache in as much detail as possible to your doctor.It is very important to tell your doctor how often and how much you are taking pain relievers or other medications for your headache.

Most likely, your doctor will tell you that you have nothing serious, that you just have a chronic daily headache. If the nature of your pain has suddenly changed or if the doctor has doubts about the correctness of the diagnosis, he may prescribe you additional methods of examination, including neuroimaging (computed or magnetic resonance imaging), to exclude other causes of headache.As a rule, this is not often necessary. If the doctor has not ordered additional studies, this means that he is confident in the diagnosis and conducting examinations will in no way facilitate the appointment of treatment.

What is a headache associated with overuse of drugs (pain relievers) (abusal headache)?

Any medication you take for a headache can cause an abusal headache if taken very often for a long time.Aspirin, paracetamol, ibuprofen, codeine – virtually all overused analgesics can lead to this problem. However, these may not only be analgesics. Drugs intended for the specific treatment of a migraine attack, if abused, can also cause an abusal headache. These drugs include triptans and, to a greater extent, ergotamine.
Similar headaches (although not entirely drug-induced headaches) can occur from excessive caffeine use.Caffeine is usually ingested with coffee, tea, or cola, but it can also be found in headache pills (combined analgesics).

The mechanism of development of drug-induced headache is not fully understood and may differ depending on the drug that caused the headache. Triptans or ergotamine preparations can cause withdrawal headaches: the pain returns after the drug wears off. Analgesics are thought to cause changes in the pain-conducting systems of the brain over time.Thus, drugs are beginning to be used to treat abusal headaches, and you need more and more pain relievers.

For most people with episodic headaches, analgesics are safe and effective. However, drug-induced headache can develop in anyone who takes analgesics more than 3 days a week. Typically, patients with abusal headache present with tension headache or, more often, migraine at the onset.For various reasons, headache attacks are becoming more and more frequent. This may be a natural course of the disease or due to the addition of another type of headache, possibly related to stress or muscle tension. An increase in the frequency of pain attacks leads to an increase in the use of drugs to reduce the existing symptoms, which ultimately leads to daily and repeated use of drugs.

Many people who find themselves in such a situation realize that they are abusing drugs and try to cancel them.This leads to the development of a withdrawal syndrome and an increase in the headache, which again requires the administration of an analgesic. It is not hard to guess that a vicious circle arises, which is very difficult to break. How much medication you take is not decisive: if you use the full dose of the analgesic for only 1–2 days a week, it’s unlikely that you will develop an abusal headache. But if you only take 2 tablets of analgesic, but most of the time, then the likelihood of developing drug-induced headache increases significantly.Thus, the problem is the frequent use of drugs for a long time.

What can you do to help yourself?

The only way to get rid of drug-induced headache is to cancel the drug that caused the addiction; Clinical studies have shown that the abolition of the “guilty” drug significantly improves health. However, it can take up to three months before you feel the final improvement. Even if the headaches persist despite discontinuation of the drug, they become milder and respond better to the right treatment.

You can cancel the drug at the same time, or do it gradually, reducing the dose over 2-3 weeks. Whichever route you choose, drink plenty of fluids during this time (but avoid caffeinated drinks). If you cancel the drug at once, read for sure, you will experience withdrawal symptoms: increased headache, nausea, possibly vomiting, anxiety, sleep disturbances. These symptoms occur within 48 hours of withdrawal and persist for a maximum of two weeks. However, patients who try to slowly withdraw the drug are more likely to fail, perhaps because it takes longer.

When deciding to discontinue a drug, do not do it before important events. Warn your coworkers that you may not show up for work for several days.
What if you leave it as it is?

If the abuse of analgesics is the cause of your headache, then letting things go is not a way out of the situation. You will develop even more frequent headaches that will no longer be relieved by analgesics and will not respond to preventive treatment.Over time, you can harm your body, in particular liver or kidney damage.
What other treatments are there?

The doctor may prescribe certain medications for you to take every day, and this will help you to stop using analgesics. But these drugs will only work if you stop taking all pain relievers.

Can you be sure that the headache won’t come back?

Drug-induced headache significantly modifies the course of the primary headache (migraine or tension headache) for which you started taking pain relievers.This means that after discontinuation of the “guilty” drug, your abusal headache subsides, you will return to your original type of headache. There are separate leaflets with information on migraines and tension headaches.

If necessary, you can carefully resume taking pain relievers as soon as the headache returns, but not earlier than after a few weeks.

Be careful as there is a risk that the same condition will recur.To prevent this from happening, avoid taking pain relievers more often than three days in a row, or on a regular basis more than three times a week. Do not forget to read the information on the medicine packaging and the instructions for use of the medicine.

If the headache persists, or comes back again, do not take medication on your own without consulting a doctor.

In case of persistence or recurrence of frequent headaches, always consult a doctor!

Keeping a headache diary

Keeping a diary will help collect important information about your headache: how often the headache hurts, when and how long the headache lasts, what symptoms accompany it.This information is very valuable for making a correct diagnosis, identifying factors that provoke headaches and assessing the effectiveness of treatment.

For people at high risk of developing drug-induced headache, keeping a diary is especially important as it gives an idea of ​​the frequency and amount of drugs.

To learn more about the headache problem, visit the website:

90,000 Headache – symptoms, prevention, causes, first signs

Under the general name “Headache” is meant any unpleasant and painful sensations localized in the superciliary region, in the temples or in the back of the head.At the same time, the causes of headache include pathologies of the vessels of the neck and brain, nervous system, organs of vision and inner ear, various disorders of the functioning of the mandibular joint, etc. Anyway, pain is a symptom that some an organ or system of the body works intermittently.

Neurologists have counted more than fifty different diseases, each of which can cause headaches in the forehead, back of the head, etc. Fortunately, in 95 out of 100 cases, these diseases are not the result of structural brain damage, but are provoked by other factors.It can be migraine, stress, overstrain of the neck muscles, intoxication of the body, etc. Severe headaches during pregnancy – especially in its first trimester – may be the result of a change in the hormonal background of the body and a redistribution of the load on some of its systems.

Chronic pain prevents a person from leading an active life. There are cases when precisely because of unbearable headaches – after an injury or associated with various diseases – people were forced to give up career prospects, suffered from insomnia for months and could not pay enough attention to family and friends.The excruciating pain can lead to the development of depression and even force a person to commit suicide.

Causes of headache

Neurologists refer to the most common factors provoking the appearance of painful sensations:

  • Excessive tension in the muscles of the neck and head. In turn, it usually develops as a result of increased emotional stress or stress. Pressing and constricting headaches in the forehead, occiput and / or temples, provoked by muscle hypertonicity, can be episodic or chronic, localized only on one side or bilateral.The pain does not increase with physical exertion, but significantly reduces performance and may be accompanied by impaired appetite, lightheadedness, intolerance to bright light and noise;
  • Severe headache, from which pills are often powerless, occurs with migraines, from which up to 15% of the population suffers. According to statistics, the fair sex is about three times more likely to suffer from the symptoms of this disease than men. In some cases, this disease is hereditary, transmitted mainly through the female line.In patients suffering from migraine, there is a strong localized headache, most often on one side, and nausea, which can torment a person for up to several days. They are often accompanied by a phobia of light and sound and are aggravated by physical exertion, forcing the patient to wait out the attack in bed in a dark, quiet room;
  • a change in a person’s usual daily routine – for example, as a result of a flight to another mainland or with a difficult work schedule – can provoke the development of attacks of excruciating headaches in him;
  • Excessive consumption of caffeinated drinks and foods, smoking, alcohol and certain medications can provoke an attack of the so-called cluster, or bundle, headache.It can be unbearable (patients use words like “boring”, “cutting” and “tearing” to describe this condition), often accompanied by swelling of the face and its redness;
  • post-traumatic headache, or post-traumatic headache, is a consequence of trauma to the head and / or neck;
  • violation of the integrity of the vessels of the brain and its membranes, as well as violation of their functions (inflammation of the arteries, thrombosis, cerebral hemorrhage), is also accompanied by severe pain;
  • brain lesions not associated with blood vessels – the presence of benign and malignant tumors in it, increased intracranial pressure, structural features, etc.etc. – another factor in the appearance of pain;
  • Inflammation of the nerves in the head – the occipital or trigeminal – can be accompanied by an acute headache, and pills may not always relieve it. These are the so-called neuralgic pains, which make the patient freeze and be afraid to change the position of the body so as not to aggravate the pain;
  • The defeat of the body by pathogens is often accompanied by pain in the head. This happens with the flu, and with other viral diseases, and in the case of infectious inflammation of the membranes of the brain – meningitis.Other symptoms of infection are nausea and vomiting, high fever, severe weakness, etc.;
  • Inflammation of the sinuses or middle ear are two more common causes of headache;
  • Increased blood pressure and insufficient oxygen supply to the body are factors that can lead to pain and discomfort;
  • Finally, severe headache occurs in patients suffering from schizophrenia and other mental illnesses.

Treatment of headaches in the medical center “Wise Doctor”

If you are in pain, do not ignore the problem by throwing in painkillers.This is not a solution to the issue, but only a temporary measure. The specialists of our clinic work not so much with the headache itself, but with the cause of the manifestation of this symptom, eliminating the malfunctions in the body that led to its development.

Already at the first session with an osteopathic physician, the pain either becomes less pronounced, or disappears completely. And a course of treatment using completely painless manual manipulations will help you forget about it for at least several years! Osteopathic treatment will help to normalize the work of blood vessels and the central nervous system, relieve muscle spasm and remove toxins from the body, as well as quickly and effectively eliminate other possible causes of pain!

Another effective area of ​​alternative medicine that successfully cope with the treatment of headaches, back pain, neck pain and many other health problems is applied kinesiology.Manual-muscle testing by a specialist will help to identify violations in the complex intricacies of the interconnections of the body’s systems. Having found out the root cause of the ailment, he will consistently remove its causes. The course of treatment with a kinesiologist allows you to achieve long-term remission, and a one-time session with this specialist can be used as an “ambulance” in case of an attack of pain.

Often headaches are not the result of physical illness, but stress or depression . In this case, therapy with a psychokinesiologist will help get rid of it.If the cause of the headache is psychosomatics, then the course of treatment will help get rid of it for a long time or even permanently!

Memorial Sloan Kettering Cancer Center

This document, provided by Lexicomp ® , contains all the information you need to know about the drug, including the indications, route of administration, side effects and when you should contact your healthcare provider.

Trade names: USA

Imitrex; Imitrex STATdose Refill; Imitrex STATdose System; Onzetra Xsail; Sumavel DosePro; Tosymra; Zembrace SymTouch

Trade names: Canada

ACT SUMAtriptan [DSC]; APO-SUMAtriptan; DOM-SUMAtriptan; Imitrex; Imitrex DF; MYLAN-SUMAtriptan; PMS-SUMAtriptan; RATIO-SUMAtriptan; SANDOZ SUMAtriptan [DSC]; SUMAtriptan DF; TARO-SUMAtriptan; TEVA-SUMAtriptan; TEVA-SUMAtriptan DF

What is this drug used for?

  • Used to treat migraines.
  • Used to treat cluster headache.

What do I need to tell my doctor BEFORE taking this drug?

  • If you are allergic to this drug, any of its ingredients, other drugs, foods or substances. Tell your doctor about your allergy and how it manifested itself.
  • If you have any of the following health problems: high blood pressure or liver disease.
  • If you have ever had any of the following health conditions: chest pain or angina pectoris, arterial disease of the lower or upper extremities, myocardial infarction or other heart disease, poor circulation in the heart, brain, intestines or kidneys, stroke or transient ischemic attack (TIA), some types of migraine, such as hemiplegic or basilar migraine, or an abnormal heart rhythm, such as Wolff-Parkinson-White syndrome.
  • If you have taken a drug for depression or Parkinson’s disease in the past 14 days. These include isocarboxazid, phenelzine, tranylcypromine, selegiline, or rasagiline. An episode of very high blood pressure may occur.
  • If you are taking another drug that contains the same drug.
  • If you have taken the following drugs in the past 24 hours: almotriptan, eletriptan, frovatriptan, naratriptan, risatriptan, sumatriptan, or zolmitriptan.
  • If you have taken ergotamine, methysergide, dihydroergotamine, or similar drugs within the past 24 hours.

This list of drugs and diseases that may be adversely associated with this drug is not exhaustive.

Tell your doctor and pharmacist about all the medicines you take (prescription and over-the-counter, natural products and vitamins) and your health problems.You need to make sure that this drug is safe for your medical condition and in combination with other drugs you are already taking. Do not start or stop taking any drug or change the dosage without your doctor’s approval.

What do I need to know or do while I am taking this drug?

For all patients taking this drug:

  • Tell all healthcare providers that you are taking this drug.These are doctors, nurses, pharmacists and dentists.
  • Avoid driving or other activities that require increased attention until you see how this drug affects you.
  • High blood pressure has happened with this drug. Monitor your blood pressure as directed by your doctor.
  • This medication is not intended to prevent or reduce the incidence of migraine headaches.
  • If you have a headache that is not like your usual migraine headache, talk with your doctor before using this drug.
  • Taking too much of this drug (higher doses, more frequent use) than what your doctor tells you to do may make your headaches worse.
  • Be careful if you have risk factors for heart disease (high blood pressure, high cholesterol, being overweight, high blood sugar or diabetes, cigarette smoking, male gender and age over 40, early heart disease in other members families, postmenopausal women).Check with your doctor.
  • Very bad and sometimes life-threatening heart problems, such as a heart attack or an irregular heartbeat, have rarely happened within hours after taking this drug. See your doctor right away if you have a feeling of tightness, pain, pressure, or heaviness in your chest, throat, neck or jaw, if you are thrown into a cold sweat, if you have shortness of breath, rapid heartbeat, irregular heartbeat, or very dizzy or faint. …
  • Very bad and sometimes deadly brain damage, such as a stroke, has rarely happened with this drug. If you have weakness on 1 side of your body, difficulty speaking or thinking, imbalance, drooping of 1 side of your face, or impaired vision, see your doctor immediately.
  • If you are allergic to latex, consult your doctor. Some products contain latex.
  • If you are 65 years of age or older, use this drug with caution.You may have more side effects.
  • Tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. The benefits and risks for you and your child will need to be discussed.


  • This drug is not approved for use in children. However, your doctor may decide that the benefits of using this drug outweigh the risks associated with it. If your child has received this drug, ask the doctor about the benefits and risks.Talk with your doctor if you have any questions about how your child is using this drug.

What side effects should I report to my doctor immediately?

WARNING. In rare cases, some people with this drug can have serious and sometimes deadly side effects. Call your doctor right away or get medical help if you have any of the following signs or symptoms, which may be associated with serious side effects:

  • Signs of an allergic reaction such as rash, hives, itching, reddened and swollen skin with blistering or scaling, possibly associated with fever, wheezing or wheezing, tightness in the chest or throat, difficulty breathing, swallowing or speaking, unusual hoarseness, swelling in the mouth, face, lips, tongue, or throat.In rare cases, certain allergic reactions have resulted in death.
  • Signs of high blood pressure, such as very severe headache or dizziness or loss of consciousness or blurred vision.
  • Convulsions.
  • Loss of vision. It can be stored for a long time.
  • Unusual burning, numbness, or tingling sensations.
  • Discoloration of the skin to a bluish tint in the lips, nail bed, fingers and toes.
  • Diarrhea or constipation.
  • Severe abdominal pain or diarrhea with bloody stools.
  • Pain in the abdomen after eating.
  • High temperature.
  • Weight loss.
  • Spasms and pain in the legs or pelvis.
  • Feeling of heaviness or tension in the muscles of the legs.
  • Chills.
  • Burning or aching pain in feet or toes.
  • A serious and sometimes fatal complication called serotonin syndrome can occur.This risk may increase with the concomitant use of certain other drugs. Call your doctor right away if you have anxiety, imbalance, confusion, hallucinations, fever, tachycardia or irregular heartbeat, flushing, muscle twitching or stiffness, seizures, tremors or tremors, excessive sweating, severe diarrhea, nausea or vomiting , very severe headache.

What are some other side effects of this drug?

Any medicine can have side effects.However, many people have little or no side effects. Call your doctor or get medical help if these or any other side effects bother you or do not go away:

All forms of issue:

  • Feeling dizzy, sleepy, tired, or weak.
  • Hyperemia (blush).
  • Sensation of warmth.
  • Nausea or vomiting.

Nasal Spray:

  • Changes in the ability to perceive taste.
  • Burn.
  • Irritation of nose or throat.

Nasal Powder:

  • Changes in the ability to perceive taste.
  • Irritation of nose or throat.
  • Runny or stuffy nose.


  • Injection site irritation.

This list of potential side effects is not comprehensive. If you have any questions about side effects, please contact your doctor.Talk to your doctor about side effects.

You can report side effects to the National Health Office.

You can report side effects to the FDA at 1-800-332-1088. You can also report side effects at https://www.fda.gov/medwatch.

What is the best way to take this drug?

Use this drug as directed by your healthcare practitioner. Read all the information provided to you.Follow all instructions strictly.

All forms of issue:

  • If your headache persists after the first dose, consult your doctor. If your headache comes back or you only feel some relief, you can take 1 more dose as directed by your doctor. You should know exactly how long after you can take another dose. This also applies to those cases when the first dose of the drug was in a different form of release.


  • Take this drug with or without food.
  • Swallow whole. Do not chew, break, or crush.
  • Take with fluids as early as possible after the onset of an attack.


  • The injection is given subcutaneously as soon as possible after the onset of the attack.
  • If you give yourself injections, your doctor or nurse will teach you how to inject.
  • Make sure you know exactly where to inject. If you are not sure where to get the injection, consult your doctor.
  • Wash hands before and after use.
  • Do not use if solution is cloudy, leaking, or contains particles.
  • Do not use if solution changes color.
  • Dispose of needles in the sharps / needles container. Needles and other items cannot be reused. When the container is full, dispose of it according to local regulations.If you have questions, ask your doctor or pharmacist.

Nasal Spray:

  • Not for oral administration. For nasal use only. Avoid contact with mouth and eyes (possible burns).
  • Take this drug as soon as possible after the onset of an attack.
  • Sit down before taking.
  • Clean nose before use.

Nasal Powder:

  • For nose only.
  • Take this drug as soon as possible after the onset of an attack.
  • Use the nosepiece immediately after removing it from the foil bag.
  • Use only the device sold with this drug. Do not use other devices.
  • Make sure you know exactly how to use this drug. Read the instructions that came with this medicine. Talk to your doctor or pharmacist if you have any questions about the use of this drug.

What to do if a dose of a drug is missed?

  • This drug should be taken as needed. Do not take this medicine more often than prescribed by your doctor.

How do I store and / or discard this drug?

All forms of issue:

  • Store at room temperature. Do not place in refrigerator or freezer.
  • Store in a dry place.Do not store in the bathroom.
  • Protect from light.
  • Store all medicines in a safe place. Keep all medicines out of the reach of children and pets.
  • Dispose of unused or expired drugs. Do not empty into toilet or drain unless directed to do so. If you have any questions about the disposal of your medicinal products, consult your pharmacist.There may be drug recycling programs in your area.


  • If you have been given a storage case, store in this case.

General information on medicinal products

  • If your health does not improve or even worsens, see your doctor.
  • You should not give your medicine to anyone or take other people’s medicines.
  • Some medicines may come with different patient information sheets.If you have questions about this drug, talk with your doctor, nurse, pharmacist, or other healthcare professional.
  • Some medicines may come with different patient information sheets. Check with your pharmacist. If you have questions about this drug, talk with your doctor, nurse, pharmacist, or other healthcare professional.
  • If you think an overdose has occurred, call a Poison Control Center immediately or seek medical attention.Be prepared to tell or show which drug you took, how much and when it happened.

Consumer use of information and limitation of liability

This information should not be used to make decisions about taking this or any other drug. Only the attending physician has the necessary knowledge and experience to make decisions about which drugs are suitable for a particular patient. This information does not guarantee that the drug is safe, effective, or approved for the treatment of any disease or specific patient.Here are only brief general information about this drug. It does NOT contain all available information on the possible use of the drug with instructions for use, warnings, precautions, information about interactions, unwanted effects and risks that may be associated with this drug. This information should not be construed as a treatment guide and does not replace information provided to you by your healthcare professional. Check with your doctor for complete information on the possible risks and benefits of taking this drug.Use of this information is governed by the Lexicomp End User License Agreement available at https://www.wolterskluwer.com/en/solutions/lexicomp/about/eula.


© UpToDate, Inc. and its affiliates and / or licensors, 2021. All rights reserved.

90,000 Migraine treatment with Botox injections


The problem of chronic headache (migraine) remains one of the most urgent in modern medicine.

Chronic migraine is a common disease (up to 87% of all headaches), which is characterized by the defeat of people of working age with a decrease in the quality of life.

Unfortunately, to date, only a small number of scientific studies have proven the effectiveness of medicinal tablets used in chronic migraine.

On the other hand, at the moment there is an effective method of preventive treatment of chronic migraine – a preparation of botulinum toxin type A (trade name – Botox).This drug is well known to many patients for its use, primarily in cosmetology. Its efficacy and safety in the preventive treatment of chronic migraine has been proven in several clinical studies, and since 2013 Botox has been approved by the Ministry of Health for these indications.

Botox is injected into 31 points on the face and head. The effect of the drug, which can reduce the number of attacks, their duration and severity (which, in turn, will reduce the amount of drugs taken), lasts about 3 months.Long-term Botox therapy can lead to the transformation of chronic migraine into episodic migraine (occurring from several times a month to once a year) in a large number of patients with migraine resistant to treatment with common medications.

For whom is prophylactic treatment with Botox indicated? If you experience a headache for at least 15 days a month (of which at least 8 days a month are migraine pains) for 3 months in a row and these pains last at least 4 hours a day, then you have a chronic migraine.And if at the same time you have already received unsuccessful treatment with tablets, the introduction of the drug Botox can become an effective method of treatment.

Botox is an effective and safe treatment for chronic migraine, which leads to a significant improvement in the condition of those suffering from chronic migraine, a decrease in psychological stress and an improvement in the quality of life.

The doctor decides on the number of units. The duration of the procedure is 1 hour. The procedure is performed by a neurologist, reflexologist.

The construction of a nuclear power plant in Uzbekistan relieves a colossal headache

Leonid Grigoriev

Chief advisor to the head

The nuclear power plant can become an important element of the stability of the energy system of Uzbekistan, since projects of this scale remove a colossal headache. The chief adviser to the head of the Analytical Center Leonid Grigoriev told about this in an interview with Kun.uz.

According to him, such expensive projects always take a lot of time and cause controversy, but then they start working and become “perpetual motion machines”.“Large infrastructural capacities, delivered once, then operate for 40 years or more, and clear the barriers facing development – as they say, remove a colossal headache. Of course, one must take into account the tough budgetary constraints and somehow maneuver within the country, ”the expert noted.

According to the announced plans of the Ministry of Energy of Uzbekistan, the nuclear power plant will provide about 15% of generation by 2030, which, as Grigoriev noted, “is a very reasonable value.” “Nuclear electricity is the one that is consumed around the clock.Then there is no need to manipulate the download. This, as the power engineers say, Base load is the base load on the grid – the minimum level of demand for the electric grid over a period of time, ”said Grigoriev.

He stressed that the world was clearly divided into supporters and opponents of nuclear power plants, and countries with a heavy load said “yes” to nuclear energy. Moreover, countries with nuclear weapons simply need to have nuclear power plants. “The main advantages of a nuclear power plant are quite clear: as soon as it is built, the base load is there, and you can further focus on the efficiency of consumption and on other methods of balancing fluctuations in seasonal and daily fluctuations, and the weather,” the expert said.

In general, according to the expert, the concept that Uzbekistan has developed in the field of energy looks “extremely attractive, although it is amazing in scale.” “Doubling the GDP in 10 years is a daunting task, but then the energy strategy must correspond – it looks balanced, but ambitious,” Grigoriev explained.

He added that the choice of building a nuclear power plant is a political decision, because it requires a lot of funds.