Headaches And Migraine Treatment In Delhi, India.
Dr. Sanjay Arora

Cranio-Sacral TMJ Specialist, BDS, MDS ( Endodontist), Occlusion Specialist, Craniodontist, Neuro Muscular TMJ Specialist, Epigeneticist, Master Ceramist,
Location: New Delhi, India

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Headaches And Migraine Treatment

Migraine is a condition in which patient experiences attacks or episodes of headaches and usually tends to remain symptom free in between migraine attacks.

Migraine patients may also experience other symptoms like nausea (feeling sick) or vomiting (being sick).

Migraine is a very common condition experienced by many people at some or the other point in their life.

This condition is found more commonly in women than in men.

Headaches And Migraine Treatment In Delhi, India

Some people may experience frequent migraine attacks (like several times a week) while some other people may experience infrequent migraine attacks (once or twice in several months or even years).

People suffering with migraine may start experiencing these symptoms since their childhood or early adulthood. In some people, migraine attacks may stop in their later adult life while in some cases, the attacks may continue to persist throughout their life.

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Types And Symptoms Of Migraine

Migraine attacks can be broadly classifieds into two types:

Migraine Attack Without Aura Or Common Migraine

It is the most common type of migraine seen affecting people.

Symptoms

  • Headache usually experienced on one side of the head, either at the front or towards the sides. Sometimes may be felt on both sides of the head. Sometimes it may start on one side and then gradually spreads all over the head.
  • The intensity of the pain is usually moderate to severe.
  • The nature of pain is usually throbbing or pulsating.
  •  Headaches may become worse with movements of the head.
  • Headaches usually tend to begin in the morning, though it may begin at any time of the day or night. It gradually tends to become worse as the day passes and reaches a peak after about 2-12 hours and following which it gradually begins to relieve.
  • Migraine may last for a duration of 4 to 72 hours.
  • Other common symptoms:
  • Nausea
  • Vomiting)
  • Unliking towards bright lights or loud noises, so they prefer to stay in a dark room.
  • Other less common symptoms:
  • Blurred vision
  • Pain in the abdomen
  • Increased urination
  • Sweating
  • Lack of concentration
  • Stuffy nose
  • Hunger
  • Diarrhoea
  • Scalp tenderness
  • Sensations of heat or cold

Migraine Attack With Aura Or Classic Migraine

Less common compared with common migraine. About 1 out of 4 migraine patient suffer from migraine with aura.

The symptoms experienced are similar to that of the migraine without aura. In addition, patient also experiences an aura or warning sign before the headache begins.

Most common type of aura is visual aura. It is experienced by patient as-

  • Temporary loss of part of vision,
  • Flashes of light,
  • Objects may seem to rotate, shake, or boil.

Second most common type of aura experienced by the migraine patient is numbness and pins and needles sensation. Numbness usually begins in the hand, goes up the arm to involve the face, lips, and tongue. The leg is occasionally involved.

Third most common type of aura is problem with speech.

Other types of aura include - odd smell, food cravings, a feeling of well-being.

Patient may experience either one of the above auras or at times may experience several auras one after each other, before the headache begins.

Each aura usually lasts only for few minutes before disappearing, but sometimes may even last up to 60 minutes.

The migraine patient develops headache usually within 60 minutes of the end of the aura, but in some cases it may develop much earlier than that or sometimes even straight afterwards the end of aura.

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Diagnosis

Migraine is commonly diagnosed based on the typical symptoms experienced by the patient.

There is no confirmatory test to diagnose migraine.

Causes Of Migraine

The etiology for migraine is not very clear.

Prior it was believed that the aura occurred due to the spasm or narrowing of the blood vessels in parts of the brain. Following spasm, the blood vessels were believed to dialate or widen up, thereby resulting in headaches.

It is now believed that the headache occur as a result of the increase in activity of some chemicals in the brain, due to which the brain starts to sending out confusing signals, thereby causing aura and other symptoms of migraine.

TMJD (Temporomandibular Joint Disorder)

TMJD is considered as one of the most important etiological factor behind experiencing headaches.

TMJD is an Infratemporal fossa catastrophe, occurring due to inward disc (medial) displacement of the Jaw Joint or TMJ.

Malocclusion of teeth or mal-alignment of jaws or TRAUMA to the jaw joint causes the joint disc (articular disc) to get displaced medially.

This happens due to abnormal teeth grinding, which causes a tilt in the jaw joint leading to abnormal residual forces in the jaw joint.

Inside or on the inside of joint exists major structures travelling from and to the brain like nerves and blood vessels. This leads to compression of these structures.

The first nerve to be encountered, at a distance of just 0.5 cm or an ants length is the accessory nerve or the number 11 cranial nerve. The job of this nerve is to maintain the head on shoulders at the “COG” or the center of gravity.

Irritation of this nerve alters the muscle function and hence the head position, thereby ultimately resulting in headaches.

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Migraine Treatment

Medication

Pain killers

Paracetamol or aspirin works well in relieving headaches.

Works better when taken as early as possible after beginning of symptoms.

If taken early enough, they often work more efficiently in reducing the severity of the headache or may even stop it completely.

Many people prefer to take a painkiller only when headache becomes really worse. In these cases pain killers may not work as efficiently to control the headaches.

Anti-inflammatory painkillers like ibuprofen and aspirin, probably work better.

Injections

Injections like Occipital nerve block and Sphenopalatine ganglion block have proven to be effective in treating chronic migraine and headaches.

BOTOX (Botulinum A) injections are also found effective in preventing the occurrence of symptoms of migraine and headaches every month.

TMJD Treatment

If TMJD is found associated with migraine or headaches then it needs a definite treatment for getting permanent relief.

TMJD treatment requires correction of TMJ residual pressures through the dental occlusion correction.

It becomes utmost important to confirm it with the aid of various sophisticated and most advanced diagnostic technology(AVAILABLE ONLY AT Zental Tmj & Body Pain Division  BODY PAIN TREATMENT CENTRE, only SUPERSPECIALIZED DENTAL clinic in INDIA and PERHAPS IN ASIA TOO), like-

Once the diagnosis is confirmed and connection between TMJD and migraine or headaches has been established, various treatment procedures can be done to eliminate back aches from the roots. It includes-

  • Home care remedies
  • Medicines-pain relievers, muscle relaxants, anti-depressants.
  • Orthotic/splint
  • Orthodontic treatment
  • Veneers, Crown and bridges
  • Botox
Consult Specialist Headaches And Migraine Doctor In Delhi, India.