Treating migraines

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Hi everyone,

Lately I have been getting lots of migraine sufferers through the clinic door. I am (more or less) consistently successful in treating tension headaches, but I'm blind when it comes to understanding how to approach treatment for migraines, primarily because I do not get them myself.

I would love to hear of any treatment protocols, techniques, insights, learnings, etc that have stood the test of treating real clients.

Warm regards

Henry
 


I have a focus on migraine relief in my practice, partly because I get them myself.

A lot of my clients have classic levator-scapula triggerpoints and/or occipitals triggerpoints. Releasing those, even partly (and many of them never fully release), gives those clients immediate and sometimes eventual long-term relief. Teaching them self-therapy helps them maintain gains.

The TP client set overlaps somewhat with another set who have chronic fascial "thickening"-type adhesion tendencies through the low back & hips (incl. lateral rotators) -- the kind you feel with folks who sit at a desk for hours & hours & hours. Lengthening & freeing that area, as well as encouraging exercise to keep the pelvic diaphragm free, can help a lot, and a lot of the time the client is pleasantly surprised, since low-back tension & migraine are not a much-talked-about pair.

Consider asking your clients frequently about their meds, as sometimes pain-med regimens will change frequently (beta blockers, other BP meds, anti-seizure meds, Imitrex, self-treatment with pot, etc.). You probably already know that some migraines will not respond positively to touch, or at least not all the time. And you might find some mig. sufferers resisting if you enthusiastically offer a lot of hope for relief -- we're so used to doctors insisting that This New Thing is the very thing that will fix our poor heads forever, that we can be a very skeptical bunch. But some *will* get good relief, and there is no client more grateful, or more loyal, than one who gets fewer migraines.
 


Hi BJP-LMP,

Thank you for such a comprehensive reply. I'm not sure which exercises to prescribe to keep the pelvic diaphragm free, but I am currently whipping through the web to get info so please don't waste your time listing them here...

However, could you help me understand which of the lateral hip rotators do you find most effective to treat in the context of migraines? Piriformis, Gemellus Superior, Obturator Internus, Gemellus Inferior, Obturator Externus, Quadratus Femoris?

Thank you so much for your help.

Warm regards

Henry
 


There's another thread on this same topic, which you may also find helpful:

http://www.massageplanet.com/forum/viewtopic.php?t=3112&highlight=migraines
 


Piriformis and psoas wll both be major contributors. Lots of folks won't believe it. "what does my pelvis have to do with my migraines or headache" Nearly everything.
 


Mick, I agree. I am not a migraine sufferer, but I had a course on treating migraines and other headaches a couple of months back. The instructor talked about the diagnal effect and how low back muscles and the glutes can have an effect.
 
Treating migraines

I have had several migraineurs in the past and my SO suffers from migraines. Most of these persons have a HNP-herniated nucleus pulposus- in their cervical spine. I have found it best not to treat them when they are in a migraine.
My wife's headaches are so bad at times it requires a trip to the ER for a strong drug cocktail of morphine and an anti-nauseau shot. :( She then sleeps off the headache and usuallly it's gone. 8) With the strong nausea, light sensitivity, etc. I can't see why someone with a migraine would benefit from massage. Sleep seems to be the best remedy. I have also heard cautions from over treating with medications that can cause a rebound headache.
Migraines seems to be a neuro-vascular episode where the arteries in the head contract and expand on their own. I find massage great for tension headaches and I'll pass on working on an active migraine.
By the way-I've been able to start a migraine with overworking the suboccipitals and the posterior cervical spine :cry:
I learned the hard way.
Cheers,
rubmyster
 


I'd like to ditto what rub said, (except for the HNP stuff because that's a totally new one I've never heard... I'll have to look into it.)

As someone who has suffered since early childhood with migrained, I would say do not treat with massage when someone is in acute migraine. Last thing they need is more vasodilation or any inflammation as a result of massage. Ditto on the acupuncture. Possibly a chiropractic adjustment if the migraine hasn't reached extreme and there is not yet accompanying nausea.

But massage, applied properly, can reduce the severity and frequency. Applied properly means between attacks, not during. And that's a difficult situation because many of us are in denial about migraines... as in, "If I don't think about this, maybe the next one won't happen!" Which is utterly ridiculous, but there it is. Kind of like the man who wouldn't fix his leaky roof because it was a lovely day.

Overworking the suboccipitals and post c-spine can start off a migraine, thanks for mentioning that too, Rub. But working splenius c/c and spinalis can help tremendously, if not pushed too far. Also, naturally, the anterior neck muscles, omohyoid, and skin rolling of the platysma.

Getting the shoulders back by opening the chest, pecs, subclavius, and strengthening rhomboids can make quite a difference, as it helps prevent subluxation of C-7, which can really mess with the OA joint.

And then of course, remembering that there are some people (like me) who have a congenital reason for the migraines to occur, so management rather than elimination is the goal. Don't get discouraged when your client inevitably has another migraine. If you've helped lessen them, you did great.

Stacey (coming down off the "drug cocktail" received from spending most of yesterday in the ER with a migraine.)
 
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  41. Golden Sunshine Spa:
    โœจClick on our Username and FOLLOW US for updates and special services ! โœ… Click Here Today๐ŸŒธSamy๐ŸŒธPriya๐ŸŒธLynda๐ŸŒธAletta๐ŸŒธIsabella๐ŸŒธIvy Call us โ˜Ž 905 - 265 - 2158โ˜Ž๏ธ Your ultimate service awaits! โœจ
  42. DareDevil:
    366 ARIA WELLNESS โ™ฅ๏ธโ™ฅ๏ธADDRESS: 360 HWY 7, UNIT #6, RICHMOND HILL,647-222-5683 โ™ฅ๏ธโ™ฅ๏ธ(PHONES CALL ONLY, NO TEXT'N AVAILABLE) โ™ฅ๏ธTODAY'S Schedule!โ™ฅ๏ธ Loaded lineup with Beautiful Girls : New young RMT student Helen, Fun girl Apple, Magical Mia and Work out๐Ÿ‹๐Ÿšด๐Ÿ’ช Babe Amy! SPECIAL PROMO 30 MINS 2 GIRLS $70 ๐ŸŒน๐ŸŒน**TODAY'S PICKS OF THE DAY ARE ๐Ÿฌ๐Ÿญ APPLE AND HELEN๐Ÿฌ๐Ÿญ**
  43. Soul Relax Spa:
    โœจ Looking for a relaxing escape? โœ… Click Here Meet๐ŸŒธCarly๐ŸŒธBrandy๐ŸŒธKellyCall us today for the best treatment and service experience. Click on our Username and FOLLOW US for updates ! Call now โ˜Ž 289 - 298 - 5662โ˜Ž๏ธ Your ultimate relaxation awaits! โœจ
  44. Spa in Markham:
    GOLDEN FS โ€“ 8380 Kennedy Rd ๐Ÿ“ž 905-258-0777 / 416-688-6886 ๐Ÿ‡ญ๐Ÿ‡บ VANESSA, ๐Ÿ‡ป๐Ÿ‡ณ JULIE (2PM), ๐Ÿ‡จ๐Ÿ‡ด MEGAN (8PM), ๐Ÿ‡ป๐Ÿ‡ณ KELLY, ๐Ÿ‡ฎ๐Ÿ‡ณ SONIA (8PM), ๐Ÿ‡ป๐Ÿ‡ณ JESSIE ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookinggoldenlove
  45. FLOWER Spa - BLUEXADO | Thornhill | VAUGHAN:
    BLUEXADO FS โ€“ #06-1102 Centre St ๐Ÿ“ž 416-357-9797 / 416-678-8668 ๐Ÿ‡ป๐Ÿ‡ณ CICI, ๐Ÿ‡ป๐Ÿ‡ณ AMY, ๐Ÿ‡ป๐Ÿ‡ณ SHERRY ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookingbluexadolove
  46. FLOWER Spa โ€“ PINK | Scarborough | TORONTO:
    PINK FS โ€“ 3300 McNicoll Ave ๐Ÿ“ž 416-299-5515 / 416-817-3839 ๐Ÿ‡ฎ๐Ÿ‡ท ELINA, ๐Ÿ‡ต๐Ÿ‡ญ MADY, ๐Ÿ‡ธ๐Ÿ‡ฌ CANDY, ๐Ÿ‡ป๐Ÿ‡ณ NANCY ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookingpinklove
  47. SpringGreen.:
    Today we have 5 girls on downtown Toronto 72 gerrard st west๏ผš๐Ÿ’‹๐Ÿ’‹ New girl Hitti very young๐Ÿ’‹๐Ÿ’‹Lisa- Tanned Spanish beauty with large melons and a fun booty too minica- exotic goddess with a gymnasts body and corresponding flexibility Jennifer- Exotic beauty with... Call and text 647 891 0699 ask question :heart4 :heart4 :heart4
  48. Jennyโ€™s Spa:
    ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ( 647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ( 437-888-3759)โ˜Ž๏ธCall Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…GRAND OPENING๐Ÿ’ฏNEW GIRLS EVERYDAY๐Ÿ”ฅEXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNYโ€™S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅTWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY๐Ÿ”ฅ ๐Ÿ’ฏREAL PICTURES OF ATTENDANTS๐Ÿ’ฏ ๐Ÿ”ฅ๐Ÿ’‹Limited Time Special Promotion๐Ÿ”ฅ๐Ÿ’‹ โœ…๐Ÿ’ฆ30 Minutes Nude Mass
  49. AliceSpa:
    3 Sexy Young Girls Today at Alice Spa. Open 10am to 9pm : CLOUDIA (12pm-9pm): is Vietnamese, young, petite 5'2" & 96 Lbs, B Cup, best rim deep bbbj cim. $40 Room Fee + $80 (incl bbbj & fs). +$20 for rim/cim. Excellent open minded services. SKY (10:30am-9pm): is Part time girl from Indonesia, petite 5'2", B Cup, 100 Lbs, long black hair, new to the biz.Young, fresh/cute, pretty, submissive, slim tiny waist, fair skin. bbbj
  50. ForeverWarden:
    Monday at ๐Ÿซฆโค๏ธ๐Ÿ”ดโ™พ๏ธ๐“•๐“ž๐“ก๐“”๐“ฅ๐“”๐“ก ๐“ข๐“Ÿ๐“โ™พ๏ธ๐ŸŸฅ๐Ÿ”ดโค๏ธ๐Ÿซฆ 2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Bella, Yumi & Cindy. Bella is around 5โ€™3โ€ with a thin to medium build, C Cups, and a pleasing personality. She can offer dfk, bbbj and cfs as well as a good massage experience. Yumi is a young half Chinese / /half Korean very sexy & slim beauty, can do bbbj cim, excellent services...
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