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TRANSCRIPT
Lose your headaches and lead an amazingly healthy life
Pain is debilitating and can majorly interfere with our ability to function normally on a daily basis, we can lose
sleep, stop eating, it affects our work and even our ability to enjoy a healthy happy life. We start to focus on
what makes us unhappy and the pain that we feel and forget about what brings us joy in our lives, because all
we are seeing, and feeling is our PAIN.
Now " If pain persists “ then you can always do what the commercial tells us to do, and pop a pill. But, does
that alter the cause of the pain or does it just treat the symptom only to have it return again and often with
vengeance next time, because it was not dealt with properly the first time.
Pain comes in many forms and can develop into chronic conditions that may lead to depression and
anxiety. Chronic pain is a huge problem affecting 20% of Australian population, and a little known fact is that
many sources of pain originate from the spine. How else would we get the pain messages in our bodies if it
wasn’t for our nervous system?
Severe headaches, backache and anxiety are only a few resulting effects of pain that have not been dealt with
properly. This e-book aims to explain the causes of various pains and the ways you can effectively treat them
without medication. My hope is for you to give these tips a go and see how it makes for a healthier and
happier you.
1
Headaches
Headaches are consequences of all kinds of conditions ranging from migraines to allergies. Some common
headaches can include tension arising from the back, neck, shoulders, classic migraines, stress, alcohol
consumption and rebound headaches from overuse of over the counter pain medications such as paracetamol
for more than 2 days. There is always
the concern of a more aggressive
underlying condition causing headaches
and this is why it is essential to see a
practitioner for an examination.
There are 4 Primary Headache Types:
Tension–type headaches Tension type headaches are the most common, affecting
upwards of 75% of all headache sufferers. As many as 90% of adults have had tension–type headache.
Tension–type headaches usually involve a steady ache, rather than a throbbing one. They are described as a
feeling of pressure or tightening, may last minutes to days, affect both sides of the head, and do not worsen
with routine physical activity. It may also be accompanied by photophobia or phonophobia (hypersensitivity to
light and noise, respectively). Nausea is usually absent. Some people get tension–type (and migraine)
headaches in response to stressful events. Tension–type headaches may also be chronic, occurring frequently
or daily. Psychologic factors have been overemphasized as causes of headaches.
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Tension headaches can be divided into three
categories, according to how often they occur:
Infrequent episodic — When it happens less than once per month
Frequent episodic — When it occurs 1-14 times per month
Chronic — When it happens 15 days or more in a month
Rebound Headaches
Rebound headache may occur among people with tension–type headaches, as well as in those with
migraines. It appears to be the result of taking prescription or non-prescription pain relievers daily or almost
every day, contrary to directions on the package label. If prescription or non-prescription pain relievers are
overused, headaches may "rebound" as the last dose wears off, leading one to take more and more pills. This
is a great reason to call your chiropractor. Break that cycle!
Cervicogenic Headaches
Cervicogenic headaches originate from disorders of the neck and is
recognized as a referred pain in the head. Nerve endings become
irritated by poor posture or muscle tension develops as receptors around
the joints, muscles and tissue of the neck send information from the upper neck into the back of the skull
where they converge and amplify the pain signals that our body receives from being in poor postural position.
A cervical headache is often precipitated by neck movement and/or sustained awkward head positioning (such
as sitting at a computer or on your phone for too long) and can reproduce with pressure over the upper
cervical or occipital region on the symptomatic side. It is often accompanied by restricted cervical range of
motion, neck, and shoulder or arm pain of a rather vague non-radicular nature or occasionally, arm pain of a
radicular nature (referring down the arm)
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Migraine Headaches
Migraine headaches are less common than tension–type headaches. Nevertheless, there are approximately 2
million migraine sufferers in Australia. As many as 6% of all men, and up to 18% of all women experience a
migraine headache at some time.
Among the most distinguishing features is the potential disability accompanying the headache pain of a
migraine: migraines may last 4-72 hours, are typically one sided (60% of reported cases), throbbing, of
moderate to severe intensity and are aggravated by routine physical activity.
Nausea, with or without vomiting, and/or sensitivity to light and sound often accompany migraines. An
"aura" may occur before head pain begins, involving a disturbance in vision and/or an experience of brightly
coloured or blinking lights in a pattern that moves across the field of vision. About one in five migraine
sufferers experiences an aura. Usually, migraine attacks are occasional or sometimes as often as once or twice
a week, but rarely occur daily.
Cluster Headaches
Cluster headaches are relatively rare, affecting about 1% of the population. They are distinct from migraine
and tension–type headaches. Most cluster headache sufferers are male –– about 85%.
Cluster headaches come in groups or clusters lasting weeks or month. The pain is extremely severe but the
attack is brief, lasting no more than an hour or two. The pain centres around one eye, and this eye may be
inflamed and watery. There may also be nasal congestion on the affected side of the face.
These "alarm clock" headaches may strike in the middle of the night, and often occur at about the same time
each day during the course of a cluster. A history of heavy smoking and drinking is common, and alcohol often
triggers attacks.
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Avoiding Headaches
The following tips aim to reduce the number of headaches you experience without the need
for harmful painkillers. Please follow these to enjoy an amazingly healthy life – pain free.
Avoid foods which trigger migraines
Lowering your consumption of the food outlined below or avoiding them altogether can radically reduce your
incidence of headaches. Ingredients like aged cheese, red wine and other preserved food contain tyramine,
an enzyme that can cause blood pressure to rise thus resulting in severe headaches. Keep a record of the
following list and strive to lessen your intake whenever possible.
Avoid
Dairy products, especially cheese
Food containing nitrates
MSG
Artificial sweeteners
Canned soup
Food additives
Red wine
Pickles
Extremely cold food such as ice-cream
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Avoid common allergens
The most common food people are sensitive to include:
Wheat
Soy
Corn
Peanuts
Dairy products
Shellfish
It is wise to keep a food/headache diary of all the different things you eat throughout the day and if you
experience symptoms post-consumption. In order for you and your practitioner to make a correlation and pin-
point exactly which food is triggering your symptoms to prevent their intake and continue enjoying other
foods in the list which do not harshly affect you.
6
Sleep well
We all know it’s importance and how cranky we all get throughout the day when we’ve had
little of it, yet in this day and age it is so dangerously easy to fall prey to late nights watching TV shows,
keeping up with all our different social media accounts or catching up with work. Put down all of those i-
Gadgets we all love an hour before bedtime, drink some camomile tea, dim the lights, spray lavender
fragrance in your room and get cosy in your bed. Ensure your pillow completely supports your neck and your
preferred way of sleeping for the most comfortable night holiday that you deserve.
The LED screen on your i-Gadget emits a blue wavelength of light that suppresses your body’s natural
melatonin levels. Melatonin is the hormone in the body that calms you and prepares you for sleep. It is
released in darkness, as night time approaches. The opposite of melatonin is cortisol, the hormone that primes
us for action, and is triggered by light. So checking Facebook before you go to bed can interfere with your
melatonin release and increase your cortisol levels making it difficult to fall asleep.
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Avoid sleeping on your stomach as this will twist your spine, creating tension in your shoulders and neck.
Stretching the muscles makes them want to tense during the night and this is when you want to relax and
rejuvenate your body, not stress it out with poor sleeping
posture.
Make sure you sleep with one pillow, preferably with a contour
shape that will cradle the neck and relax the shoulder muscles
and result in a restful nights sleep. Experts recommend you
change your pillow every 2 years and your bed every 10 years to
provide maximal support for you. This will reduce your pain
levels significantly and is a non negotiable when it comes to my
recommendations on reducing pain in your life. You will bounce
out of bed in the morning after a restful nights sleep, rather
than drag yourself out of bed feeling like death warmed up.
Trust me you will feel great!
Stay hydrated
Your body is made up of approximately 60% of water and if you are dehydrated there is a flow on effect to
every system of your body. If you are ever looking in the cupboard not knowing what you want, it is because
you are dehydrated - have water instead.
Drinking enough water will reduce your risk of a number of cancers such as bowel cancer by 45% and bladder
cancer by 50%. Feeling cranky? Have a glass of water. Being adequately hydrated will increase your mood and
help you think clearer.
Pay attention to the concentration of the fluid that you release throughout the day, your urine should be a
pale colour. The darker the yellow the more water you need to drink - this is your body’s natural way of
signalling to you that it needs more fluid.
To get to sleep relax with breathing,
completely exhale, inhale for a mental
count of 4, hold your breath for a count of
7and exhale fully for 8 seconds. Repeat as
necessary. Never count sheep as your mind
will become focused on the counting
process and prevent you from relaxing.
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Moderate alcohol intake
While “moderate” can mean different things to different people, it is
recommended that people consume no more than 2 standard drinks
a day, which can significantly lessen your risk of detrimental diseases
such as liver failure plus other physical and mental diseases. As you try
to balance your diet and lifestyle, you may surprise yourself that
you really do not need to drink as much as you may have in the past to
get a buzz - really!
The 20/20/20 rule. If you stare at a computer all day with no breaks, try the 20/20/20 rule, which doctors say reduces eye strain and redness: Take 20 seconds to look at something 6 metres away every 20 minutes.
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Memorise something day-to-day.
Not only will this keep your mind sharp and your reminiscence functioning, you're going to have a gigantic
library of facts to bust out at any moment. Poetry, sayings and philosophies are your exceptional choices.
Eat organic
Minimise intake of harmful chemicals by eating whole, organic plant foods wherever possible and avoid
processed food. Seems like a no brainer but many of us do not follow this advice and suffer the long term
health consequences. Research has shown that organic fruit and vegetables have higher levels of
micronutrients such as folate, Vitamin C and magnesium. Many of the pesticides used on fruit and vegetables
are known neurotoxins, they can damage the nervous system and brain.
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Supplements
Magnesium (200 to 600 mg per day) - People with migraines often have lower levels of magnesium than
people who do not have migraines, and several studies suggest that magnesium may reduce the frequency of
migraine attacks in people with low levels of magnesium. In one study, people who took magnesium reduce
the frequency of attacks by 41.6%, compared to
15.8% in those who took placebo. Some studies also
suggest that magnesium may be helpful for women
whose migraines are triggered by their periods. Side
effects from magnesium can include lower blood
pressure and diarrhoea. Magnesium can interact with
medications including heart medications, diuretics or
water pills, some antibiotics, and muscle relaxers.
Vitamin B2 (riboflavin, 400 mg per day) - A few studies indicate that riboflavin may reduce the frequency and
duration of migraines. In one study, people who took riboflavin had more than a 50% decrease in the number
of attacks. However, not all studies have found riboflavin to be effective and more research is needed. Vitamin
B2 can interact with some medications, including tricyclic antidepressants, medications called anti-cholinergic
drugs that are used to treat a variety of conditions, the anti-seizure drug phenobarbital, and probenecid, used
to treat gout.
5-hydroxytryptophan (5-HTP, 400 to 600 mg per day) -- Your body makes the amino acid 5-HTP and converts
it into serotonin, an important brain chemical. Researchers think abnormal serotonin function in blood vessels
may be related to migraines, and some of the drugs used to treat migraines work by affecting serotonin.
Several studies indicate that 5-HTP may be as effective as some prescription migraine medications at reducing
the intensity and frequency of attacks. But not all studies agree. One study found that 5-HTP was less effective
than the beta-blocker Inderal. More studies are needed to be sure that 5-HTP is helpful in treating migraines.
If you take an antidepressant, or supplements such as St. John's Wort or SAMe, you should not take 5-HTP
except under your doctor's supervision. If you are pregnant or breastfeeding, do not take 5-HTP without first
asking your doctor.
11
Get regular exercise
There is more to exercise than having big muscles and being thin. Healthy workouts of at least 3 x 45 minute
sessions a week increases the release of endorphins - the natural “happy” chemical messengers that your
body produces to keep you lively and well. We all know exercise also reduces stress, which can help reduce
the incidence of tension headaches. Did you know that exercise can boost your memory and help you learn
better? Not only that but regular exercise will help to improve your posture.
But who says the almighty gym is where we should all get our sweat on? There is an insane amount of
physical activities available to suit each unique taste like yoga, martial arts, sports like tennis and basketball,
hiking, and even running around your neighbourhood. For inspiration, make it a family/friends affair! Enjoy
these activities with loved ones and double the fun!
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Glowing Green Smoothies
Mix a celery, spinach, kale, pear,
apple and a banana in a blender and have
it for breakfast. Not only is it simple to do,
you’d be surprised how delicious it
actually is! Fuelling your body with
healthy, organic food that support
your body is a good way to fight off stress
throughout the day. Full of nutritious
antioxidants and vitamins aim to have
60% ripe fruit and 40% greens. Smoothies are a better food choice then juices as they retain all their natural
fibre.
Avoid caffeine
Our addiction to coffee is not a secret, some believe
they are incapable of functioning without a cup or
two (or three) in the morning and caffeine loaded soft
drinks like Coke are so widespread in lunchtime meals
that it is almost impossible to avoid them. Headaches
are just one of the few outcomes of constantly
indulging ourselves with these caffeine-filled drinks
that learning to love the taste of refreshing water can
benefit not just our minds but also our bodies.
13
Meditate
Engage in regular stress reduction activities such as mindfulness and deep breathing techniques which raise
your awareness in a quiet setting. This allows your mind to process your thoughts and projects with more
insight and helps you find a sense of calm and purpose. Even 10 minutes a day would give your mind and body
a chance to recuperate and make you feel in charge. It was averaged that we spend about 16 minutes each
time we check social networking sites like Twitter, Instagram and Facebook and that most of our population
do so about 5 times a day. If we were all to swap out one of these times to focus all of our attention on our
internal feed, even for half the time we usually spend on social media (8 mins), our world would be a much
more peaceful place. Don’t know how to start? Download the free Headspace App for a step-by-step guide in
beginner’s meditation.
Can’t sit still enough to meditate? Go for a run or a walk. Next to meditation this is the best thing to clear your
head. Running or Walking will change the physiology of your body and change your state of mind in the
process.
Smiling even in a bad mood will immediately improve your mood.
Using these muscles is enough to trigger happy chemicals in the brain
14
Get in the sun
Superman was once totally re-energised when he flew out to house and soaked in some rays and you are able
to do the same thing outside your front door. The main benefit of soaking up the sun is that it is the best way
for your body to get Vitamin D. Vitamin D is produced on your skin from the sunlight, and is essential for
healthy immune system function and for strong bones. Did you know that Vitamin D can also reduce your risk
of multiple sclerosis, decrease your chance of developing heart disease and reduce your likelihood of
developing the flu? Getting in the sun will also increase our mood and energy by the release of endorphins.
The absorption of UVB rays of the sun which produce Vitamin D on your skin are blocked by sunscreens. In
summer in Australia, 10 to 12 minutes on your face, arms and neck being exposed to the sun before 10am or
after 3pm is optimal to absorb Vitamin D without damaging your skin. In winter, particularly in the Southern
States, you may need to increase your exposure during peak UV times of 10am – 3pm. These figures are not
fair skinned people and if you have darker skin you will need to have even longer exposure to the sun.
15
Avoid chemical-rich household products
Air fresheners, bleach, pesticides, and other products that give out a harsh scent can trigger
classic migraines. Decreasing your exposure to these products or choosing brands that only
use natural ingredients can limit the frequency of those pesky headaches.
Use a humidifier
Dry air can irritate the sinuses, triggering a headache. Using a humidifier when you sleep may
help keep your sinuses from becoming irritated.
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More Tips for Headache Relief
The causes of headaches are just as varied as the people who experience them. So before you reach for that
panadol in the hopes of alleviating the head pains, first try the following.
Calm music
Chronic headaches can be reduced by listening to
calming music that recreate the sounds found in
nature, such as waves reaching the shore and
birds chirping.
Cold Therapy
Placing an ice-pack on top of your head can relieve
headaches. Try wrapping the ice-pack around a thick
cloth to allow for a gentle and effective treatment.
Also allow for intervals to prevent shocking your
head with the cold temperature. Targeted
placement of ice-packs on your neck and around
your shoulders can also relieve migraine sufferers.
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Ginger Tea
Steeping some grated ginger in hot water and drinking it will reduce inflammation and give the head pain a
chance to subside.
Eat some
pumpkin seeds
Studies have shown that magnesium sulfate can relieve all
types of headaches. Raw pumpkin seeds are high in
magnesium, so they are a great choice for a snack.
Use moist heat
If you feel that your headache arises from tension in your
neck, dampen a towel with hot water and place the towel on
the back of your neck. Use a microwave to reheat the towel
and repeat.
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Massage your neck
If your headache is related to tension or stress, this can help relax the muscles and relieve your pain. Try Dr.
Graeme's all purpose massager available at Quay Health for an easy to use yet effective handheld massager.
This small light weight massage machine is the business, you will feel invigorated and pain free within a matter
of minutes. Massage works by removing stored toxins in your muscles and relaxes them by increasing blood
flow and improving oxygenation to the tissues, again we have those happy chemical messengers being
released to create a feeling of instant Zen.
Use a rolled towel daily
for 5 minutes
Your posture can be improved by lying down with a rolled towel under your neck for 5 minutes which will help
to maintain the correct neck shape and relax the muscles of the neck and shoulders, reducing tension building
up in your neck from carrying it around all day long and with over 20 years of clinical experience I have found
this to be one of the best exercises you can do to reduce neck pain and improve posture at the same time.
Shush, don’t tell anyone, it’s our secret.
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Lie down in the dark
Minimizing sensory input is the best way to stop your head from pounding. Take ten minutes in a dark, quiet
room, place an eye pillow over your eyes and chill out and tune out.’
Have a Chiropractic Adjustment
Evidence suggests that chiropractic care, including spinal manipulation, improves migraine and cervicogenic
headaches. The type, frequency, dosage, and duration
of treatment(s) should be based on guideline
recommendations, clinical experience, and findings.
Evidence for the use of spinal manipulation as an
isolated intervention for patients with tension-type
headache remains equivocal.
In addition, researchers reviewed 9 studies that tested
chiropractic for tension or migraine headaches and found
that it worked as well as medications in preventing these
headaches.
However, not all of these studies were good quality and
they varied in the techniques used. More research
is needed to say for sure whether chiropractic care can
prevent migraines.
Of course, not all headaches can be helped with chiropractic care - but, if you suffer from persistent migraine
or tension headaches you owe it to yourself to see a Chiropractor for an exam and consultation. If we cannot
help you we will tell you, and we can refer you to another health care professional that can help.
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Once my headache stops, does the
chiropractic care end?
Your body continues to heal after the pain has gone. Continuing to have chiropractic adjustments helps to
retrain your vertebrae to hold their healthy positions. Your nervous system will function more efficiently and
your body will be better able to heal itself. In time, exercise, a healthy diet, and periodic visits to the
chiropractor will help you stay healthy, pain free, and live life to the fullest.
Acupuncture
Acupuncture has been studied as a treatment for migraine headache for more than 20 years. A study
published in 2003 suggest that getting an acupuncture treatment when migraine symptoms first start works as
well as taking the drug Imitrex. As symptoms continue, however, the medication works better than
acupuncture.
In addition to needling treatment, acupuncturists may recommend lifestyle changes, such as suggestions for
specific breathing techniques, qi gong exercise, and dietary changes.
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Great tips for looking after your back every day
Standing
When standing, keep one foot slightly in front of the other, with your knees slightly bent. This position
helps to take the pressure off your low back.
Do not stand bent forward at the waist for prolonged periods of time. The muscles in your low back
become deconditioned in this position, which may lead to pain.
Lifting
At all times, avoid twisting while lifting. Twisting is one of the most dangerous movements for your
spine, especially while lifting.
If the item is too heavy to lift, pushing it is easier on your back than pulling it. Whenever possible, use
your legs, not your back or upper body, to push the item.
If you must lift a heavy item, get someone to help you.
Sitting
Keep your knees slightly higher than your hips, with your head up and back straight.
Avoid rolling your shoulders forward (slouching).
Try to maintain the natural curve in your low back.
Reaching and Bending
When reaching for something above shoulder level, stand on a stool. Straining to reach such objects
may not only hurt your mid-back and neck, but it can also bring on shoulder problems.
Do NOT bend over at the waist to pick up items from the floor or a table.
Instead, kneel down on one knee, as close as possible to the item you are lifting, with the other foot
flat on the floor and pick the item up.
Or bend at the knees, keep the item close to your body, and lift with your legs, not your back.
Carrying
When carrying objects, particularly if they are heavy, keep them as close to your body as possible.
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Supporting Research
Annequin D, Tourniaire B, Massiou H. Migraine and headache in childhood and adolescence. Pediatr Clin North Am. 2000;47(3):617-631.
Astin JA., Ernst E. The effectiveness of spinal manipulation for the treatment of headache disorders: a systematic review of randomized clinical trials. Cephalagia. 2002;22(8):617-623.
Barrows KA, Jacobs BP. Mind-body medicine: an introduction and review of the literature. Med Clin North Am. 2002;86(1):11-31.
Bauman RJ. Behavioral treatment of migraine in children and adolescents. Paediatr Drugs. 2002;499):555-561.
Boehnke C, Reuter U, Flach U, et al. High-dose riboflavin treatment is efficacious in migraine prophylaxis: an open study in a tertiary care centre. Eur J Neurol. 2004;11:475-477.
Bronfort G, Assendelft WJ, Evans R, Haas M, Bouter L. Efficacy of spinal manipulation for chronic headache: a systematic review. J Manipulative Physiol Ther. 2001;24(7):457-466.
Cady RK, Schreiber CP. Sinus headache or migraine? Considerations in making a differential diagnosis. Neurology. 2002;58(9 Suppl 6):S10-S14.
Endres HG, Diener HC, Molsberger A. Role of acupuncture in the treatment of migraine. Expert Rev Neurother. 2007;7(9):1121-1134.
Dagenais S. Haldeman S. Chiropractic. Prim Care. 2002;29(2):419-437.
Diener HC, Pfaffenrath V, Schnitker J, et al. Efficacy and safety of 6.25 mg t.i.d. feverfew CO2-extract (MIG-99) in migraine prevention – a randomized, double-blind, multicentre, placebo-controlled study. Cephalalgia. 2005;25:1031-1041.
Diener HC, Rahlfs VW, Danesch U. The first placebo-controlled trial of a special butterbur root extract for the prevention of migraine: reanalysis of efficacy criteria. Eur Neurol. 2004;51:89-97.
Demirkaya S, Vural O, Dora B, Topcuoglu MA. Efficacy of intravenous magnesium sulfate in the treatment of acute migraine attacks. Headache. 2001;41(2):171-177.
Digre KB. Headaches and other head pain. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine, 24th ed. Philadelphia, PA: Elsevier Saunders; 2012:2246-2252.
Endres HG, Diener HC, Molsberger A. Role of acupuncture in the treatment of migraine. Expert Rev Neurother. 2007;7(9):1121-1134.
Ernst E, Pittler MH. The efficacy and safety of feverfew (Tanacetum parthenium L.): an update of a systematic review. Public Health Nutr. 2000;3(4A):509-514.
Evans R. Migraine: A Question and Answer Review. Medical Clinics of North America. 2009;93(2):245-262.
Ferri FF. Headache, migraine. Ferri's Clinical Advisor 2015. Philadelphia, PA: Elsevier Mosby; 2015:514-515.e1.
Grossmann WM, Schmidramsl H. An extract of Petasites hybridus is effective in the prophylaxis of migraine. Int J Clin Pharmacol Ther. 2000;38:430-435.
Jackson JL, Kuriyama A, Hayashino Y. Botulinum toxin A for prophylactic treatment of migraine and tension headaches in adults: a meta-analysis. JAMA. 2012;307(16):1736-1745.
Lateef TM, Cui L, Nelson KB, Nakamura EF, Merikangas KR. Physical comorbidity of migraine and other headaches in US adolescents. J Pediatr. 2012;161(2):308-313.e1.
Lieba-Samal D, Wober C, Frantal S, et al. Headache, menstruation and combined oral contraceptives: a diary study in 184 women with migraine. Eur J Pain. 2011;15(8):852-7.
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Lipton RB, Göbel H, Einhäupl KM, Wilks K, Mauskop A.. Petasites hybridus root (butterbur) is an effective preventive treatment for migraine. Neurology. 2004;28;63(12):2240-2244.
Manias P, Tagaris G, Karageorgiou K. Acupuncture in headache: a critical review. Clin J Pain. 2000;16(4):334-339.
Mauskop A. Alternative therapies in headache. Is there a role? Med Clin North Am. 2001;85(4):1077-1084.
Mauskop A, Altura BT, Altura BM. Serum ionized magnesium levels and serum ionized calcium/ionized magnesium ratios in women with menstrual migraine. Headache. 2002;42(4):242-248.
Melchart D, Thormaehlen J, Hager S, Liao J, Linde K, Weidenhammer W. Acupuncture versus placebo versus sumatriptan for early treatment of migraine attacks: a randomized controlled trial. J Intern Med. 2003;253(2):181-188.
Mueller L. Tension-type, the forgotten headache. How to recognize this common but undertreated condition. Postgrad Med. 2002;111(4):25-26, 31-32, 37-38.
Negro A, Martelletti P. Chronic migraine plus medication overuse headache: two entities or not? J Headache Pain. 2011;12(6):593-601.
Oelkers-Ax R, Leins A, Parzer P, et al. Butterbur root extract and music therapy in the prevention of childhood migraine: An explorative study. Eur J Pain. 2008;12(3):301-313
Penzien DB, Rains JC, Andrasik F. Behavioral management of recurrent headache: three decades of experience and empiricism. Appl Psychophysiol Biofeedback. 2002;27(20):163-181.
Pfaffenrath V, Diener HC, Fischer M, Friede M, Henneicke-von Zepelin HH. The efficacy and safety of Tanacetum parthenium (feverfew) in migraine prophylaxis – a double-blind, multicentre, randomized placebo-controlled dose-response study. Cephalagia. 2002;22(7):523-532.
Pittler MH, Ernst E. Feverfew for preventing migraine. Cochrane Database Syst Rev. 2004;(1):CD002286.
Rozen TD, Oshinsky ML, Gebeline CA, et al. Open label trial of coenzyme Q10 as a migraine preventive. Cephalalgia. 2002;22:137-141.
Sandor PS, Di Clemente L, Coppola G, et al. Efficacy of coenzyme Q10 in migraine prophylaxis: A randomized controlled trial. Neurology. 2005;64:713-715.
Savi L, Rainero I, Valfre W, Gentile S, Lo Giudice R, Pinessi L. A comparison of patients with migraine and tension-type headache. Panminerva Med. 2002;44(1):27-31.
Silberstein SD, Goadsby PJ, Lipton RB. Management of migraine: an algorithmic approach. Neurology. 2000;55(9 Suppl 2):S46-S52
Streng A, Linde K, Hoppe A, et al. Effectiveness and tolerability of acupuncture compared with metoprolol in migraine prophylaxis. Headache. 2006;46(10):1492-1502.
Trauninger A, Pfund Z, Koszegi T, Czopf J. Oral magnesium load test in patients with migraine. Headache. 2002;42(2):114-119.
Tuchin PJ, Pollard H, Bonello R. A randomized controlled trial of spinal manipulative therapy for migraine. J Manipulative Physiol Ther. 2000;23(2):91-95.
Walach H, Lowes T, Mussbach D, et al. The long-term effects of homeopathic treatment of chronic headaches: 1 year follow up. Cephalalgia. 2000;20:835-837.
Walach H, Lowes T, Mussbach D, et al. The long-term effects of homeopathic treatment of chronic headaches: one year follow-up and single case time series analysis. Br Homeopath J. 2001;90(2):63-72.
White AR, Resch KL, Chan JC, et al. Acupuncture for episodic tension-type headache: a multicentre randomized controlled trial. Cephalagia. 2000;20(7):632-637.
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