Dear Editor,Migraine is a common disabling primary headache disorder. Migraine most often begins at puberty and most affects those aged between 35 and 45 years. It is more common among women, usually by a factor of about 2:1, because of hormonal influences. It is caused by the activation of a mechanism deep in the brain that leads to release of pain-producing inflammatory substances around the nerves and blood vessels of the head. Migraine is recurrent, often life-long, where a person will suffer head-pain on one side of his head. Migraines are usually described as a throbbing sensation. Many people experiencing migraines will also experience nausea, vomiting and sensitivity to light or noise. For most people, a migraine attack will mean total disruption to their normal daily routine, and can last anywhere from a few hours to a few days. . Pain is often but not always unilateral, throbbing, worse with exertion sometimes and other transient focal neurologic deficits occur in a few patients, usually just before the headache, also known as an aura.Decrease in serotonin levels leads to imbalance in brain chemicals that help control pain in the nervous system may trigger migraines. It can occur at any age but mostly tends to peak during a person’s 30s, Family history, Intake of hormonal medications such as oral contraceptives may also trigger migraines, processed , salty foods and food high in caffeine may also trigger migraines. Poor sleep, lack of sleep and changes in the environment also contribute to increase chances of migraine. For people living with migraine wearing a face mask all day can create the additional problem of triggering attacks.Migraine is usually managed by pharmacological management. Physiotherapy has great role in decreasing attacks of migraine and overall management. Physiotherapy should be given along with medication for better outcome. It includes Cryotherapy & thermotherapy, stretching, improving range of motion, massages, active exercises pain-relief exercises, Muscle energy techniques, strengthening exercises, myofascial release, low-impact aerobic conditioning, taping, dry needling, cupping relaxation training, biofeedback, Manual therapy (Cervical manipulation), meditation, ergonomic advices and various modalities like ultrasound, TENS and biofeedback. These treatment helps to promote the flow of blood and lymph to the area and make if feel more relaxed, helps to improve neck mobility & muscle flexibility, help to decrease the pain, Other parameters such as quality of life, impact and pain disability as well as psychological aspects have improved. The goals are to rehabilitate, restore and improve function and independence, as well as to reduce or lessen the effects of the condition. Physiotherapy is low cost, has nearly no side effect and seem beneficial for the reduction of migraine symptom. It should therefore, be considered to support the medical management of migraine.Dr. Pooja Kumari Digra (PT),Jammu College of Physiotherapy.
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