Friday, August 03, 2001

August 2001 Newsletter

FHN Complementary Medicine Monthly Newsletter August 2001

This month we will continue our talk about headaches.

Last month we talked about four types of headaches:


Tension Type



This month we will continue with:




Other Headaches

Whenever we discuss treatment we must have 2 goals.

1. Abortive (pain relief)

2. Preventive

So lets look at these four types of headaches and some alternative treatment strategies.

Cluster Headaches

It is estimated that less than one percent of the population are victims of cluster headaches, thank goodness because they are nick named the suicide headache. They encounter the headache somewhere between the ages of 20 and 45. More men (about five to one) than women suffer from cluster headaches. Cluster headaches frequently surface during the morning or late at night; the cluster cycle can last weeks or months and then can disappear for months or years. Clusters often occur during spring or autumn and, thus, are often incorrectly associated with allergies. Sufferers, however, usually do have a history of chronic smoking, and alcohol frequently triggers a cluster headache.

Traditional Preventive Treatment usually include:
As you review these, remember that all medications have side effects, and you should discuss them with your doctor.

Ergotamine tartrate
Lithium carbonate
Divalproex Sodium
Histamine acid phosphate

Traditional Abortive Treatment include:
Some of these medications come in various formulations, such as nasal sprays, injections and tablets.


Alternative Therapies

Stress reduction techniques, such as yoga, meditation, and regular exercise.

Vitamin C and the bioflavonoids quercetin and bromelain (pineapple enzyme).

Supplementation with essential fatty acids (EFA) will help decrease any inflammatory response.

Physical medicine therapies such as adjustments of the spine, craniosacral treatment, and massage at the temporomandibular joint (TMJ) can clear blockages.


Nervous system relaxant herbs: a few herbs to consider for relaxation are valerian ( Valeriana officinalis ), chamomile ( Matricaria recutita ), rosemary ( Rosemarinus officinalis ), and skullcap ( Scutellaria baicalensis ).

Hormonal Headaches

Although only women suffer from "hormone headache," both men's and women's headaches are prompted by hormones. You would not feel pain without them, because it is the hormones that induce the pain response. Actually, the headache may be protecting you or warning you of something more damaging in the same way that touching a hot stove alerts you to the heat and protects you from burning yourself.

Your endocrine and nervous systems are responsible for the thousands of automatic responses that regulate your bodily functions. They decide, for example, whether you will respond to a potential headache trigger with an actual sensation of pain.

Let’s look at some different types of hormonal headaches.

Menstrual migraines affect 70 percent of women with migraines. They occur before, during or immediately after the period, or during ovulation. Menstrual migraines are primarily caused by estrogen, the female sex hormone that specifically regulates the menstrual cycle fluctuations throughout the cycle. When the levels of estrogen and progesterone change, women will be more vulnerable to headaches.

The PMS headache occurs before your period and is associated with a variety of symptoms that distinguish it from the typical menstrual headache. These symptoms usually disappear when menstruation begins.

Migraine headaches are the most common side effect reported by women taking birth control pills, and many women stop taking them because of the headaches. The birth control pill tends to increase the frequency, duration, severity, and complications of migraine by intensifying the fluctuations of female hormones in the body.

Menopause Headaches: About half of all women do experience slight physical or emotional changes as they progress through menopause. Another 25 percent may suffer irregular heartbeat, joint pains, flushing in the upper torso, and headaches.


All treatment needs to be focused at normalizing hormonal function. As such gynecological problems that effect hormones need to addressed ( ie endometriosis, cysts, tumors, etc.).

Again assessment of hormone levels especially over the whole cycle can help in treatment strategies. We use a saliva test that take samples over the course of the period to help with hormonal assessment and timing. Menopausal women can do a five day test to assess their current hormonal levels.

Alternative preventive treatments include:

Herbal remedies – blue and black cohosh, wild yam creams, licorce , ginsengs , dong quai

Nutritional Support: Calcium /magnesium, adrenal support , Vitamin C

Physical medicine therapies such as adjustments of the spine, craniosacral treatment


Detox Headaches

We could divide these into withdrawal type headaches and rebound type headaches. Everyone who drinks coffee is familiar with the headache they get if they stop drinking coffee for a day or more. This is your bodies detoxification process in the liver getting rid of metabolic waste it has been storing. The headache can last for hours to days. If you are constantly intoxicating your liver with substances such as caffeine, or alcohol, etc., you may be in a viscous cycle leading to frequent detox type headaches.

Rebound headaches can come from over medicating OTC type analgesics (taking more than recommended) on a regular basis. Many times the therapeutic dose and the toxic dose of these substances are not that far apart, which could lead to the bodies detox mechanism upregulating and causing the viscous cycle to start.

Some prescription medications such as fiornal and ergotamines are well known for their rebound type effects.

So what do you do? If the headaches are due to withdrawal type symptoms STOP the offending substance.

During the withdrawal phase several things may be helpful.

Alkalize yourself with buffered vitamin C (ester C) or bicarbonate of soda (alkaseltzer gold).

Withdraw gradually adding water in place of the coffee or tea or whatever.

Antioxidents especially glutathione and N acetyl cystiene to help the liver detox processes.

Herbs silymarin (milk weed thistle) and bupluerum, again for liver support

If you are over medicating you need to talk to your doctor !

Other type headaches

The majority of headaches that fall into this category are sinus headaches, which will be the subject of another newsletter on sinusitis.

As you can see the causes and treatment of headaches vary greatly. It is a piece of detective work many times. If you are a chronic headache sufferer it may benefit you to look into alternative treatments so that you might be able to reduce frequency, dependence on meds, and intensity of headache.

The feedback on the last newsletter was appreciated. If you give us feedback let us know if we can pass it along to help others. Dr Gaertner and Dr. Hass at Healthworks report excellent results with headaches using acupuncture.

To your health

Dr. Glenn Smith

Dr. Julie Smith

Complementary Medicine

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