The majority of migraine patients (approx 85 percent), suffer from a migraine without an aura. Symptoms include severe, recurring headaches which occur mostly on one side of the head, but can change sides during an attack, or change sides from one attack to the next, or even spread gradually across the entire head.
The intense , pulsating head pain is often accompanied by nausea, vomiting and an over-sensitivity to light, sound and smells. The attacks can last between 4 and 72 hours.
For around 15 percent of those affected, the start of the real migraine attack is an aura. This phase is characterised by a range of neurological symptoms (aura symptoms), which usually increase rapidly within five to 20 minutes and last a total of between 30 and 60 minutes.
Sixty percent of people suffering from migraines have neck pain. Treatment of the neck pain can be very effective for migraine sufferers especially if they:
- Have had previous trauma to the neck
- Have poor postures at work or home
- Find that awkward neck posture or movement brings on the migraine
- Find that pressure, massage or heat to the back of neck relieves the headache
Treatment for Migraine
- Joint mobilisation
- Joint manipulation
- Deep tissue massage/myofascial release
- Dry needling /acupuncture
- Postural taping
- Education / advice
- Activity modification advice
- Ergonomic and sleeping advice
- Exercise programs to improve flexibility, strength (particularly the deep cervical flexors) and posture
- Clinical Pilates and postural correction