Questions and Answers Question: In your view, if what appears to be a classical right C2,3 cervicogenic headache and it responds to a Triptan, is the diagnosis CxHA or migraine? Answer: My understanding of CxHA is where (secondary to) a disorder in the upper cervical spine is misinterpreted as residing in the trigeminal field and
Referring to a Person with Migraine Over the past 25 years or so, I have never really been comfortable referring to a person with migraine as a ‘migraine sufferer’. I felt that this term had negative undertones, i.e. emphasising suffering. A Person with Migraine In recent times, I have used the term ‘migraineur’. As pointed
Is It The Lone Ranger? The periaqueductal grey (PAG) also known as the ‘central grey’ is the primary control centre for descending pain modulation i.e. suppression of pain. So I get that dimunition of the PAG influence could be involved in migraine. What I don’t get is that this central, supra spinal influence (if) acting
An Underlying Disorder What else can I say but… there are those who are innately intuitive. Considering the cause of headache and migraine, I have just come across a gentleman(1) who in 1888 described the migraine process in this way: “… we must not ascribe too much significance to throbbing of the increase in the
Some Menstrual Migraine Facts Migraine is the second most common headache condition next to Tension-type Headache. Up to one fourth of all women have migraine, and of those, 60% experience migraine without aura episodes in at least two thirds of their menstrual cycles. Menstrual Migraine is in the top five disabling conditions for women and
The Traditional Medical Model of Headache The traditional medical model of headache and migraine does not consider abnormalities of the upper neck to play a causal role in the headache and migraine conditions; the model has demonstrated little action in exploring this as a possibility in headache and migraine diagnosis. It is essential that all factors,
