Two Simple Steps to Lessen Migraines


Migraine headaches (MH) are a specific type of headache that affect approximately 15% of the world’s population and are caused by environmental and genetic factors. Physicians use a mnemonic system called POUND to differentiate MH from other types of primary headaches:

  • P - Is the headache pulsatile in nature?

  • O - Is the duration between 4-72 hours?

  • U - Is the location unilateral?

  • N - Is there associated nausea or vomiting?

  • D - Is the intensity of the headache disabling?

Treatment and Pain Management MH can be treated using different clinical pathways. Typically, they are managed with a medication called amitriptyline. However, this drug has its share of side effects. Thus, physicians and their patients may utilize physical therapy for a more holistic treatment approach. Physical Therapy for MH Physical therapy can be very effective, particularly in the treatment of cervicogenic headaches which have POUND-like symptoms. A physical therapist will recommend two simple treatments that have been tested in randomized control trials and have received a Level II in evidence ratings(Goncalve, et al.).

  1. Have patient increase water intake by 1.5 liters per day (Spigt, et al.).

  2. Have patient take 2-3 mg of slow release melatonin at night before bed (Lyon, Langer).

If you suffer from MH, let our team at 1 on 1 Physical Therapy in Asheville NC help you on your journey to better health and improved quality of life. References:

  • Goncalve, AL, Martini Ferreira A, Ribeiro RT, et al. Randomized clinical trial comparing melatonin 3 mg, amitriptyline 25 mg and placebo for migraine prevention. J Neurol Neurosurg Psychiatry. 2016; 87:1127- 1132.1

  • Spigt, M. et al. A randomized trial on the effects of regular water intake in patients with recurrent headaches.

  • Lyon, C & Langner, S. Consider melatonin for migraine prevention. The Journal of Family Practice MAY 2017 VOL. 66, NO 5

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