IT HAS BECOME A COMMON BELIEF THAT THE KEY TO MIGRAINE TREATMENT IS TO EFFECT THE TRIGEMINAL NERVOUS SYSTEM BY CHANGING CHEMICAL ACTIONS ON RECEPTORS AS THE ARTICLE BELOW SHOWS. NEUROMUSCULAR DENTISTRY PREVENTS AND TREATS MIGRAINES IN A SIMILAR MANNER BY CHANGING THE NEUROEXCITABILITY OF THE RECEPTORS AND CHANGING CHEMICALS PRODUCED IN THE BRAIN. TMJ disorders (TMD) have an extreme correlation to migraines and tension headaches.
IT SHOULD ALWAYS BE REMEMBERED THAT THE BRAIN IS ACTUALLY A BIOLOGICAL COMPUTER WITH INPUT AND OUTPUT ie nervous input and output.
Neuromuscular Dentistry changes how the brain work by changing the input to the Trigeminal Nervous System. Approximately 50% of the input to the brain is from the Trigeminal Nerve. The Trigeminal Nerve is often called the Dentist's nerve because most of the input to the brain frm the Trigeminal Nerve is from the teeth, periodontal ligaments, jaw muscles, jaw joints, tensor of the eardrum,lining of the sinuses and other dental structures. An Excellent Article in Cephalgia explains how exercise can prevent migraines. This is a similar application of how this nervous system works.
Neuromuscular Dentistry has an enormous effect on second and third order neurons as does topiramate. The article specifically states "The effects of ........topiramate on trigeminovascular activation of second- and third-order neurons in the trigeminothalamic pathway were characterized" The article states in its conclusion that "data demonstrate for the first time that topiramate modulates trigeminovascular transmission within the trigeminothalamic pathway" These are the exact same pathways where Neuromuscular Dentistry can have its greatest effects.
Migraines and Tension Headaches including Chronic Daily Headaches are frequently the result of nociceptive input into the Trigeminal Nervous System. In computer lingo, Garbage In---Garbage Out. Garbage out is chronic pain due to changes in brain chemistry that are directly related to nervous input to the brain through the Trigeminal Nervous System.
Excellent Proof of this concept can be found in "Cephalalgia. 2011 Sep 2.
Exercise as migraine prophylaxis: A randomized study using relaxation and topiramate as controls. The article concludes that "Exercise may be an option for the prophylactic treatment of migraine in patients who do not benefit from or do not want to take daily medication." Exercise changes the input to the brain though it is not as specific to the trigeminal nerve as Neuromuscular Dentistry.
Cephalalgia. 2011 Sep 5. [Epub ahead of print]
Topiramate in the treatment of migraine: A kainate (glutamate) receptor antagonist within the trigeminothalamic pathway.
Andreou AP, Goadsby PJ.
Source
Headache Group, University of California, USA.
Abstract
Background: The development of new agents for the preventive treatment of migraine is the greatest unmet need in the therapeutics of primary headaches. Topiramate, an anticonvulsant drug, is an effective anti-migraine preventive whose mechanism of action is not fully elucidated. Since glutamate plays a major role in migraine pathophysiology, the potential action of topiramate through glutamatergic mechanisms is of considerable interest. Methods: Recordings of neurons in the trigeminocervical complex (TCC) and the ventroposteromedial thalamic nucleus (VPM) of anesthetized rats were made using electrophysiological techniques. The effects of intravenous or microiontophorezed topiramate on trigeminovascular activation of second- and third-order neurons in the trigeminothalamic pathway were characterized. The potential interactions of topiramate with the ionotropic glutamate receptors were studied using microiontophoresis. Results: Both intravenous and microiontophorized topiramate significantly inhibited trigeminovascular activity in the TCC and VPM. In both nuclei microiontophoretic application of topiramate significantly attenuated kainate receptor-evoked firing but had no effect on N-methyl-d-aspartic acid or α-amino-3-hydroxyl-5-methyl-4-isoxazole-propionate receptor activation. Conclusion: The data demonstrate for the first time that topiramate modulates trigeminovascular transmission within the trigeminothalamic pathway with the kainate receptor being a potential target. Understanding the mechanism of action of topiramate may help in the design of new medications for migraine prevention, with the data pointing to glutamate-kainate receptors as a fruitful target to pursue.
PMID:
21893557
[PubMed - as supplied by publisher]
Cephalalgia. 2011 Sep 2. [Epub ahead of print]
Exercise as migraine prophylaxis: A randomized study using relaxation and topiramate as controls.
Varkey E, Cider A, Carlsson J, Linde M.
Source
University of Gothenburg, Sweden.
Abstract
Aim: Scientific evidence regarding exercise in migraine prophylaxis is required. Therefore this study aimed to evaluate the effects of exercise in migraine prevention. Methods: In a randomized, controlled trial of adults with migraine, exercising for 40 minutes three times a week was compared to relaxation according to a recorded programme or daily topiramate use, which was slowly increased to the individual's highest tolerable dose (maximum 200 mg/day). The treatment period lasted for 3 months, and migraine status, quality of life, level of physical activity, and oxygen uptake were evaluated. The primary efficacy variable was the mean reduction of the frequency of migraine attacks during the final month of treatment compared with the baseline. Results: Ninety-one patients were randomized and included in the intention-to-treat analysis. The primary efficacy variable showed a mean reduction of 0.93 (95% confidence interval (CI) 0.31-1.54) attacks in the exercise group, 0.83 (95% CI 0.22-1.45) attacks in the relaxation group, and 0.97 (95% CI 0.36-1.58) attacks in the topiramate group. No significant difference was observed between the groups (p = 0.95). Conclusion: Exercise may be an option for the prophylactic treatment of migraine in patients who do not benefit from or do not want to take daily medication.
PMID:
21890526
[PubMed - as supplied by publisher]
Showing posts with label trigeminal nerve migraines. Show all posts
Showing posts with label trigeminal nerve migraines. Show all posts
Sunday, September 11, 2011
Friday, January 28, 2011
Continuous headache with earache and eye ache.
David: I have had continous Headaches for 3-4 months now. sides and back of head mainly. Earache and eye ache as well
Dr Shapira: David, you have given me only minimal infformation on what treatment you have received or any special circumstances when the pain started. The good news is the symptoms you describe indicate that you probably have headaches of muscular orgins. Tension-Type Headaches (TTH) are commononly associated with the jaw and neck muscles. Achy type pain as you describe in your ears and eyes is nearly always referred muscualar pain.
An excellent approach is to visit a Neuromuscular Dentist who is also trained in using Vapocoolant spray to treat Myofascial pain. If stretch and spray gives relief of the headache, earache and eye ache you will confirm the muscular component.
Because almost all Tension Type Headaches are influences by the Trigeminal Nervous system you will probably do well by tring a Diagnostic Neuromuscular Orthotic as a non-invasive safe diagnostic and treatment entity. If yo get complete relief you will confirm that the headache is muscular and trigeminally modulated.
Occasionally trigger point injections are needed to break-up long standing muscle issues.
Dr Shapira: David, you have given me only minimal infformation on what treatment you have received or any special circumstances when the pain started. The good news is the symptoms you describe indicate that you probably have headaches of muscular orgins. Tension-Type Headaches (TTH) are commononly associated with the jaw and neck muscles. Achy type pain as you describe in your ears and eyes is nearly always referred muscualar pain.
An excellent approach is to visit a Neuromuscular Dentist who is also trained in using Vapocoolant spray to treat Myofascial pain. If stretch and spray gives relief of the headache, earache and eye ache you will confirm the muscular component.
Because almost all Tension Type Headaches are influences by the Trigeminal Nervous system you will probably do well by tring a Diagnostic Neuromuscular Orthotic as a non-invasive safe diagnostic and treatment entity. If yo get complete relief you will confirm that the headache is muscular and trigeminally modulated.
Occasionally trigger point injections are needed to break-up long standing muscle issues.
Friday, May 21, 2010
Prevention of Migraines: Press Release reprint
It is widely accepted that almost all headaches wether classified as vascular, neurogenic , hormonal or muscular in orgins are caused primarily by the Trigeminal Nervous system. While there are many drugs that can be utilized in the treatment of migraines and other headaches one of the best diagnostic proceures may not only clarify why the headaches occur but eliminate, decrease and/or prevent them entirely without the use of dangerous and/or adicting meication.
Neuromuscular Dentistry May Be The Best Migraine Prevention Available For Many Patients. I HATE HEADACHES website provides extensive information on Neuromuscular Dentistry.
The Trigeminal Nerve is so closely tied to headaches that prevention of noxious input can be a permanent cure for many patients. Patients who are tired of their lives being controlled or ruined by headaches should approach treatment cautiously. Initial treatment of headaches should always be preceded by a consultation appointmet with an experienced Neuromuscular Dentist. Patients should expect to spend at least an hour at this initial visit to determine if they are apprpriate canidates for a diagnostic appointment.
Dr Ira L Shapira in Gurnee, Illinois has 30 years experience in utilizing Neuromuscular Dentistry to elimnate, prevent and treat migraines and othe chronic headaches. He will usually spend 60-90 minutes with patients at the initia consultation and will then prescribe a diagnostic appointment appropriate for the patients specific disorders. Patients with more complex problems and longer history of pain are usually given a more comprehensive assessment.
During the consultation it is frequently possible to turn off a head or neck pain in just a few seconds by deactivating myofascial trigger points. Dr Shapira, a Diplomate of the American Academy of Pain Manage explains that he can sometimes see amazing transformations in patients as they realize that finally some knows how to turn off their pain. "I recently saw a patient who accompanied her husband to my office for treatment of his sleep apnea. I noticed that "M" was holding her right temple and asked if she was having headache which she confirmed. I asked if I could try to "turn it off" and she agreed to let me attempt to relieve it. we spent less than five minutes deactivating trigger points and she was "pain free". She then told me she had had a continuos headache for over 50 years which her husband, a retired physcian, confirmed. A appointment was made to deliver her husbands snoring and sleep apnea appliance and to do a consultation and begine treatment the following week. At the next a diagnostic evaluation was done and a diagnostic neuromuscular orthotic was deliverd to "M". One week later M and her husband returned and she reported being headache free and sleeping much better because we had eliminated her husbands snoring s well. M has now been reconstructed to this Neuromuscular Position and remains headache free. She loves to tell stories about how her children and grandaughter are constantly asking if she still doesn't have a headache. She also feels she has never looked as good as she does now since the dental reconstruction."
The use of a diagnostic orthotic is n essential element of both diagnosis and treatment of headache patients. It allows for the corrction of the jaw joints, jaw muscles and most importantly the correction of the input to the Trigeminal Nervous system. It allows the patient to understand and evaluate treatment prior to making any irreversible change. Neuromuscular Dentistry is extremely conservative in it avoids the risk of making problems worse by making permanent bite changes as an initial treatment. If patients decide to make permanent changes they have multiple treatment choices but most importantly they have "test driven" their new bite and know the effects before embarking on the second phase of treatment. The diagnostic orthotic patient is essential to determine treatment direction and to protect the patient.
Centric Relation dentistry is another approach to treating patients. Dr Shapira was both a patient and practitiner of CR dentistry before becoming a strong advocate for the Neuromuscular Approach. "The problem with centric relation treatment" in Dr Shapira's opinion "is that permanent changes are made early in treatment and if a patient becomes worse instead of better ther treatment is not reversible. Centric Relation is determined by the dentist manipulating the patients mandible to position utilizing the dentist's muscles but Neuromuscular Dentistry on the other hand utilizes the patients own muscles to guide treatment. Removal of underlying pathology lets the body heal" according to Dr Shapira, "and then we just have to adjust the diagnostic orthotic to match the healthier position that naturally occurs."
Dr Shapira has created two excellent website to help patients find answers to difficult medical problems:
http://www.ihateheadaches.org for headache and migraine disorders
http://www.ihatecpap.com for patients with sleep apnea and snoring and who want a comfortable alternative to CPAP
There are two excellent articles that should be read by anyone suffering from chronic headaches, Migraines or TMJ disorders published in Sleep and Health Journal:
http://www.sleepandhealth.com/story/suffer-no-more-dealing-great-impostor
http://www.sleepandhealth.com/neuromuscular-dentistry
The first article "SUFFER NO MORE: DEALING WITH THE GREAT IMPOSTER" discusses patients symptoms and stories and the second discusses Dr Shapira's explanation of the science of Neuromuscular Dentistry.
Dr Shapira can be contacted for treatment of headaches, sleep apnea, and TMJ disorders at his Delany Dental Care practice where he also practices general dentistry with his partner Dr Mark Amidei.http://www.delanydentalcare.com
Neuromuscular Dentistry May Be The Best Migraine Prevention Available For Many Patients. I HATE HEADACHES website provides extensive information on Neuromuscular Dentistry.
The Trigeminal Nerve is so closely tied to headaches that prevention of noxious input can be a permanent cure for many patients. Patients who are tired of their lives being controlled or ruined by headaches should approach treatment cautiously. Initial treatment of headaches should always be preceded by a consultation appointmet with an experienced Neuromuscular Dentist. Patients should expect to spend at least an hour at this initial visit to determine if they are apprpriate canidates for a diagnostic appointment.
Dr Ira L Shapira in Gurnee, Illinois has 30 years experience in utilizing Neuromuscular Dentistry to elimnate, prevent and treat migraines and othe chronic headaches. He will usually spend 60-90 minutes with patients at the initia consultation and will then prescribe a diagnostic appointment appropriate for the patients specific disorders. Patients with more complex problems and longer history of pain are usually given a more comprehensive assessment.
During the consultation it is frequently possible to turn off a head or neck pain in just a few seconds by deactivating myofascial trigger points. Dr Shapira, a Diplomate of the American Academy of Pain Manage explains that he can sometimes see amazing transformations in patients as they realize that finally some knows how to turn off their pain. "I recently saw a patient who accompanied her husband to my office for treatment of his sleep apnea. I noticed that "M" was holding her right temple and asked if she was having headache which she confirmed. I asked if I could try to "turn it off" and she agreed to let me attempt to relieve it. we spent less than five minutes deactivating trigger points and she was "pain free". She then told me she had had a continuos headache for over 50 years which her husband, a retired physcian, confirmed. A appointment was made to deliver her husbands snoring and sleep apnea appliance and to do a consultation and begine treatment the following week. At the next a diagnostic evaluation was done and a diagnostic neuromuscular orthotic was deliverd to "M". One week later M and her husband returned and she reported being headache free and sleeping much better because we had eliminated her husbands snoring s well. M has now been reconstructed to this Neuromuscular Position and remains headache free. She loves to tell stories about how her children and grandaughter are constantly asking if she still doesn't have a headache. She also feels she has never looked as good as she does now since the dental reconstruction."
The use of a diagnostic orthotic is n essential element of both diagnosis and treatment of headache patients. It allows for the corrction of the jaw joints, jaw muscles and most importantly the correction of the input to the Trigeminal Nervous system. It allows the patient to understand and evaluate treatment prior to making any irreversible change. Neuromuscular Dentistry is extremely conservative in it avoids the risk of making problems worse by making permanent bite changes as an initial treatment. If patients decide to make permanent changes they have multiple treatment choices but most importantly they have "test driven" their new bite and know the effects before embarking on the second phase of treatment. The diagnostic orthotic patient is essential to determine treatment direction and to protect the patient.
Centric Relation dentistry is another approach to treating patients. Dr Shapira was both a patient and practitiner of CR dentistry before becoming a strong advocate for the Neuromuscular Approach. "The problem with centric relation treatment" in Dr Shapira's opinion "is that permanent changes are made early in treatment and if a patient becomes worse instead of better ther treatment is not reversible. Centric Relation is determined by the dentist manipulating the patients mandible to position utilizing the dentist's muscles but Neuromuscular Dentistry on the other hand utilizes the patients own muscles to guide treatment. Removal of underlying pathology lets the body heal" according to Dr Shapira, "and then we just have to adjust the diagnostic orthotic to match the healthier position that naturally occurs."
Dr Shapira has created two excellent website to help patients find answers to difficult medical problems:
http://www.ihateheadaches.org for headache and migraine disorders
http://www.ihatecpap.com for patients with sleep apnea and snoring and who want a comfortable alternative to CPAP
There are two excellent articles that should be read by anyone suffering from chronic headaches, Migraines or TMJ disorders published in Sleep and Health Journal:
http://www.sleepandhealth.com/story/suffer-no-more-dealing-great-impostor
http://www.sleepandhealth.com/neuromuscular-dentistry
The first article "SUFFER NO MORE: DEALING WITH THE GREAT IMPOSTER" discusses patients symptoms and stories and the second discusses Dr Shapira's explanation of the science of Neuromuscular Dentistry.
Dr Shapira can be contacted for treatment of headaches, sleep apnea, and TMJ disorders at his Delany Dental Care practice where he also practices general dentistry with his partner Dr Mark Amidei.http://www.delanydentalcare.com
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