Tag Archives: migraine

Balance App for Stress and Insomnia

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Good app for helping with stress issues and insomnia. It has a very positive rating and they are offering a fully featured one-year trial (just remember to cancel if you stop using it.)

Features:

• Sleep meditations and nature sounds to help you rest deeply and wake up refreshed
• A growing library of meditation Plans, personalized to your goals
• Bite-sized Singles you can use while walking, eating, commuting, and more
• Comprehensive progress tracking on 10 concrete meditation skills
• New materials each month to improve your stress, mood, focus, and more

https://balanceapp.com/

Prevalence of Menstrual Migraine High

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Half of Women Reporting Moderate-to-Severe Disability

“Menstrual migraine is prevalent, especially in the perimenopausal years,” Ailani told Elsevier’s PracticeUpdate. “These women face disability and should consider preventive treatment, but most were only taking acute, non-migraine-specific treatment. If you are seeing women who have migraine, ask if they have attacks associated with their menstrual cycle, and be aware that these can be more disabling and harder to treat.”

https://www.practiceupdate.com/content/aan-2024-prevalence-of-menstrual-migraine-high-with-half-of-women-reporting-moderate-to-severe-disability/164977

Interesting study based on a lot of data from the Migraine Buddy App

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Simultaneous Comparisons of 25 Acute Migraine Medications Based on 10 Million Users’ Self-Reported Records From a Smartphone Application

TL:DR
Medication Effectivenes

Triptans (in order of effectiveness but all close.)

  1. Elettriptan (Relpax – about $50 per Rx)
  2. Zolmitriptan (Zomig $20)
  3. Sumatriptan (Imitrex $15)
  4. Rizatriptan (Maxalt $10)

NSAIDS/OTC’s

  • Diclofenac Potassium 50 mg (Cataflam $15) slightly more effective than Naproxen Sodium 550 mg (Aleve or Anaprox DS $10),  Excedrin or Tylenol
  • Kerotolac 10 mg (Toradol $15) slightly more effective than Diclofenac (Kerotolac may have more side effects than Diclofenac.)

Forest Plot of the Odds Ratios and 95% CI of Medications From Canada (CA), the United Kingdom (UK), and the United States (USA) in Country-Specific Analysis

https://www.neurology.org/doi/full/10.1212/WNL.0000000000207964

MRI shows ties between neck muscle function, common headaches

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Quantitative MRI reveals how muscles in the neck are involved in primary headaches, according to research presented November 29 at the 2023 RSNA annual meeting.

In his talk, Nico Sollmann, MD, PhD, from University Hospital Ulm and University Hospital Rechts der Isar in Germany presented findings suggesting that increased T2 values of the trapezius muscles could be an objective imaging biomarker for myofascial involvement in primary headache disorders.

Trapezius muscle segmentations show (A) segmentation masks of the bilateral trapezius muscles (red areas) in a 25-year-old female and (B) in a 24-year-old male. Images and caption courtesy of the RSNA.

https://www.auntminnie.com/resources/conference/rsna/2023/article/15658841/mri-shows-ties-between-neck-muscle-function-common-headaches