Hi, my name is Stephen Offenburger, DC. I'm Tom
Danisiewicz, DC. Today, we're going to be talking about
migraines and really answering the question that you're here
for, do you actually have a migraine or maybe it's
something else that can be treated? So, the first question,
Tom, that everybody has on their mind that everybody wants to
know, do they actually have a migraine or is it something
else that they can be treated for and get relief from? So, in
your clinical practice, what were the signs and symptoms
that people had when they came in with a true migraine? So,
first, I want to say everyone who comes into our clinic with
a headache. It is something that is significant to them.
It's severe, it's the reason that's driving them into the clinic.
Yeah. But when we do see the true migraines, a lot of times
we have some symptoms besides the headache that are pretty
severe as well. Yeah. Uh you're going to have maybe some nausea
with that headache or maybe even going so far to actually
vomit with that headache, they're going to have really
bad light sensitivity to the point where they maybe don't
even want to get out of bed for a couple of days because
anything that's really intensifying that headache is
just too much to bear. So, Steve, as far as the migraine,
really why do people get migraines? Yeah, it's an
interesting question and unfortunately, we're probably
not going to get to the answer on here 'cuz the answer isn't
really well known. We've talked with migraine specialists here
as a company and unfortunately, in the research and even in
clinical practice, there's not always one defining thing that
causes migraines. It's usually a complex array of symptoms
that is causing something very complex with the patient and
there's a lot of different multifactoral problems going
on. So, when we're looking at a patient at Airrosti, what is one
of the ways that we use treatment in order to
differentiate a migraine from a headache or these recurrent
headaches or some of these more severe cases? What's the
musculoskeletal components that you think about as a clinician?
Yeah. So, I think we look at a lot of clues that different
muscles and different joints can refer pain along these we
can call 'em myotomes or just kind of referral patterns for
muscles and joints that mimic headaches and mimic very common
headaches like migraines and other types of headaches and
what you're typically going to look for is you're going to
look for problems in the neck, you're going to look for
problems sometimes in the jaw, sometimes even in the shoulder
that are going to reproduce pain that goes along the head around
these bands and what you're going to see is that the
patient has a really positive response to treatment there.
You know, they're going to feel first that when you find them,
they can reproduce a little bit of the headache and then as you
treat those areas, you're going to see a decrease in the
intensity of those symptoms where someone who has maybe a
true migraine or different type of headache that's not muscle
skeletal. You're not going to be able to find those symptoms,
those areas that reproduce their symptoms as well or maybe
you're going to be able to make them worse and not get any sort
of relief out of those spots. It's funny that you mentioned
that in my clinical practice, I always asking patients, hey,
I'd push on something and go, hey, does that reproduce your
headache and they say, yeah, that's exactly the place where
it hurts every day. So, we kind of already knew, oh, this was
the trigger area or this was the spot, the point, however
you want to kind of think about it that was actually causing
this referral into the head and the patients were always
surprised because like you said, it wasn't in their head.
I was pushing on the back of their neck somewhere along
their trap even kind of making them move their jaw around to
kind of understand where it was coming from and that's the
muscle skeletal component to a headache that's not migraine is
you can reproduce it with some level of stimulation to the
muscle of the joint that's causing that problem. So, let's
just say that somebody does have a head pain. They don't
know if it's a migraine or a tension headache or any kind of
muscular skeletal headache. What do we do at Airrosti that tries
to help that patient whether we can treat them or whether we
can't. So, we would do the same thing with that patient that we
do with really any patient which is we're going to take a
very thorough history understanding the nature of the
complaint. We're going to do a very thorough evaluation. Make
sure that we can reproduce a little bit of those symptoms
from a muscular skeletal standpoint. Yeah. And so once
we do know that they're in the right place and they're
appropriate to get treated, we're going to look for some
level of reproduction pain from those muscular skeletal points and
some level of improvement once you do the conservative
measures. Yeah, it's really starting with that diagnosis,
that really thorough history, making sure that you're in the
right place that this is something that we can treat and
if not, we're going to send them out to the specialist that
they need be because the best diagnosis is really to a
migraine specialist, somebody that's really trained in
neurology. So, Steve, you are someone who has has headache,
has head pain, you're not quite sure what to do, you watch this
video and you're like, well, maybe that's where I should go.
Are you more confused now than you were in the beginning?
Where should you go? What should you do? You know, we
really encourage everybody to kind of utilize something that
we offer as a product just called a VIP chat. It's just a
way for a no-obligation complimentary visit for you and
a doctor in a virtual setting. You can get up to 30 minutes
with one of our providers just talking. You can ask the
questions that you have, right? Uh that the provider will
listen to you, take a thorough history, and really kind of
evaluate. Yeah, I think it's this or I think it's that. In
that way, we can point you in the right direction. Maybe it's
care from us, maybe it's a care from someone else, maybe
it's a specialist along the way. Whatever it is, the right
place at the right time. So, if you like today's video, you can
see a link down below to the VIP chat. We appreciate you
today. My name is Stephen Offenburger, DC. I'm Tom
Danisiewicz, DC and we'll see you in the next video.