A Good Breakfast anyway. And throbbing pain the best ways to cope with a serious headache. And heres your host dr constantly go touch. People with a chronic headache are often not taken seriously especially women because they always use the headache for an excuse to get more rest so it said but today we know that headaches are a new logically disabling does alter and this is what im going to talk about his doctor involved to here at the surgeon in berlin welcome to. It is exciting to treat patients and headaches. And there is a possibility to help the patients in their different forms of headaches experts distinguish between one hundred eighty varieties and patients tell us that something is like hammering some things drilling into the head. So it can be quite challenging to find the right expert. Three Million People in germany are plagued daily by stabbing pounding throbbing headache. But what are headaches exactly. Stress causes a kind of short circuit in the brain neuro transmitting chemicals are released the trigger an inflammatory reaction in the arteries of the brain lining or meningeal tissue. There are many types of headaches but migraines are the worst. Her linden suffered for decades from migraines they badly affected her life. And i felt like i was seriously ill and in trouble i felt desperate. Wife it a few years ago she started going to the pain center at the fiber do University Hospital headache therapy there begins with a search for causes that if you do was a when stressed as one of the main clearly defined causes meaning a subjective feeling of overload with women it can also be changes in hormonal balance and sleeping eating patterns and off the whole and and the most. Many patients resort to medication but taking too many pills can also trigger headaches. Bob at home made many attempts to get a grip on her migraines. Me to come and drugs homeopathy natural healing. Mindfulness training regular exercise. Magnesium i dont know i made a list of all the therapy ideas. And it covered an entire sheet of paper and so what to do a headache pill now and then or some Peppermint Oil may help with a mild headache but migraines are a completely different ballgame they require individual therapy which includes stress reduction and exercise and in the last few years doctors have been using botox to treat migraines. And its an important Building Block a pharmaceutical Building Block for treating this a very busy but the most important thing is to stop medications when theyve been overused or at least reduce them. Since im in this its important for sufferers to compare notes hines post lab has helped found a Selfhelp Group d m self as been pain free for a number of years. As orderly caused it. In principle i dont really care im not mourning my migraine. And now i feel fantastic blend. The tendency to have migraines seems to be hereditary hiness children and grandchildren all suffer from them. So lets hope that one day their children and the grandchildren will wake up to with out any headaches and why this could be possible is one of the things id like to discuss has dr roy to hear the surety in berlin and hes head of the headache clinic thanks for having me today welcome yet what i says possible that someone who had migraine for ages can wake up some suddenly and is pain free you know thats very common usually to with retirement when people are in their in their fiftys early sixtys the migraine fades away and how big are the chances that this happens almost ninety nine percent ninety nine percent or so so this gives hope to many of the headaches patients of you with absolute hope everybody yeah so you manage one of the few headaches centers here in germany what kind of patients come to see you we mostly see patients with chronic migraine meaning more than fifteen headache days per month however we also see norman migraines lithium one migraine attack of month so what do you do differently than i would do as a g. P. For instance first of all weve got time we have got time to get the patient history to do the clinical examination the physical examination and talk to the patient theres a migraine there tension headaches theres cluster headaches so do you treat each headache differently you have different types of medication you sometimes need psychologists sometimes you dont and sometimes you need other specialties so its not just giving any pills you do a complex thing when theres a lot of things to inquire there for the things the patient can change like lifestyle going to bed at a regular basis and stuff like that i guess that many patients with headaches dont see a doctor at all they just go into a pharmacy and say give me some painkillers could this be problematic of course that can be problematic the more often the patient takes medication. The more likely is is that that he that he or she develops medication overuse what problems does overuse cause kidney problems first avoid headache and i think in the void cut it affects others by the symptoms like the Live Audience their kidneys i take painkillers and i get headaches from them yes exactly but you only get it when you take headache medications regularly many when you take aspirin a pricey term or more than fifteen days a month and when you take a trip to no more than ten days a month but how can i distinguish between my personal headache and the medications used hitting you almost cant what you have to do is you have to stop the medication over you have a pulse of all the medications and thats the way how to figure out whether its medication overuse or whether its they had it this or that itself right and its a patient how can i see if my my doctor is qualified enough for treating my day you dont the needs to ask at least six questions regarding your headache in order to find out whether its a primary headache such as migraine or whether its another disorder and he also needs to do a physical and in the logical examination so six questions or dog. They have to they are related to the frequency to the intensity that the Family History to a station associated symptoms like noise and vomiting to forment photophobia in the medication you are taking they are more about children developing headache too and even migraine so this is true from your point of view that more and more children are getting this and how can you handle it you know the number of children with headaches i increased seeing thats most likely due to the stress in the modern world so you just try to relieve stress or you give medication as well you know its more to do first of all you try to relieve stress you get you try to explain the children how to structure the day that they need horses that they need to go to bed on a regular pace at the same time every night and if that doesnt help then you need to give medications so its one thing to treat headaches and other things to try to prevent headaches at all and. Getting really good. When these two young women met at tubingen University Hospital they instantly had something to talk about. Migraines. You notice a faint throbbing which gets stronger and stronger and you take a pill to try to suppress the symptoms but soon you get the feeling that someones hammering on your temple. I mean this is i mostly get a stabbing pain on one side like this facing us now for most of what im if you like taking your head and beating against the little beast and alice everything smells bad. Even things i normally like to smell seem bad to me. But ive had to hang over the toilet and throw up for four or five hours because no painkillers help me anymore and i spit up the drugs right away again. Top in the hospital special headache clinic patients describe their symptoms in detail becoming. Like many other primary headache disorders migraine is essentially diagnosed from the information the patient is able to give us. The patients are thoroughly examined neurologically in order to rule out other diseases brain m. R. I. s are analyzed they fail to find anything seriously wrong with caroll of our. I have good news for you mr great. Migraine therapy depends on medication if conventional painkillers dont help tams can be one alternative this is a class of drugs developed especially for migraines theyre available as nasal sprays or injections. With. In both specific and unspecific medications for treatment of acute migraines excessive use during the month must be avoided by biden both forms of treatment theres a threat of medication overuse headache if you do this and those are the many patients are unaware that the drug that is supposed to control their pain can rebound and cause a chronic persistent headache. Several times a month usually of all dekker suffered from such severe migraines that trip times no longer helped. In those cases i used to go to the hospital and have them put me on a drip nothing else helped my sons to notice. Five years ago the doctors advised her to try a prophylactic therapy with me taking medication to prevent migraine attacks a step that shouldnt be taken lightly. Becoming hopeful access using medication means otherwise healthy young people have to take pills a day late to reduce the frequency of migraine attacks. Thats a serious decision that has to be made together with the patient saito blockers or heart medication are among those used to prevent migraines as well as anti epilepsy drugs. Come in to the various medications block certain transmitters or ion channels on the brain area and affect brain activity that can be affective for epilepsy as well as migraines because both have to do with over activity of Neural Networks and thats the mechanism that we suspect lies behind it. And. You hear elected to take high doses of anti epilepsy drugs twice a day. After beginning she suffered badly from side effects. My hands felt numb i had pins and needles i lost a lot of weight thirteen kilos and in the first few weeks i felt extremely tired and. In her case we could clearly see that the frequency of her migraines was reduced to a bearable level under the protection of the profile access and since she established this positive new level it was possible to reduce the dosage of the medication and then later to end it entirely. Uli of all dekker has now been living for two years without the preventive medication she could now use trip turns to control her maximum of two migraine attacks per month. In your clinic you also offer preventive treatment of migraine so this is whats your favorite method you need to use two methods one is medication prevention and the other one is really facial therapy such as physiotherapy such as sports yoga. So the patients have to become active they definitely need to contribute to the therapy and besides all those and pills and medication you gave and this is Something Special you offer here in a clinic if we offer but tonight im talking three. And for chronic migraine for many for patients with more than fifteen headache days per month so botox you know this from the aesthetic medicine when you get rid of your wrinkles and the signs of aging so its a whole how do you perform this just botox needs to be injected into your forehead into your temple and also into the back of your skull and you need to inject thirty one times under fifty five units and this is a very effective its effective its much better than placebo but its not curing the disease many of the pills you prescribe for preventing migraine are from different specialties of medicine like we cure against hypertension or like depression drugs so how do the patients react to this if you say you give them something and again do you have potential medicine patients dont like it because its not the medication its not designed specifically for their disease. Thankfully they have adverse events to effect thirtieth. Being tired to sleep be drowsy in this weight gain depression so its not their favorite type of medication but theres something you have at the horizon this is a quite specific therapy against time and if weve got thought of called for called the future and he believes the g. O. P. Is the most important transmitter in the brain if indicated here in green the antibodies are fine either to feed your people or to the fiji a p receptor thereby interrupting with the mechanism that cause of migraine and what about the side effects of this drug the side effects are very different from current medications in general even mild most of all they dont cause weight gain depression and other stuff and this is very effective that this is effective so that it is. Used by somebody who are just nowadays or is it just something that we can look for and while its coming most likely to the market in the middle of next year many patients have so much headaches over the course of their life that they turn to surgeons who offered to. Have kept the nerves in the face to to give some leaves so what if it doesnt make any sense with my grin is that his use of the cns of the of the brain and thirdly its not helpful so weve got many viewer questions we got a question from argentina or mr kaufman wants to know and hes got a severe headache when he coughs its like something that pops inside his brain does he have to worry no he doesnt have to worry this headache is called the nine cuff headache its a mild disease not dangerous for the patient and can be treated with preventative just in one hour from cameroon wants to know what she can do to reduce the frequency or for migraine. Well she needs to straighten out her life meaning she should do really facial therapy three times a week she should go to bed at the every day at the same time and she should eat entry enough during daytime ok resort of thanks so much for having me welcome thank you and if youve got any questions you like me to ask our experts be sure to write me an email. On one of our upcoming shows well be looking at wounds if theyre small you can often treat them yourself but you have to look out for certain thanks and if you have questions about that topic then said the man in good shape at d w dot com the keyboard is one wed love hearing from you. Again well it is not really appealing and its painful to. We doctors call this condition hyper confesses you can try to train the way that you have to look for the causes. These three people have the same problem their shoulders are hunched forward and their backs are around it. There are many different causes but in most cases give poses as its termed is due to poor posture. For years car and both suffered from slack muscles and an inability to straighten her upper and middle spine posture was at the root of her problems the work took a lot out of me being a single mother is also not easy when im trying to make a home this on top of Everything Else i was busy day and night i had a heavy load on my back. Off to put can often. As the years went by the pressure on car and began to weigh her down. Over time hurt the rustic muscles the upper part of it for craziness muscle and shoulder blade muscles shortened this pulls the shoulders as a whole forward creating a ridge at the same time the back muscles tighten and the lower a trapeze e. S. Muscles loosen up. It was a vicious circle that karen found difficult to break out of. For i wouldnt have noticed it myself there were people he said go she really hunched you have to stand up tall lifes good and wonderful. At some point caryn had enough and went to the orthopedist this here is the lavasa scott and here above it is the trapezius. The doctor soon discovered the cause of car involves hunchback weak muscles and bad posture with us but theres no underlying disease. Its really hard and has a trigger point now first we soften the muscles the to tighten then activate the muscles the too weak in a second phase the patient has to build up the weakened muscles. Sabina huzzah spine is already noticeable hunched the cause osteoporosis problem wasnt diagnosed for some time the Family Doctor just gave her painkillers. I was mostly just given medication and when it got really bad i got an injection but even that doesnt help for long. The problem was only discovered after she was examined by a specialist so i mean i had just turned fifty. In osteoporosis bone mass is lost at a higher than normal rate decreasing bone density the bones become thin and porous. M. R. I. Images from sabinas spine show osteoporosis had already done major damage. One does us all found we can see he ed the vesa bray a buckled and hit we see you have a number of fractious. I have no idea if its a measurement of sabinas bone density reveals its much too low her bones are brittle the cause is often vitamin d. And calcium deficiency. And indeed to leave the body takes the vitamins and minerals it needs from the bones and unfortunately they grow poor us vitamin d. And calcium supplements and osteoporosis medication are used to stabilize bone density a corset as warrant to help heal fractures it does this by taking pressure off the spine and improving posture. As well as poor posture and osteoporosis theres another disorder that can result in a hunchback errors bannock suffers from a rare rheumatic back disease spondylitis is bangerz condition hadnt been diagnosed in time she could have ended up with a pronounced hunchback. The hunchback only occurs after the disease has been present for some years thats the end stage in a manner of speaking in the beginning there is pain and swelling but as far as function goes its not noticeable. In ankle osing spondylitis the bodys immune system is mr wrecked it defense cells begin attacking the joints muscle and tendon attachments grow inflamed. The painful inflammation can spread to the spine and lead to extreme oss if occasion there are typical indicators. To see if i had really bad back pain mainly in the morning but also at nights so bad that i could hardly roll. In the morning there was an unusual stiffness. High morning back pain is an important indicator for the disease blood tests and inflammation so i can be seen in an m. R. I. Confirm the diagnosis. It means that were dealing with spinal rheumatism and it has to be treated with medication. Down immediately with modern medication we can completely block inflammation in the spine this means all the resulting functional restrictions will not progress any further. Angers diagnosis came before any new bone had begun developing in her vertebrae and with medication the diseases progression has been halted for the foreseeable future. What breakfast makes you happy. With fresh fruit coffee and a cigarette lets take a look what a yummy and Healthy Breakfast looks like. These are some of the ingredients that can make a healthy and nutritional breakfast one that help stave off hunger pangs for the several hours the most important thing is of course that we do eat breakfast. His face our ability to perform starts up here the brain and this sugar comes from the food we eat from the quality of food we eat in the form of bread in the form of other carbohydrate loaded food breakfast is important whether its as soon as we get up or an hour later at work is not so important but whats important is that we eat something providing us with the energy we need. For example veggie wraps. So you attacked breakfast should look attractive especially for children but also adults we want to eat food thats appealing here we have a meal thats got carbohydrates complex carbohydrates that supply Long Term Energy for the head for our ability to perform. With the eggs we have a great source of protein and lots of vitamins thats also important weve known for a long time through nutritional physiology that the main source of cholesterol is made by the body itself cholesterol in our diet tends not to be absorbed by the body if its not needed thats why for Healthy People eating eggs is reading not a problem people diagnosed as having high cholesterol need to be a bit careful but normal people can enjoy. Their really great full of vitamin b four theyre also correct for vegetarians. And of course there are the vegetables. And for our immune system ginger for an extra power boost for the day. Couldnt talk. Well. Most of us probably know oatmeal from our childhoods weve soaked it overnight in milk then added a bit of sugar to sweeten it you can also add fruit why oats quite simply are the best grain packed with lots of minerals and vitamin b one athletes eat it for good reason and whats good for athletes is good for us we can easily go three or four hours without getting hungry because weve had a full meal. Feeling hungry take time for breakfast you have a much better day. Thats it for today youll find more information about health and fitness on off Facebook Page see you again next week and until then lets all try to stay in good shape. Get ready for some weekend action. Very. Cool. Cool. Every match day weekend the bundesliga saturday school and sunday school w four you were. From the mediterranean. To exceed the morning. Minimalistic and whimsical. Steeped in tradition yet still modern the best of life and culture in europe the highlights. When cities are engulfed by the sea. Then all that comes walls and costly protective measures with. Nothing. Challenging our future starting november nights on d w. Climate change. Waste. Pollution. Isnt it time for good news eco africa people and projects that are changing our environment for the better its up to us to make a difference lets inspire child are. We going to be farming magazine. D w. Take a trip to a world of boundless ambition. Meet young entrepreneurs eager to tackle global challenges. Join flitch of debts not german entrepreneur award winner two thousand and fifteen as he travels through asia looking for the next big business idea. Our ten part series founders valley starting october twenty third on d w. This is d w news live from berlin calling a snap election appears to have paid off big time for shinzo ave. Exit polls are projecting a landslide victory for the japanese prime ministers ruling conservatives this fall is a Short Campaign that focused on the economy and the north korean crisis
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