Millions of Americans in pursuit of a remedy for stuffy nose and sinus pressure turn to over the counter (OTC) nasal sprays because of their quick action, availability and presumed safety. But did you know prolonged use of topical nasal decongestants (TNDs) often leads to addiction? Case in Point: A 32-year-old male was referred to me because of complaints of chronic nasal blockage. The patient suspected his problem was hay fever (allergic rhinitis). During the interview, he revealed that a year ago he began to have trouble sleeping because of a stuffy nose. He felt considerably better after using a TND before going to bed. Within 2 weeks he began to awaken in the middle of the night requiring another dose of his nasal spray for relief. One month later he required doses 4 times daily in order to avoid severe nasal congestion. By the time I saw him, he was going through almost a bottle of nasal spray daily. His diagnosis was Rhinitis Medicamentosa (RM) which means nasal inflammation (rhi...
Although most people immediately think "headache" when they think of a Migraine, there are many times when some of the accompanying symptoms are as severe and debilitating as the headache, if not more so.
One of those symptoms can be neck pain. Until fairly recently, neck pain was often overlooked as a Migraine symptom. In 2010, a study showed that it's more common in Migraine than nausea. You can find more information about this in Neck Pain as a Migraine Symptom .
Beyond the obvious pain, when neck pain occurs during a Migraine, it impacts Migraineurs in other ways:
Its presence on the day preceding Migraine is associated with treatments not working as well.
Neck pain is predictive of Migraine-related disability, regardless of Migraine frequency and severity.
Presence of neck pain during a Migraine is associated with delayed treatment of Migraine attacks.
You can read more about this in Migraine Treatment Delayed by Neck Pain .
The transcript of this podcast is below. If you prefer to listen to it, you can easily do so from the MigraineCast Web site . Hello and welcome to MigraineCast the weekly podcast brought to you by MyMigraineConnection.com and the HealthCentral Network. When many people think of a Migraine attack, they think only of a very painful headache. The reality is that a Migraine attack usually has several symptoms and those symptoms can be broken down into four phases. Not everyone experiences all the phases, and we might experience symptoms and phases during one Migraine attack that we don't experience during the next. The four potential phases of a Migraine attack, in the order in which they occur are prodrome, aura, headache, and postdrome. The prodrome is sometimes called the preheadache or promonitory phrase, as in premonition. It can start hours or even days before the other phases. Statistics show that 30- 40% of Migraineurs experience the prodrome phase, but my personal th...
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