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HEADACHES
Migraines and
Tension Type
Headaches
TENSION TYPE HEADACHES
• A tension headache is generally a diffuse, mild to
moderate pain that's often described as feeling
like a tight band around your head.
• A tension headache — or tension-type headache
as it's medically known — is the most common
type of headache, and yet its causes aren't well
understood.
TENSION TYPE HEADACHES
• It may feel as if muscle
contractions are responsible
for your head pain, which is
why this type of headache is
generally referred to as a
tension-type headache,
though experts no longer
think muscle contractions
are the cause.
TENSION TYPE HEADACHES
• Dull, aching head pain
• The sensation of tightness or
pressure across your forehead
or on the sides and back of
your head
• Tenderness on your scalp,
neck and shoulder muscles
• Insomnia
• Occasionally, loss of appetite
TENSION TYPE HEADACHES
• A tension headache can last from 30 minutes
to an entire week.
• You may experience these headaches only
occasionally, or nearly all the time.
MIGRAINE HEADACHE
• Although much about the
cause of migraines isn't
understood, genetics and
environmental factors seem to
both play a role.
MIGRAINE HEADACHE
• A migraine headache can cause intense
throbbing or pulsing in one area of the head and
is commonly accompanied by nausea, vomiting,
and extreme sensitivity to light and sound.
• Migraine attacks can cause significant pain for
hours to days and be so severe that all you can
think about is finding a dark, quiet place to lie
down.
MIGRAINE HEADACHE
• Some migraines are
preceded or accompanied by
sensory warning symptoms
(aura), such as flashes of
light, blind spots or tingling in
your arm or leg.
TENSION VERSUS
MIGRAINE HEADACHES
• Tension headaches can sometimes be difficult
to distinguish from migraines, but unlike some
forms of migraine, tension headache usually
isn't associated with visual disturbances (blind
spots or flashing lights), nausea, vomiting,
abdominal pain, weakness or numbness on
one side of the body, or slurred speech.
TENSION VERSUS
MIGRAINE HEADACHES
• And, while physical activity typically
aggravates migraine pain, it doesn't make
tension headache pain worse.
• An increased sensitivity to light or sound can
occur with a tension headache, but these
aren't common symptoms.
THE MEDICAL APPROACH
TO HEADACHE
MEDICATIONS
MEDICATIONS FOR TENSION TYPE
HEADACHES
• Simple OTC pain relievers are usually the first
line of treatment for reducing headache pain.
• These include the drugs aspirin, ibuprofen
(Advil, Motrin IB, others) and naproxen sodium
(Aleve).
• Prescription medications include naproxen
(Naprosyn), indomethacin (Indocin) and
ketorolac (Ketorolac Tromethamine).
MEDICATIONS FOR TENSION TYPE
HEADACHES
• Acetaminophen (Tylenol, others) may be less
effective in treating tension headache pain, and
more likely to cause medication overuse
headaches.
• Pain medications don't cure headaches; they
just relieve the symptoms temporarily.
• Over time, painkillers and other medications
may lose their effectiveness or they might even
cause headaches.
MEDICATIONS FOR TENSION TYPE
HEADACHES
• All of these medications have possible side
effects and long term consequences
• For example, Ibuprofen (Advil) is associated
with gastrointestinal bleeding and ulcers
• Acetaminophen (Tylenol) is associated with
kidney damage
MEDICATIONS FOR
MIGRAINE HEADACHES
• Medications used to combat migraines fall into
two broad categories:
– Pain-relieving medications. Also known as acute
or abortive treatment, these types of drugs are
taken during migraine attacks and are designed
to stop symptoms that have already begun.
– Preventive medications. These types of drugs are
taken regularly, often on a daily basis, to reduce
the severity or frequency of migraines.
MEDICATIONS FOR
MIGRAINE HEADACHES
• These medications are typically more powerful
than the over the counter medications used for
tension headaches
• They also carry more serious side effects and
long term consequences
HEADACHE
AND
NEUROFEEDBACK
What is Neurofeedback Used For?
Over 40 years of peer reviewed, university
based research has demonstrated the
efficacy of neurofeedback in addressing
many neurological conditions
ADHD
Anxiety
Panic Attacks
Insomnia
Chronic Pain
Bedwetting
Migraine
Fibromyalgia
TBI
Tension Headache
PTSD
Depression
Learning Disorders
Autism / Asperger’s
Tics
As well as other conditions
TREATING HEADACHE WITH
NEUROFEEDBACK
• A number of quality studies
have been published that show
the effectiveness of
neurofeedback in alleviating
headaches without the use of
any medications at all.
• In this study 70% of the
participants experienced at
least a 50% reduction in
severity and frequency of
headaches
TREATING HEADACHE WITH
NEUROFEEDBACK
• Neurofeedback research is
based upon the principle that
headaches are connected with
what is called hyper-arousal
within the brain and central
nervous system. This hyperarousal is bio-electrical, or
brainwave based in nature
HEADACHE AND
NEUROFEEDBACK
• Mental states are associated with specific brainwaves
• These brainwaves include:
–
–
–
–
Delta
Theta
Alpha
Beta
HEAQDACHE AND
NEUROFEEDBACK
• Delta and Theta represent the slowest processing
speeds and are associated with a twilight state
• Alpha represents a slightly faster processing speed and
is associated with quiet wakefulness such as when you
meditate
• Beta represents the fastest processing speed and is
associated with external focus, thought and
concentration
THE AROUSAL SPECTRUM
A healthy, regulated brain is able to shift easily between
arousal states as the demands arise
LOW AROUSAL
SLOWER
PROCESSING
Delta and Theta
IDLE STATE OF
THE BRAIN
Alpha
HIGH AROUSAL
FASTER
PROCESSING
Beta
OPTIMAL ZONE OF PERFORMANCE
The Brain has an optimal zone of performance
LOW AROUSAL
SLOWER
PROCESSING
IDLE STATE OF
THE BRAIN
HIGH AROUSAL
FASTER
PROCESSING
Depending on the circumstances and everyday demands, the brain
may move toward low arousal or high arousal but a well regulated
brain stays within its optimal zone of performance
THE DYSREGULATED BRAIN
UNDER-AROUSED
INHIBITED
OVER-AROUSED
• A dysregulated brain has a tendency to
habitually operate from one of the 3
arousal states
THE DYSREGULATED BRAIN
An individual’s habitual arousal state might be too high or
too low to support optimal function
UNDER-AROUSED
Impulsive
Socially
Inappropriate
Hyper-active
Easily Distracted
Excessive Speech
Disorganized
Hyper-emotional
INHIBITED
Victim Mentality
Excessive Self Concern
Rumination
Anger
Self Deprecation
Agitation
Irritability
Passive Aggressive
OVER-AROUSED
Excessive Rationalization
Poor Emotional Self
Awareness
Worry
Hyper-vigilant
Obsessive Thinking
Dislike of Change
Restless
THE DYSREGULATED BRAIN
An individual’s habitual arousal state might be too high or
too low to support optimal function
UNDER-AROUSED
Excessive
Delta and Theta
These patients usually
present with cognitive
impairment, focus and
attention issues,
ADHD, TBI, dementia,
learning disorders
INHIBITED
Elevated Alpha
These patients usually
present with symptoms of
depression, irritability,
lethargy, fibromyalgia,
metabolic issues
OVER-AROUSED
Elevated Beta
These patients usually
present with anxiety, panic
attacks, OCD, worry,
migraine, tension
headache, chronic pain,
insomnia
NEUROLOGICAL
DYSREGULATION
• Brainwave Imbalance or Neurological
Dysregulation may be caused by:
– Variations in brain structure
– Drugs
– Toxins
– Poor Nutrition
– Subluxation
– Trauma
– Stress – both physical and emotional
BRAINCORE THERAPY
Painless
Drugless
Non-Invasive
And Has No Side Effects
How is it Done?
All neurofeedback begins by performing a
Brain Map
The BrainCore Brain Map
A Brain Map provides us with the information
that is required to perform neurofeedback
training
THE BRAINCORE BRAIN MAP REPORT
The BrainCore Brain
Mapping software
analyzes thousands of
different variables and
compares your patient’s
brain map with a
database of normal
brain maps to produce a
the Brain Map report
THE BRAINCORE BRAIN MAP REPORT
The BrainCore Brain
Map Report provides
the neurofeedback
protocols that will be
used during the
neurofeedback
training
HOW IS NEUROFEEDBACK DONE
Individuals are hooked up to a computer using
wires and sensors and the computer reads
their brainwaves
Information about these brainwaves is
displayed on the doctors monitor
The software automatically detects when the
brainwaves are properly ordered and it feeds
that information back to the patient
This feedback appears in the form of a game,
movie, or sound which signals the patient that
the brainwaves are becoming more ordered
Rollercoaster Video
DVD’s and Movies
THE BIG IDEA:
When you have
information on what
your brain waves are
doing, your brain can use
that information to
change how it works.
40
Learning Is Permanent
• Once we learn
something it becomes
a permanent part of
our behavior.
• Follow up studies in
neurofeedback show
that the effects
continue for up to 30
years.
How Long Does it Take to Get Results?
•
•
•
•
Trainees typically come for 20 sessions of training.
Trainees come twice a week or more.
Each session is 30-45 minutes long.
They typically begin to see changes in about 5 to 8 sessions
NEUROFEEDBACK IS
BASED IN OVER 40
YEARS OF CLINICAL
RESEARCH PROVING IT’S
EFFICACY
In fact, Dr Frank H. Duffy, a Professor and
Pediatric Neurologist at Harvard
Medical School, stated that
“Neurofeedback should play a major therapeutic
role in many difficult areas. In my opinion, if any
medication had demonstrated such a wide
spectrum of efficacy it would be universally
accepted and widely used”
BRAINCORE THERAPY
QUESTIONS
A GIFT