Stanford Hospital's Meredith Barad on Migraine Headaches
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- Опубликовано: 26 май 2024
- Please see Dr. Barad's 2023 update managing migraines: • Migraines: Understandi...
Migraines are an intense and often debilitating type of headache which affect nearly 24 million Americans every year. This talk focuses on the causes of migraines, how they are diagnosed, and how they are differentiated from other kinds of headaches, as well as current treatments for this condition.
Speaker: Meredith Barad, MD Clinical Assistant Professor of Anesthesia (Pain) and Neurology & Neurological Science, Stanford University Medical Center 
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Meredith, God bless you for your work. I am 58. I’ve had migraines as long as I can remember. Until I stumbled on to your videos yesterday 1.28.19 As I was in agonizing pain and in bed for two days from onset w/aura 24 hrs earlier and a friend had to bring me 7Up for nausea, I have been beyond frustrated; especially with dr.s. And 99.9% uneducated people who are clueless about migraines! Most assume ”YOU” must be doing something wrong! I 😍love how you said “focus on the good days.” and ”over stimulus!” That's it! Especially loud abnoxious people! I look forward to your next updates.
Question
I discovered a cure for headaches to include migraines. BTW, ginger ale would be much better for nausea.
I tried contacting scholars like the idiot talking in this video and they do NOT want a cure because they are making copious amounts of money annually with their phony fixes and false cures.
When I get a really bad attack, standing under a hot shower for at least 30 minutes or longer is the only thing that gives a bit of relief.. And I'm talking hot hot! 65-75C - and it feels like it's closer to 5-10C where the water is splashing, and everywhere else is just unfathomable pain, so I must keep moving around to keep as much water hitting my body as possible.. Technically this should not be possible, and indeed my physician and subsequently my neurologist didn't believe me, but I invited him (the neurologist) to come see it for himself (he lives close by), and the next time my auras started I called him.. He brought his own thermometer and confirmed the water to be sitting around 68C.. Upon confirming this he urged me not to go under the shower, but of course I did, like I always do.. Nothing happens to my skin, like at all.. Btw if I put my hand in water that hot while I'm not having an attack I'll BURN myself like you'd expect.. And again, this scalding hot, steaming water feels COLD COLD COLD on my skin - but the headache and auras go away, and the pain moves into the parts of my body not under water.. My neurologist was stumped, and frankly so am I, plus I'm scared that cooking myself like this will cause some kind of irreversible damage to me.. ☹️ I haven't been able to find a good answer as to why this would alleviate my headache so radically, and definitely can't find anything that might explain how it's possible for me to stand for 30 minutes under water, at a temperature that would normally scald me - it's a damned long shot, but if anybody on here have any idea what's going on with me, please
let me know!
I had migraines since I was 13 years old. I remember the first one I had, my vision was altered with glowing zigzag lines. While that was happening, my hearing was sensitive. Later on as I got older, sometimes part of my body would be numb as well as nausea. One time it affected my voice. When I spoke or even in Thoughts, words would be scrambled. The last one I had was on 10/28/20.
Did you get headaches 24/7
@@bhupendrasingharora6183 no, it happens few in between. The last one I had was on January 5th of this year.
Sounds like you may have a tumor. Have you had a MRI?
BTW, I discovered what causes migraines and all headaches for that matter. I discovered a cure.
I'm pretty sure it's not a tumor since I had them at 13 years old. I'm 42 now. The last one I had was on 2/27/23.
Thank you so much for this talk. As a life long migraine sufferer, this is an excellent resource... extremely useful.
Thank you for this wonderful RUclips video! I always took the aura I experience as my warning to go home from wherever I might be, and prepare for the iminent onset of massive pain. Aura stays the entire length of the migraine... Sounds n light can bring me to my knees.. This video is wonderful in helping me understand, thank you.
Same. My aura stays the whole time. Started at 7y/r
Working the night shift and irregular schedule is the only way I can afford school :/
U think that's causing your headaches?
My doctor has prescribed me two opiates for when my triptan fails (tramadol and oxycodone). Tramadol was first and doesn't work on my migraine pain; oxycodone was last week, my doctor told me it would probably make me sleep (which I said was good), but I took one when I had a migraine and all it did was keep me awake all night, doing nothing for my pain. I will ask her for a higher dose sumatriptan after watching this.
Try magnesium
Try Nurtec ODT- triptans barely work for me but Nurtec knocks them out.
Thankyou Dr. Meredith Barad for the information in this video
I’m 52 and they are alive and kicking. Still chronic. But I am also not in menopause yet and am estrogen dominant and take extra progesterone to balance things out but it doesn’t work. Still hoping for a cure. 🙏🏼
I am surprised to hear that women on estrogen experience a delay in decrease of migraines because of the chemical delay in menopause. Two years ago I had a hysterectomy and oophorectomy, and have horrible hot flashes, so I am on estrogen. I've tried to go off the estrogen several times due to weight gain and just to see what happens. Every single time I do that, my migraines come much more frequently and are significantly more disabling. As long as I maintain proper use of the estrogen (remember to change the patches on the right days), I don't get migraines. I know everyone is different, but this seems contrary to what you said in your presentation. Any ideas? Not sure if anyone monitors these comments at all.
Dr Barad. We need an updated video about Aimovig and Ajovy. Thanks
All I know is Aimovig is expensive...haven't tried it yet but my Neuro is recommending it.
@@D13fs I think it's great so far
I was put on Ajovy about a year ago and it changed the quality of my life! I was on allergy meds, allergy shots, took maxalt if I felt congestion spread across the front of my head, and I got full blown migraines about 2x/year but still took maxalt about 6-8 times per month. With Ajovy, I am off all the other meds. I do have Ubrelvy to take if I feel the congestion but I rarely need to take it. My congestion has gone. Quality of life change!! All from going to new neurologist during the pandemic (to change my anti seizure med) but he took a full history and started treating me for the migrainal head with the Ajovy. Grateful to modern medicine. And love this seminar.
So informative! My worst migraines are from spending time in the sun and heat. I have to avoid it. Even hats and hydration don't help much. I spend most humid summer days in cool, dark rooms.
I have another 10 or so triggers. One I can control is sugar. I've cut sugar intake and it's helped.
The other helpful thing is swimming in a pool for a half hour a few times a week. Oh, and 2 prescriptions.
Thank you so much. took my daughter with two neurologist and I never have so much information.
thank you so much dr osuma for helping me get rid of the deadly fibrosis
Im not a very educated man but being a sufferer of this very painful affliction i honestly don't think there is a trigger,I believe that if you do suffer them you will have them at any time,feeling happy or sad,awake or asleep.If you are a migraine sufferer then you will not stop them by any means.And as for pain relief,well i have never found any thing that will ease them.I can say though that as i have aged they are becoming far less painful.
Try magnesium.
@@debbiedebbie9473 Thanks Deb,how much?
@@debbiedebbie9473 Magnesium helps a bit, but it has limitations. I have tried it and it helps with my mood in general, but I still had migraines.
I have migraine since I was 15 I am 27 now….
I have visual aura before the onset wherein I can’t see completely and only see about 60%
It is the worse pain I dont know any relief I just sleep
Thank you for this talk. FINALLY a through explanation of migraines. I have has migraine’s for over 50 years and they have changed over the decades. It’s nice to have an explanation of what’s going on in my brain.
One question does migraines increase one’s chance of having strokes?
Thank you in advance 😊
I have chronic migraines once or twice a week and sometimes with auras atleast twice a month, seizures, and a meningioma. I am 49 years old. I am being monitored by my Neurologist and on regular medication. Attacks used to be daily and send me to the ER they were so bad. I really enjoyed your video, helped explain a lot. Are you doing any studies?
Too detailed ..brilliant..
Thanks
Thank you!
Multiple inputs for migraine, and there's many sorts.
Possible inputs:
- intracranial pressure changes. hypo- or hypertension...can be due to
infection, csf flow obstruction, obesity, systemic hypertension,
dehydration, vitamin A toxicity which causes brain swelling.
- vascular, as in dilation, most likely autonomic driven.
- cervicogenic, as in originating from the cervical spine, usually facet
jt inflammation, but also be other pathologies (syrinx, cysts, etc).
- toxins
Conservative therapy:
- hydrate with 1 liter of water, despite lack of thirst.
- RICE to suspect facet jts in the neck....not an ice pack, but
industrial strength ice applied 30mins on/15mins off...repeat until pain
is
So very helpful. Thank you so much. This is the clearest explanation I've heard. I have suffered since puberty and have increased exponentially since going through menopause, sadly.
That pic on the top left at 4.04 is similar to the one i see but more ziggy zaggy
Try magnesium
What about the barometric triggers...sudden storms in spring, fall, July---can be hell.
I am 18 and I planned on going to college, I also have weekly migraines (having one right now which is more annoying than painful) and if i were to work, i would have tried a nightshift due to me not being able to sleep (even with medication which was supposed to help me fall asleep and lesson my migraines). However I am fine with a rouitine life, but i dont think i would be all to bothered with location changes, if they happen within a time zone. However I am only 18 and not a medical expert, so i shall avoid these things.
Is the monthly antibody infusion available yet ?
Thank you for this information. Doctor what is the gate called that you are taking about that helps control overload?
one explanation : ruclips.net/video/ayoOXSjJ1nM/видео.html
a very simple explanation : ruclips.net/video/_wLrGkH6dI4/видео.html
Does anyone who suffers from migraine also suffer from tooth/ gum/ oral pain of non-dental origin? I suffer from tooth pains with no apparent cause and I think it may be related to the trigeminal nerve- I am a migraine sufferer with aura.
I don't have teeth pain usually. My migraine is without aura.
Yes I pulled my teeth out but it still won't work .. I also have sensetive skin like when I touch my cheek pain intensifies
@@ilqar887 I’ve found certain supplements really help my migraines and related pain. Magnesium, CoQ10, Vitamin B2, and Omega 3 / fish oil pill. Definitely recommend trying it
Yes!
I have severe migraines… I’m 58 and have being getting migraines for 30 years
I’ve only just started getting the tooth/ nerve pain
I went to the dentist… my teeth and nerves were fine, so I put it down to another migraine symptom
@@christinebetros3015 it's exactly how mine started in the start I felt sick generally like I was really sick ..infection or something ..weakness as well
.and still to this day I have pain and pressure around my eyes ...and redness around them also tinnitus constant tinnitus ...did u experience that?
I used to have migraines but found out if I drank more water they stopped, now if I get a headache I take at least 2glasses of water they do not progress unless the y are just a normal headache that 2 paracetamols soon stops them,I'd had migraines with vomiting and upset bowel for 50yrs.
I’ve had migraines for a very long time it seems but I thought they always or almost always have visual aura. I’ve just called them caffeine headaches (that strangely don’t go away with caffeine so I just keep drinking coffee lol), stress headaches, “eyeball headaches”
Today is a year when my dad had a piece of his skull cut out from his right side of his head
Dont know when is STANFORD will put his piece back
And who do we get contact with . my dad had pressure in his brain and that is why this procedure had to be done. From st. Agnes hospital he had to be flown from FRESNO CALIFORNIA to Stanford
52:39 alternative therapies
I see John Robbins's book! 😀 that's a jammer! Waaaay ahead of its time.
I take a rescue triptan everyday as I have severe reactions to all preventatives.. Do you know what percentage of migraine sufferers take daily triptans?
Do you guys experience facial tenderness and sensetivity like when o touch my face headache intensifies
I’m an “atmospheric pressure change” migrainer. My Neurologist prescribed the relatively new medication Nurtec ODT (rimegepant). If taken at the very first sign of a migraine, it will bring relief in about one hour vs. Ubrelvy, that can take 4 hrs. I just wish I could afford to move to Hawaii. 😂
Nurtec ODT is my magic pill! It works like a dream for me. I take it as soon as I have signs of aura and it prevents the serious pain. It works in about an hour for me, also.
42:54 herbs
I had horrible migraines for years until I found out that it can be a sign of magnesium deficiency. I had tried many different things to get rid of the migraines, nothing worked until I tried magnesium. If I ever feel a tiny sign of getting a migraine, I take magnesium and it goes away immediately.
Is it like a pill?
I got headaches when I was about 6 years old maybe 7 and it wasn't like the headaches that normal people get it would feel like my skull was being electrocuted not like a very painful electrocution like kind of like like my head was in a vice staticky I would cry and keep my dad and his girlfriend up all night they did cats scans on my head I stopped getting them around the age of 20 now I don't get them at all they would affect my whole body weird I couldn't be around anybody when I got older I had to go pee by myself
I had real bad headaches before I went on Effexor. It's all relative, though. I think maybe it wasn't as bad as what some other people describe. After I started Effexor, I had few, and far fewer. I did have the scintillating scotoma. Laying down in a dark, quiet room helped greatly . In the past, I had in the past
the scintillating scotoma but without headache. Maybe once in the last
month and once in the last year.
It's one of many drugs that doctors say works to prevent headaches. There are probably better drugs than Effexor. That drug has a 'discontinuation syndrome', which requires very strict tapering to go off it. I read that taking Benadryl helps with the withdrawal, but that's just a 'wive's tale', not scientific evidence. Lots of people say it helps.
The trick that worked for me when reaching super low dose, to take that for a long time and taper very, very slowly at the end, even for several months, I find. I'm not a doctor. Your doctor will have a method that works better for you. FInd a specialist, though.
Try magnesium
My migraine isn't just pain.. Many days my brain seems to be in a kind of fog, hard to focus, but I do it anyway. I keep wandering if my brain would feel different if I wasn't a migraine sufferer, If I would have more brain energy somehow.
Is it most days? I have ADHD and this sounds on point. By the sounds of it, I may be a migraine sufferer too.
@@JassiMoon I don't know what to tell you..sometimes I feel just fine...but most days I feel tired for some reason like I am in a sort of pre-migraine state. I can count on just both hands the days I felt energetic in a year. I do believe that brain inflamation is on a spectrum...they are still researching the inflamation processes in the brain and also the citokines influence. I am looking also for those rearches targeting chronic pain.
I've found that my "brain fog" is worse when my blood pressure is low. I strategically increase my BP by guzzling 16oz water with some salt tablets. I also take curcumin for inflammation and when I don't take it, I notice the difference.
@@KMx108 good tips, thank you
I think I'm in love with her
Hi
She's getting 5 peppers.
Headaches are so simple that it would floor scholars as to what actually causes headaches. It is NOTHING that has been presented here!
CONSTRICTION OF THE INTERNAL JUGULAR VEIN --> CLEAN IT OUT OF CHOLESTERAL