Precision Personalized Medical Treatment for Headaches and Migraines:
The science of measurement is essential to treatment. “If it is measured it is a fact, otherwise it is an opinion.” Barney Jankelson
In general treatment for headaches and migraines is far from personalized or precision but rather consists of trial and error treatment with pharmaceuticals.
100% of Headaches and Migraines are Trigeminally innervated either partially or predominantly. There is only one precision approach to the Trigeminal Nervous System that concentrates on reducing nociception and that is Neuromuscular Dentistry.
The fastest connection in the trigeminal nervous system, the brain or anywhere in the body is the Proprioceptive Mesencephalic Nucleus of the Trigeminal Nerve. This incredibly important area is the only place in the nervous system that has direct electrical conduction of impulses between neurons rather that the more common and slower acting chemical neurotransmitters found in other nerve connections. Only precise personalized precision adjusts of neuromuscular dentistry accurately adjust this crucial and unique area of the brain.
The brain is very complex and there are different chemical neurotransmitters that transmit impulses across neuro-junctions. Much of the pharmaceutical attack on headache symptoms concentrate on altering these neurotransmitters such as serotonin, Norepinephrine, CGRP, Substance P, Acetyl Choline, glutamate (most prevalent and usually excitatory 90% of the time), aspartate, γ-aminobutyric acid (GABA) which is the second most prevalent. Gamma-Aminobutyric Acid, or GABA, which is inhibitory at more than 90% of the synapses that do not use glutamate.
Learn more about the Personalized Precision Medicine Approach to correcting nociptive input into the trigeminal nervous system that is a major cause of all headaches, migraines and autonomic cephalgias at http://www.IHateHeadaches.org
Elimination of headaches is different than correction of the nociceptive input into the CNS due to neuroplasticity and previous muscle splinting, taut bands, trigger points and other myofascial issues from chronic muscle over-adaptation. Correcting long standing problems requires directly addressing myofascial trigger points and taut bands with ULF-TENS, trigger point injections, spray and stretch, myofascial trigger point therapy, myofascial release and other techniques as well as correcting postural issues throughout the body. Trigger Point Injections as espoused by Dr Janet Travell and David Simons MD is perhaps one of the single most personalized precision types of treatment for headaches, myofascial pain and Fibromyalgia as opposed to the dangerous approach of pharmaceuticals used in a shotgun fashion. There is a place for medications in all these disorders but it should be secondary or tetiarry not primary.
The autonomic nervous system is also a major area of concern and perhaps the best approach is to avoid all psychoactive drugs with their widespread side effects and instead alter the incoming messages into the autonomic nervous system with Sphenopalatine Ganglion Blocks which can turn off the Sympathetic Fight or Flight response and allow the Parasympathetic system to predominate with its Feed and Breed or Eat and Digest functions.
Personalized Precision Medicine is ideally approached in the autonomic nervous system when patients can self administer SPG Blocks, the same technique used by DR Milton Reder in the best selling book about his practice “Miracles on Park Avenue” which discussed the miraculous “cures” that were obtained with this amazing block first discovered and reported by Dr Sluder in 1908.
Ira L Shapira DDS, D,ABDSM, D,AAPM, FICCMO
Chair, Alliance of TMD Organizations
Diplomat, American Academy of Pain Management
Diplomat, American Board of Dental Sleep Medicine
Regent & Fellow, International College of CranioMandibular Orthopedics
Board Eligible, American Academy of CranioFacial Pain
Dental Section Editor, Sleep & Health Journal
Member, American Equilibration Society
Member, Academy of Applied Myofunctional Sciences
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