Dr. Arun Sharma

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Headache Treatment in Dubai

What is headache?

Headache is an almost universal experience; most of us have some kind of headache at some time in our lives. The classification system of headaches used by the medical profession is one of the longest in medicine, with many types and causes.


Types of headache

The International Headache Society has two broad categories for headache disorders:

  • The first is based on symptoms (called primary headache disorders) and includes migraine, tension-type headache and cluster headaches.
  • The second is based on their causes (called secondary headache disorders). This would include headaches associated with a head injury, stroke, substance misuse and/or their withdrawal (including alcohol), infection, disorders of the neck, eyes, nose, sinuses or teeth.

If you experience recurring (regular) headaches it is helpful to understand the type of headache which you have in order to manage your condition effectively.

Ordinary Headache

Headaches can vary greatly in their duration, cause and severity. A hangover headache, for example goes within a few hours and headaches associated with an infectious illness like sinusitis improve when the illness is over.

It is really important to identify the type of headache you have so you can get the right sort of treatment and advice. A headache can be the result of a whole variety of factors such as head injuries, infections and other medical conditions.Headache Treatment in Dubai is often handled inadequately and dismissed as trivial issue.

Tension headaches

Tension headaches are the most common type of headache, and feel like a constant ache or pressure around the head, or a headache in the back of the head or neck. They're not as severe as migraines, and aren't usually accompanied by nausea and vomiting, which means they rarely stop someone from continuing their regular activities (so they're just a huge nuisance).

Over-the-counter treatments, such as aspirin, ibuprofen, or acetaminophen (Tylenol), are usually sufficient to treat tension headaches, which experts believe may be caused by contraction of neck and scalp muscles (including in response to stress), and possibly changes in brain chemicals.However this approach to headache treatment in Dubai also may lead to ignoring some serious or life threatening causes of headache.

Migraine is more than “just a headache”

The goal of writing this monograph is to apprise you of the characteristics of migraine and the recently made available, highly effective treatment, with only six monthly injections. This monograph will also equip you with a remarkable insight into the recent advances in treatment aimed at achieving a long lasting or almost permanent relief from migraine attacks.

Migraine is an inherited tendency to have headaches with sensory disturbance. It’s an instability in the way the brain deals with incoming sensory information, and that instability can become influenced by physiological changes like exercise, hunger, and lack of sleep, as well as hormonal changes in women.

What is migraine?

Migraine is a complex condition with a wide variety of symptoms. It is an acute, intense headache with associated unique symptoms like vomiting, heightened sensitivity to loud sounds or bright lights, scalp tenderness, visual phenomena like zig zag spectra or blindness in one half of visual field. For many people, migraine attacks can be very frightening and may result in complete physical and mental exhaustion, or recurrent hospitalization, impacting your work, family and social life.

Not everyone will have a ‘typical’ migraine. The symptoms, length and frequency will usually vary from person to person and individuals may have different symptoms during different attacks.

Migraine attacks usually last from 4 to 72 hours and most people are free from symptoms between attacks. Are there different types of migraine?

There are different types of migraine. In 1988, the International Headache Society produced a classification system for migraine and headache which has been adopted by the World Health Organisation. It helps doctors and neurology researchers to make an accurate, universally accepted diagnosis and appropriate treatment.

The most common types of migraine fall into two categories:
  • Migraine with aura
  • Migraine without aura

The ‘migraine with aura’label is usually preceded by unique visual phenomena. This definition also applies to migraine with brainstem aura, where symptoms such as loss of balance, double vision, vertigo or fainting can occur. Familial hemiplegic migraine, where reversible paralysis occurs, is also classed as ‘migraine with aura’. There are other rare forms of migraine, which are classed separately.

What is the latest treatment of migraine?

The complex nature of migraine means that the treatments available are varied and differ from person to person. Recently a novel way of treating migraine headaches has been broached by new approaches.The neurotransmitter responsible for pain and vomiting in migraine has been identified as Calcitonin G Related Peptide (CGRP).There are two ways to neutralize the noxious,nefarious actions of CGRP.

First is to administer a monthly injection of a humanized monoclonal antibody (that means it is as acceptable to normal human biology as any nutritional supplement can be).We administer this by subcutaneous (just under the skin) injections for six months. Thereafter the migraine patient is almost cured and stops experiencing the debilitating attacks of this intensely painful malady.

The second approach is to stop CGRP from entering the brain, a group of medicines called Gepants. These oral medicines are very effective in acute management of migraine attacks, without any cardiovascular side effects that Triptans have.

A new class of medicines named Ditans, which bind selectively to the 5-HT1F receptor subtype, will soon be available as another alternative to Triptans.