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Author: admin, 24.09.2015
You know the scenario: a patient comes in with headache for the previous few hours or even days. Since then, there have been several case reports of the use of propofol for migraine headaches.
20 mg of IV propofol was then given every five minutes to a maximum of 120 mgs over 30 minutes.
The patients were divided into two groups: Group 1 received IV propofol, Group 2 received IV dexamethasone.
How much propofol would I give: Well I would probably start with 10 mg every five minutes for the first two doses, and then continue with 20 mg for the rest of the doses up to 30 minutes, five minutes apart, to a total of 100 mg. The only concern that I have with the propofol(given that I use it all the time for sedation) is that it takes a senior person away for 30 minutes. Have a colleague that uses propofol for migraines and he swears by it, but I’d consider it as perhaps third-line Rx. I have recently gone back to using an atomizer for delivering the lignocaine with patients sitting upright, rather than drizzling it in with patients lying supine (less postnasal drip, so less SEs).
Although I’ve never seen it done in Australia, Ketamine can also be used intranasally, which is a convenient and rapidly absorbed route.
There was a recent study on using low-dose intranasal ketamine for acutely suicidal patients – seems it dramatically improves their dysthymia and suicidality. Could justify it for the acutely suicidal patients, but not so much for someone who only has migraine, where you could just give them a shot of intranasal lignocaine on the spot. Iv chlorpromazine – popular, but it does have its problems, i have now seen 2 patients with BP 60. Simply enter your details to receive lectures, clinical pearls, our newsletter and information about upcoming conferences, workshops and more!
Knowing warning signs and ways to attempt to reduce the onset of a headache can prove invaluable. When we experience stress, our bodies respond with changes such as increased blood pressure, heart rate, breathing rate and more. Many naturopaths have known of the health benefits of cayenne pepper for migraine symptoms. A review of studies of 293 people with migraines showed that butterbur reduced the frequency of migraine attacks after people took it for 3 to 4 months. This type of headache is also uncommon but causes excruciating pain, sharp as a knife pain around one eye.
You must take a pain reliever every day or almost daily, to relieve your headache symptoms.
Your headaches begin after, or are triggered by, head injury, exertion, and coughing, bending or intimacy. Lemon juice with a few teaspoons of hot tea added is the treatment of a sophisticated New York bartender, for those who suffer with hangover headaches - and from headaches due to many other causes. A cool lavender compress for the temples and a quiet rest in a dark room may also give you the relief you need.
Alexander Mauskop, a neurologist and acupuncturist who has been treating and styding headaches for 25 years, is the director of the New York Headaches Center in New York City. Disclaimer: The material on this Web site is not intended to replace advice from your doctor or fitness professional. 4 Points on Your Feet for Headaches and Migraines: Acupressure and Reflexology Points for Fast and Natural Pain ReliefIf you get headaches or migraines, here are four acupressure and Chinese Reflexology points that can help you feel better right away. While I often write eloquently (or so I think!), there’s no other way to describe the stabbing pain that shoots up through your eye, the vise-like grip that radiates from your head to your shoulders or the incessant throbbing that leaves you feeling cranky, crabby and foggy.
If it sounds like I’ve experienced some killer headaches, your assumption is 100% correct.
In this article, you’ll learn four acupressure and reflexology points on your feet that can help relieve your headache symptoms right away and also help alleviate your symptoms in the long-term. Okay, I’m going to simplify thousands of years of Chinese Medicine into a few sentences.  Make that, I’m going to try to do this! In the case of headaches and migraines, Qi is not flowing smoothly through the head.  If there’s too much Qi going up to the head and it’s getting “stuck”, this causes headaches or migraines with intense pounding, stabbing or throbbing pain. CAUTION: Some of the points in this article are contraindicated (not to be used) when pregnant as they can induce labour because they really get the Qi flowing.
In a nutshell, if your head hurts and you’re not sure whether to see a doctor, please go see your doctor. If you experience migraines or headache pain in the temporal area (sides of your head), this point is especially effective for moving the Qi to help you get relief. If you are experiencing headache or migraine pain on the left side of your head, rub the Chinese Reflexology point on your RIGHT foot and vice versa if it’s on the right side of your head.
One thing to note is that this point is very likely going to be extremely sensitive to rub if you have a headache or get headaches frequently. Tai Chong is also known as Liver 3 (LV-3) because it is located on the Liver meridian of your body. He Gu or Large Intestine 4 (LI-4) is a bonus point I’m including because it’s actually located on your hands. Large Intestine 4 is located on the top of the webbing of your hand between the thumb and index finger. Zu Lin Qi or Gallbladder 41 (GB-41) is located on the top of the foot between your pinky toe and second last toe.  To locate GB-41, feel along the top of your foot for the bones of your pinky toe and second last toe. Because the Gallbladder meridian is paired with the Liver meridian, this point will benefit the flow of Qi.  The Gallbladder meridian also runs through the side of your head and right through your forehead so it’s very beneficial for headaches to get Qi flowing smoothly through this channel.
If you are experiencing headache or migraine pain in your face, the Chinese Reflexology point for the face is a good one to massage.
Since it’s not convenient or recommended to massage the toenail, this point is best for just below the eyes, in your cheeks, the jaw area and the front of your face.  Use your thumb to rub the top of your big toe, side to side, working your way from the base of the toenail to the base of the toe. At the beginning of this article, I promised to discuss the headache and migraine “cure.”  The reason I put the word cure in quotations is because Traditional Chinese Reflexology is not about diagnosing diseases and curing them.
Fundamentally, the focus of this healing modality is to bring your whole body into balance by getting your Qi flowing properly. If you try to figure what the problem is, you can start overthinking things, which can also then impede the flow of Qi in your body!  Fortunately, with Chinese Reflexology, when you massage all of the points on your feet, it doesn’t matter what is it out of balance or how it’s out of balance. Want a Quick Reference Chart on how to locate and massage the 4 points for headache relief? Simply fill out the form below and you’ll also receive Chinese Reflexology foot charts, free mini lessons to get your Qi flowing, and a complimentary monthly newsletter. Holly, this is one of the best written articles on the subject that I have read in a long time.


I’m so glad to hear that the Chinese Reflexology helped your husband with his migraine. As a Feng Shui designer I know the importance of keeping the Qi flowing in the home or work place, and it is no different in the body.
Thank you Holly, your excellent straight forward and clear diagrams helpedease a 3 am headache in my 11 year old son.
Ive had a headache or migraine on and off for the last 4 days, I tried everything I used to do.
Hi Holly your article on the 4 Points Chinese Foot-reflexology for migraine and headache are simple and easily understood by layman . There are many factors involved with eye issues as the underlying disharmonies in the body need to be addressed in order to heal the eyes. Hello Holly, I just found your website because I was looking for something to help my 13 year old son who has been dealing with migraines for the last 4 days and they get worse at night when the temperature drops until the morning when it rises.
Hi Holly my wife is suffering from migraine and we are trying to convince a baby, so we can’t continue medication. Some people gain relief by simply applying a cold-relieving balm to their nose, chest and forehead.
To prevent such condition, you also have to make sure that you drink lots of water and avoid drinking cold water and beverages.
RZ Welding & Fabrication, LLC in Miles City, Montana is your one-stop metal working shop in southeastern Montana. In my last post I blogged about the headache around the brow created by the sternocleidomastoid muscle in your neck. The other section of sternocleidomastoid, from the last post, creates pain around the brow and is activated more by the twisting motion with some forward pull. This entry was posted in For Clients, Headaches, Neuromuscular, Pain Patterns, Trigger points and tagged clients, ear, earache, head, headache, neck, neuromuscular, pain patterns, sternicleidomastoid, tinnitus, trigger points by Tony Preston.
Enter your email address to subscribe to this blog and receive notifications of new posts by email. In the latest case report [Anaesthesiology, February 2007, volume 106, issue 2, page 405-406] propofol was used in a patient with a two-week history of intractable migraine headache that had been complicated by severe hemicranial pain, photophobia and phonobia, and left eyelid droop. Obviously, make sure that an airway trained person is available if  we’re giving propofol to a patient. I would be very careful in monitoring blood pressures of the patient( beware in the very old).
Personally, I would go for the chlorpromazine 25mg in 1 litre over an hour or two if first line treatment had failed. In terms of adverse events, these are sub-anaesthetic doses and no cases of hypotension were reported.
It’s such a fantastic migraine treatment modality for ED where you want patients without serious illness to be able to go home quickly. Statistics show that over the past 20 years, the average Americans workload has increased by nearly 158 hours. Iran researchers compared ajowan against morphine in laboratory animals and found ajowan to be just as effective as the morphine! He converts his customers to this regime, and weans them away from drug remedies completely. For ordinary headaches caused by the stresses and strains of daily life, a calming cup of herbal tea may be all you need to restore your equilibrium. In his book What Your Doctor May Not Tell You About Migraines, he outlines the following supplement regime. Please consult with your physician before beginning any fitness program or fat or weight reduction program.
Learn how to rub your feet for fast pain relief and for long-term improvement of your symptoms. I’ve had stabbing migraines, headaches that follow you to sleep and greet you on waking, dull achy head pain, and ocular migraines too.  Fortunately, I learned how to bring my body into balance so that I now can’t even remember when I last had a headache. It sucks the life right out of you and keeps you from doing the most basic day to day activities. And, did you know that you can “cure” yourself and be headache and migraine-free?  You’ll learn how right after the four points for pain relief.
Similar to how our bodies have a circulation system for blood, we also have pathways in our bodies for the flow of energy. If not enough energy is flowing through the head, this causes headaches that tend to be chronic and more “mild” and achy in feel. In Chinese Medicine, the cure for headaches and migraines is based on figuring out what’s disrupting the flow of Qi and then balancing the whole body so that the Qi flows smoothly again. Consult your doctor if your headache is severe, is different from previous headaches or occurs with other symptoms such as those listed in this article on WebMD.
Now that the common sense disclaimer is out of the way, let’s get to these acupressure and reflexology points for headaches and migraines. The Chinese Reflexology point for Migraines (temporal area of your head) is located on the inside of your big toe between the big toe and second toe. The reason why you rub the opposite foot is because the energy meridians cross over at the neck and thus, flow through the opposite sides of your head.
The consistent massage will help the Qi to flow more smoothly through your temporal area and thus, help to alleviate your symptoms over the long-term. These points powerfully move Qi and are contraindicated (not to be used) when pregnant as they can induce labour. In Chinese Medicine, the Liver plays a key role in ensuring the smooth flow of Qi throughout the body. As mentioned in the Chinese Reflexology point for migraines (temporal area), you’ll press on the foot opposite to where you’re feeling pain in your head. Combined with LV-3, these points are very powerful for moving Qi and are known as the Four Gates. It’s aptly named because when you press this point, it’s likely be so sensitive that it will bring tears to your eyes.  While there is a saying, “No pain.
This is also a good point for menstrual issues, so if you get headaches with your period, this is a beneficial point to press. The top of your big toe corresponds to your face, all the way from your forehead to your neck.
You’ve just learned 4 (actually five if you include He Gu on the hand) points to get your Qi moving smoothly again so that you can get natural relief from headaches and migraines.
And that’s why Chinese Reflexology is an excellent companion to almost any healing practice (Western or holistic).


It’s my passion to share Chinese Reflexology with as many people as possible so that they can experience amazing health and vitality. Believe you me, I’ve read many articles on the web but nothing comes close to how and what you have written. I was wondering what to write about for next month and you just gave me the perfect answer. Reason being : I had bad migraine for three days and I just chanced upon your article, which I read and used the technique and voila! You have so much information on here and have relayed it in a way that is easy to understand and carry out. Nap, drink lots of water, drink caffeine, drink Gatorade, take meds, cool cloth to the head, it can go on…and nothing seemed to help. Practicing the complete system of Chinese Reflexology using a reflexology stick can result in the elimination of migraines. As this is such an in depth topic, I teach an online webinar on healthy eyes and I’m planning to teach it again in the late spring. I started with a sore throat last week and used the chart and your very well explained technique. I feel so much joy when I hear people are using what I am teaching to make a difference in their lives. Be aware of the different migraine symptoms to know the suitable treatment for this.There are also migraine home remedies that are proven to be safe and effective.
Submerge your feet and hands in hot,warm water and put a bag of frozen peas at the base of your skull.
This section creates pain when there is lots of pulling forward pull and, possibly, some twist. An ultra-sound tech who was always looking down sharply at clients had problems with this headache as well. Make sure the monitoring is in place and all the airway equipment is there and checked and ready to go.
I am making sure that they would not be anaesthethized or that these are sub-anaesthetic doses. I would be happy to use propfol with the involvement of a neurologist but aside from the expected risks of apnoea and hypotension, one potential problem is that it works so well that patients start to ask for it. Straightforward, to the point practical Emergency Medicine teaching in your inbox, which takes less than 5 minutes to read!
Christopher, famed herbalist and naturopathic doctor, termed "cayenne pepper tea." Start with a tiny bit of Organic Cayenne Pepper in half a glass of warm water, stir well, and drink. One doctor stated that he had patients able to get off their migraine prescriptions after taking butterbur. When energy is not flowing as it should, it may eventually show up as physical symptoms in the body. When you get to the base of the toe, pick up your thumb, place it back at the top of the toe and repeat. Chinese Reflexology is about finding Qi disharmonies and clearing them in order to support and promote your body’s natural healing process. It’s a big job to get the word out, so if you could please share this article with your friends and family, I would very much appreciate it.  Please click a button below to share this article on Facebook, Twitter or Pinterest. Yes, Chinese Reflexology can help with the energy disharmonies that are related to Vertigo. Thank you for sharing your story so that others can discover the healing powers of Chinese Reflexology and acupressure.
I know of a few people who have used Chinese reflexology to alleviate their pain and also eliminate their migraines. I am a believer!Your kindness and generous heart is being shared with more people than you know!
If the condition is due to a bacterial infection, administration of antibiotics is often the best solution.
Do not overuse nasal sprays as it may lead to rebound congestion where your breathing is obstructed and you will experience severe headache. This could also be caused by pulling forward in a car seat that is leaned back or any motion that thrusts the head forward while keeping the chin down. They conducted a study of 77 patients with intractable headaches, both migrainous and non-migrainous in a pain clinic.
The patient had been admitted and a neurologist at the Anaesthethetics Department was to assist with a sub-anaesthetic dose of propofol. My husband tried the middle of the big toe trick for an AWFUL migraine yesterday, and to our surprise it worked! I hope this headache doesn’t come back this time, but if it does, I’m certainly going to do this! When you notice that you are experiencing cold and you feel like your sinuses are blocked, use a decongestant immediately or a painkiller and antihistamine. As long as you are just above where the V intersects, you’re close enough as the entire Gallbladder meridian runs through this area.  Once you locate this point, press and hold for 30 to 60 seconds. Because my blog has grown so much, I now receive more questions than I have time to answer. Some of the most common prescribed medications include nasal sprays, which are helpful in reducing inflammation, aspirin and ibuprofen for pain relief and analgesics for congestion and sinus pressure headache relief. This is because it cannot only kill the bacteria that are causing the infection but it can also suppress the appetite.
However, in case the pain is severe and you are experiencing it frequently, then make sure to seek medical attention. It’s now 2-4 hours down the track and the patient is sleepy and just wants to go home. However, if you submit your question to the column, it lets me know what people are interested in and everyone can benefit from the answers. Although unpleasant, it is still considered as the most effective remedy against sinus conditions due to infection.
Sixty-three of the seventy seven patients had total resolution of their headache and only three patients had a return of headache the following day. Take note that this condition can be cured with a sinus pressure headache relief or it may require surgery.




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