• Home
• About
• Products/Services
• Blog
• Resources
• Contact

Posts Tagged ‘migraine’

Physical Therapy (Again) – This Time for Migraine

July 29th, 2008

Past results not a guarantee of future performance.

I had my first physical therapy appointment yesterday, prescribed by Dr. Gerhardstein, my new headache specialist, as I discussed in Update on my Headache Specialist Visit.   The idea is to release tension in my neck and retrain me to loosen those muscles, and avoid straining them.  As I understand it, neck pain and tension lead to tension headaches.  The muscles in the neck connect directly with the fascia over the skull, so tension in the neck muscles will lead to tightening of the fascia, leading to that tightening-all-over-the-head pain of tension headaches.  Since my tension headaches almost always morph into Migraines, this should help reduce that trigger.

I took my first yoga class at 15, going along with my mother to the local Y, and I was proud of how flexible I was compared to the 30, 40 and 50ish women in the class.  Now I’m that 40-50ish woman and I’m not so flexible.  The physical therapist (who is about my age, I’d guess) must have said “at your age” at least 4 times in the course of a 45 minute session.  “Your posture is not too bad for your age.” “It’s common to have that kind of limited range of motion at your age.”  (And the one that really killed me) “You might still be able to tighten up those abdominals at your age.”

My mother always corrected my posture as a child and a teen, but when I went to college I took and then taught women’s self-defense classes.  I learned to stand tall, strong, and proud.  After my pregnancies I worked hard on tightening those abdominals back up.  It is a rude awakening that I’m slumping even a little, at my age!  I had to laugh at myself – she said she was going to assess my posture, I stood up straight (I thought) and prepared to receive my A+ and she said my posture was “not too bad,” and that my abdominals were weak.  Not too bad?  She might as well have given me an F!

Don’t get me wrong, I really liked her.  She applied moist heat and a TENS (Transcutaneous Electrical Nerve Stimulation) unit, then ultra-sound, then a gentle (Ahh!) neck massage.  Since the session yesterday I have been hyper aware of my posture.  Each time I go through a doorway I true myself up – ears over shoulders, head held high, abdominals in.  I did the yoga exercises she gave me before bed and the neck stretches in the shower.  I’m looking forward to my next appointment, later in the week.

Here’s what the rude awakening is.  The fact that I did yoga regularly as a teen and on and off in my twenties and thirties will not help me now.  The fact that I know how to have good posture, how to relax my neck, how to exercise my abdominals, none of that is the same as doing it, now.  The physical therapist doesn’t see the woman who did all that great stuff decades ago.  She sees the woman with chronic pain and stiffness in her neck.  She sees the limited range of motion, and treats that.  Thank goodness!  Being a teacher’s pet will not help me here!  Having been a straight A student has no relevance!  This is about a daily practice to help me live better and feel better, now.  In my 49 (and a Half!!!) year old body, not the 15 or 25 or 35 year old one I once had.

I wanted you to know about PT as an option for helping with Migraine.  I also wanted to remind myself, and you, to live now, in this day, in this body (the one you’re in).  Bring peace to this day.  Bring healing to this day.  And there is hope for those abdominals yet!

– Megan

Model of the head image copyright 1995 Buyamag Inc., yoga stretch image courtesy of Bandita.

Tags: flexibility, migraine, physical therapy, posture, TENS, tension headaches, yoga
Posted in Managing, Medicine, Rant | Comments (1)

Silly Headache Rhymes

July 16th, 2008

In honor of the brilliantly funny Migraine Chick who periodically brings us her Bad Migraine Haiku, and maybe just because I am fundamentally a silly person, I bring you installment One of Silly Headache Rhymes:

My head is not too spiffy,
it’s really kinda iffy,
I’d trade it in a jiffy
if I had an extra head!

– Megan Oltman

Two-headed image courtesy of 1024greenstreet.

Tags: headache, migraine, poetry
Posted in Silliness | Comments (2)

Migraine and Headache Blog Carnival: How Spirituality Helps us Cope with Migraines

July 14th, 2008

July Headache Blog Carnival – How Spirituality Helps Us Cope with Migraine
Disease

Hop on over and read the great entries in the July Headache & Migraine Blog Carnival, at Somebody Heal Me.

You will find a variety of posts directly on that theme, and more on other themes related to migraine, pain and our heads.

Generally speaking, a blog carnival is a collection of links to a variety of a
blogs on a central topic. The Headache & Migraine Disease Blog Carnival has
been created to provide both headache and migraine disease patients and people who blog about headache disorders with unique opportunities to share ideas on topics of particular interest and importance to us. Visit the link to this month’s carnival for a collection of informative entries on how spirituality helps us cope with migraines and headaches.

Look for the August 2008 Headache Blog Carnival on the theme of “How You Handle People Who Don’t ‘Get’
Migraine Disease“ at Somebody Heal Me on Monday, August 11th. They may be submitted through the form on the carnival website or directly to Diana Lee by e-mail.

Entries are due by midnight (the end of the day) on Friday, August 8th.

– Megan

Tags: headaches, migraine, spirituality, Weblogs
Posted in Religion, Weblogs | Comments (0)

Feverish Thoughts

June 13th, 2008

I am slowly recovering from the bronchitis that has had me out of action for nearly two weeks now.  The first week was characterized by a fever ranging from 100.5 to 102.2 F (38 – 39 C).  The common medical wisdom these days, as I have heard it from a number of doctors, is that fever is a positive reaction of the immune system to an infection. To put it in lay terms, the body seeks to kill the infection by burning it up.  Therefore many doctors now recommend taking nothing for a fever, unless the patient is uncomfortable, or of course, unless the temperature rises dangerously high.  So if you can’t stand the body aches, or the head ache, or the heat itself, go ahead and take an analgesic, otherwise, let the fever burn.

I’ve been wondering how many people, given a choice and with analgesics available, actually just let the fever burn.  I am allergic to analgesics.  Incredibly, this was my first episode of fever since I developed the allergies five years ago.  My doctor recommended a homeopathic Belladonna preparation if needed for fever reduction, but I couldn’t find any to buy.  So I had a week of letting the fever burn.  It was an interesting experience, to say the least!  While my eyes were open I was fairly cogent, but had occasional visual and auditory hallucinations.  Nothing too exciting, a repeated mechanical banging sound in one ear, and a teddy bear face in the neighbor’s pear tree across the street that grinned and winked at me through the window.  I did not feel like myself at all; it was hard to even remember who “myself” was.  I felt like an alien from the planet Febrile!

It was very weird living on another planet. My body size was all over the map – at one point I was convinced
that the pillow I was touching on the other side of the bed was part of my body. Other times I felt very tiny, like a little fold in the bed-covers. Whenever I shut my eyes the fever dreams moved right in, with always a
committee of six or seven people in my head furiously making plans and fixing things. I’m sure if I just could have somehow recorded what went on my brain I would have written 16 volumes of great literature, solved global warming and created world peace too, while “we” were at it.  You’ve heard of doing things at a fever-pitch?  My thoughts were like that.

The worst thing was the head pain.  Headaches go along with fevers; for a near-chronic migraineur like me any headache has a high likelihood of morphing into a Migraine.  The persistent coughing of the bronchitis also banged my head around.  I woke every morning with a headache and developed a Migraine every day by afternoon.

I had one really funny fever dream where I closed my eyes and there were 7 of me around a conference table and one of us had this really searing disgusting hideous head pain, and the other 6 of us voted her off the show!  She had to go – and my goodness I woke up and my head pain was gone!  I don’t know but I may have to see if I can tap into the power of the fever dream committee other times too.

Everything is relative and I have been profoundly grateful that I am not that sick all the time, or even often.  I’ve been thinking about acute versus chronic illness.  I live with frequent Migraines, frequent fatigue, fairly frequent infections.  I know there are others of you whose chronic illnesses are more debilitating, and more progressive.  But mine pale in comparison to a high fever and racking cough, aches, shakes, dizziness and passing out.   Being that sick for an extended period of time could kill you!   I guess that’s why we read in 19th century literature of a “dangerous fever.”  I sit in awe of my body’s ability to fight off an infection like this one, largely unaided by modern medicine.   I’m giving it lots of rest and fluid and letting it do its thing.  It’s getting the job done, slowly.

– Megan Oltman

Back on good old planet Earth.

Heart of fire image courtesy of Marcus Vegas; pointing finger image courtesy of Lisamarie Babik.

Tags: analgesics, bronchitis, chronic illness, fever, migraine
Posted in Medicine, Rant | Comments (6)

Sit up and Read Blogs! Blog Carnival Time!

June 10th, 2008

Hello dear, readers, I’ve missed you.  Since I was scraped off the bathroom floor last week I have been sick in bed with the worst case of bronchitis I’ve seen in many a long year.  More about that later.  (Is that a threat or a promise?)  Today I’m sitting up to read blog carnivals!  There are tons of good reading!

Posted yesterday, June 9th, there’s:

The June Migraine and Headache Blog Carnival.  At The Migraine Girl,
where host Janet Geddis treats us to a range of great posts on “How to have a Happy, Healthy Vacation” despite Migraine or headache disease.   Some are practical tips with checklists on being prepared; some are personal experiences of vacations that worked, and vacations that didn’t.  There are also  a number of posts on controlling stress, triggers, and emphasizing relaxation, which will serve us well whether we’re on vacation or not.   Janet has done a great job of cataloging and describing the posts, and I for one am looking forward to some great reading.

And posted today, June 10th, there’s:

The June Living with Pain Blog Carnival. Hosted by Marijke Durning at Help My Hurt, the scope of the articles is wide, from practical and alternative treatment strategies, to communicating with doctors, discussing the world of health web sites, to meditation and spiritual stories.   Something for everyone who’s living with pain.

Wishing you pain free days and nights,

– Megan

Carnival Lights image courtesy of Gilberto Santa Rosa

Tags: headaches, living with pain, migraine, vacation, Weblogs
Posted in Managing, Tips & Techniques, Weblogs | Comments (0)

Face, meet Floor!

June 1st, 2008

Fall down go boom!

Well I had an exciting night! I passed out and fell on my face in the bathroom! The good news is that though my nose is very bruised and I’m getting a bit of a shiner on my right eye, nothing is broken, there’s not much pain this morning.  I have succumbed to the nasty virus with fever and coughing that my son had for ten days.  Danny came down with it after Adam was back on his feet for a few days, and I bit the dust (so to speak) a couple of days after Danny.

What makes this all the more exciting is that I have anaphylactic allergies to most analgesics.  So there’s nothing I can take for fever.  Luckily I’m not very prone to fevers; I often get the same virus as everyone else but minus the fever.  Not this time.   I’ve been lying around now for two days with a fever and a nasty painful cough.  The coughing hurts my whole body and jars my head enough to wake the migraine monsters.

Around midnight my head pain was resolving into a migraine so I went into the bathroom with the Imitrex package. I was very feverish and not thinking too straight. I thought I’d first take my temp and then read the
Imitrex packaging to see if there was some reason not to take it with a fever – there isn’t, and that doesn’t really even make sense, but anyway… I didn’t want to wake Danny up because he was sick too.

So I sat on the toilet lid and put the thermometer in my mouth. I was very woozy and could hardly sit up. So I put my feet up on a little stool, put my elbows on my knees, and started putting my head down on my
hands. The next thing I knew I was on the floor in excruciating pain with bright lights flashing in my right eye. Someone was making this horrible wailing noise and it turned out it was me. The whole family came running in. I was so disoriented, I had no idea where I was or how I got there, I just knew my eye and nose hurt and my glasses were pressing into my eye. I don’t know if the glasses saved me from getting more hurt or if they made it worse. They didn’t break. There’s a big bruise and cut on the bridge of my nose.

The kids got me ice packs and Danny helped me up – he was going to support me back to bed. Next thing I know I’m very peacefully and comfortably asleep on the floor and he’s saying, Megan, Megan, can you hear me? Apparently I just kind of slumped and slid out of his arms back onto the floor. So weird. He got me back to bed and I slept the rest of the night. I’m still coughing and feverish and weak and I’m staying in bed!

I don’t know if it was the fever or the migraine or maybe both that made me pass out. What a mess!!!  Just to make this all the more dramatic and interesting, my long-awaited headache specialist appointment is on Tuesday.  I will call first thing tomorrow to get in to see the internist, and find out if the Headache Center wants me to come in.  I “only” had to wait 4 months for this appointment – I really don’t want to give it up!  I’m perfectly willing to go in not feeling well, but if I’m in danger of passing out it may not be a good idea.

Never a dull moment!

– Megan

Blue tile floor image courtesy of Jason Meredith

Tags: Adam Oltman Porcher, Adam Porcher, anaphylactic shock, fainting, fever, imitrex, migraine, viral infection
Posted in Medicine, Rant | Comments (6)

More Time Management for Migraineurs: Managing the Time we Have

May 28th, 2008

Do try this at home.  And at work.  I wrote a post a while back on How do you Manage Life with Migraine?, about managing our time when migraines interrupt us all the time.  Those of you receiving the newsletter got an expanded version of that post in the article “Time Management for Migraineurs (or, how can you get everything done when you can’t get anything done?).” 

The gist of those pieces was that 1) whatever is on your list, you must learn to accept that you will never get it all done; 2) you need to choose what is most important to you and put those things in your schedule first; and 3) if you keep detailed lists of what you are working on, next steps, what you need to handle if you get sick, and what you need to care for yourself, you will best be able to pick up where you left off.  I  recommend Time Management from the Inside Out by Julie Morgenstern, as the best system I have come across for managing your time to make sure that you spend it on what is most important to you.  And as I mentioned last week, Teri Robert has taken this idea of list-making and planning for Migraines much further in the helpful article MAPP Your Migraine!

All of that said, it occurred to me last week that I had left an important piece out.  This may look like a blinding flash of the obvious, but it hit me that a key piece to making this all work is that we can only manage the time we have.  Please don’t say “Duh” yet.  Take a moment to let this sink in.

I read an intriguing post on How to Cope with Pain earlier this month, called Time Management and Pain.  What intrigued me was that rather than laying out any nitty-gritty on scheduling and managing time, the article focused on “pacing ourselves and keeping stress to a minimum.”  In other words, to manage time, we need to manage our own, often over-achieving and denial-ridden, selves! 

We can only manage the time we have.  I looked back over my Migraine and Wellness calendars for the last 5 years.  I’m happy to say that my time spent incapacitated by Migraine and my other illnesses decreased over those 5 years from 27% of the time to 22% of the time.  I have focused on increasing that
trend, with mixed results.  I go up and down; there are months where I’m down more than I’m up.  What I have not always remembered is that, however you slice it, I will be down for the count about 25% of the time. 

When I look at a beautiful, clear, blank work week in my calendar, I can’t say, “Oh, goody, 50-60 working hours to schedule into!”  Into that week I need to put all of the things that allow me to maintain my health, to pace myself and keep stress to a minimum.  For me that includes exercise every day that I am capable of doing it.  It includes 20 minutes of meditation or relaxation practice every day.  It includes eating lunch away from my desk – taking breaks that are real breaks.  And once I have put all those things in, that help me keep stress down and stay well, I still only have about 75% of the remaining time available for my work! 

This means if I set deadlines for myself, I set them taking that
percentage of time into consideration.  It means when I block out my
week, I leave blocks of “not working” time.  It means when I come right
down to it, I have about 27 hours of productive working time that I can
count on in a week.   Now I’m not a workplace productivity expert, but
I have worked in a lot of places, for others and for myself, and I
don’t think many people are really productive much more of their time
than that. 

I have felt such freedom since I have been scheduling this way!   My
productive time tends to be really productive; I stay focused on what
I’ve set out to accomplish in that time, knowing that I have a
reasonable 
break coming.  I can use my “not-working” time for those
water-cooler type conversations we tend to have at work, or for actual
work if I choose.  Of course I can’t control that I will schedule my
migraines into the hours I have allotted, but there’s room in the
schedule to rearrange things when I do get sick.  And when I am sick I
don’t worry about what’s not getting done.  Without the added stress of
that worry, I can recover faster.

Since I am self-employed, I know I have more freedom around these issues than some of you who hold down “regular” jobs.  But you can find ways to use these ideas.  It may be about how you approach your time away from work.  It may be about how you pace yourself at work.  Please share your thoughts on managing the time you actually have!

– Megan

Tags: meditation, migraine, productivity, relaxation, stress management, time management
Posted in Managing, Tips & Techniques | Comments (2)

Interview on WEGO Health

May 20th, 2008

Hi all.  Adrienne at WEGO Health interviewed me and published the interview yesterday in her blog at WEGO Health.  Take a look at the Spotlight Interview if you’d like to learn more about what I’m up to with Migraine Management Coaching, handling my life, what I’m working on and all that jazz.

Cheers,
Megan

Coming to you from a 10 day migraine free streak – Woohoo!

Tags: migraine, migraine management coaching, WEGO Health
Posted in Managing | Comments (0)

Alternatives to Compact Fluorescents – for Migraineurs and the Rest of You!

May 19th, 2008

I posted last week about compact fluorescents and their impact on some migraineurs, epileptics, people with lupus and possibly other conditions.  While we work on getting Congress to amend the law which would phase out sales of incandescent bulbs by 2012, here are some thoughts about energy saving alternatives you can use at home.  Thanks to my friend Dave Cohen, of DEC Architect, an architect specializing in green design, for these suggestions.

1. Turn your lights down low – installing and using dimmers with your incandescent bulbs can save a surprising amount of energy.  Using a light bulb at 75% of full wattage can actually cut electricity use by 50%!  If you’re like me, you prefer the lights on the low side to ward off migraines anyway. 
2. Pull your window curtain – use natural light as much as possible!  If you are doing new construction, build to take advantage of natural light with the orientation of your windows and use of reflective surfaces to catch and multiply that natural light.  Even with existing windows, let as much light in as possible, and do what you can to reflect it back around the room.
3. Shine the light up – (sorry I ran out of Bob Marley references there) torchiere style halogen lights can illuminate a room with less wattage than an incandescent.  Halogens are one of the lower energy use lighting sources that are under further development.  Shining the light up on the ceiling spreads it; it is also easier on migraine brains than light shining down into our eyes.
4. Light up with LEDs – LEDs are another alternative technology which are being further developed.  You know, those bright little green, blue, etc, lights?  I know some migraineurs have trouble with LEDs, which can be very bright.  An LED light which can be dimmed would be a great alternative.  (They could also save a lot of energy by removing the LED lights on my computer power cord, so my darn room could actually be dark at night.)

Any more energy saving, migraine friendly lighting tips?  Please share them in the comments.  Thanks to Dave Hobbs and his comment on the last post, for inspiring this post!

– Megan

This little light of mine, I’m gonna let it shine (but not too brightly…)

Tags: Bob Marley, compact fluorescent, halogen, LED, migraine
Posted in Managing, Music, Tips & Techniques | Comments (3)

Protect Migraineurs from Compact Fluorescents

May 14th, 2008

In December 2007, the U.S. Congress passed the Energy Independence & Security Act of 2007, which mandates the phasing out of incandescent lighting from stores by 2012, in order to conserve energy and help the environment. The act does not mandate the use of compact fluorescent bulbs (CFL’s), but given that they are the most widely available energy saving bulbs on the market at this time, the least expensive, and the only ones which can be used with existing lighting fixtures, the likelihood is that they will become the standard.  There are other types of energy saving lighting available and under development; including LED lighting, halogens, and improvements in energy efficiency of incandescents.  Let’s encourage the growth of those technologies!

We migraineurs are just as supportive of energy conservation as anyone else. We also want to reverse
global warming and create a sustainable future. But we strongly support making that happen in a way that does not involve CFL’s! Although CFL’s do not visibly flicker as do old fashioned fluorescents, they still flicker, and that flicker is perceptible to the brain if not to the naked eye. Many migraineurs find that CFL’s are a trigger for them. They can also trigger epileptic seizures and lupus flare-ups.

A group of us who blog about and advocate for migraineurs and migraine research have put together a petition, asking Congress to amend the Energy Independence & Security Act to encourage development of other energy-saving technology. We too want a green future, we just don’t want one where we cannot take part in life outside our homes, for fear of encountering migraine triggers. Please join us in asking Congress to amend this law. You can sign the petition at ipetitions.com at this link: Protect Migraineurs from Compact Fluorescents.

– Megan Oltman

Please help us keep the world livable!

Compact fluorescent image courtesy of J. Nathan Matias.

Tags: Compact fluorescent lights, epilepsy, halogen lights, incandescent lights, LED lights, lupus, migraine, Migraine trigger
Posted in Advocacy | Comments (4)