PPT-Migraine Regulation of pain – the descending pathway

Pathways descending from the brainstem are important in regulating and modulating pain 12 Descending pathway neurons use noradrenaline and serotonin 23 Neurons in the descending pathway may control pain via. Care. Duren Michael Ready, MD FAHS ADAAPM. Director, Headache Clinic. Baylor Scott & White central division. DMReady@tamhsc.edu. Disclosures. Family Physician. Certified in Headache Medicine. Advanced . My head doth ake . O Sappho! Take . Thy fillit, . And bind the paine; . Or bring some bane . To kill it.. Robert Herrick (1591–1674). The Head-ake. History. Migraines described by Egyptians as early as 1200 BCE. Remedy: Acupuncture and Herbs. Time: 1-2 weeks the Migraine is away.. Cost: $380CAD. Success Rate: >85%.. Offer Herbs for prevention. . Migraine. A headache with throbbing pain that is usually worse on one side of the head. . David Watson, MD. Director, WVU Headache Center. EPIDEMIOLOGY . AND IMPACT. Resolving barriers to care requires several interventions. Migraine is . a common, often disabling disease of the nervous system. David Lee Gordon, M.D., FAAN, FANA, FAHA. Professor and Chair. Department of Neurology. The University of Oklahoma Health Sciences Center. DLG DISCLOSURES. FINANCIAL DISCLOSURE. I have . nothing to disclose. Haley Burke, MD, DABPN. Historical Perspective. Trepanation has been found on skulls from 7000 BC. . Earliest surgical procedure for which archeological evidence exists (1). Intended to treat headache, epilepsy, psychiatric disorders (2). Director, WVU Headache Center. EPIDEMIOLOGY . AND IMPACT. Resolving barriers to care requires several interventions. Migraine is . a common, often disabling disease of the nervous system. . The burden of migraine is greatest for the most severely affected . CLINICAL CONDITIONS . IN WHICH 5-HT . PLAYS A ROLE . (. carcinoid syndrome and pulmonary . hypertension. .). The . most common types of headaches . are: . migraine, tension-type, . and cluster . headaches.. 1 4 Vulnerability to migraineTriggering migraine Migraine aura The frequency with which migraine attacks occur may vary from once in a lifetime to almost daily, an indication that the degree of migrai 1. Migraine. Migraine epidemiology. An estimated 1.3 billion individuals across the globe were estimated to have migraine in 2017. 1. In the WHO Global Burden of Disease study, ‘headache disorders’ has consistently been the 2. MSc Clinical Pharmacy . Strathclyde University. 12 Nov . 2015. E-mail: . ola.nassr@uomustansiriyah.edu.iq. . Headache . Headache . is . not a disease state or condition . but rather a symptom, of which there are many causes. . Migraine is a chronic neurological disease with episodic attacks of head pain. 1. If caused by another medical condition, the headache is said to be a secondary headache. 2. Migraine is characterised, including by . Detection of an initial noxious stimulus is transmitted to the dorsal horn of the spinal cord via afferent, sensory neurons. 1,2. The majority of afferent inputs to the dorsal horn synapse with interneurons in the spinal cord, allowing modulation of the signal. Co-Fellowship Director- PEM. Pediatric Acupuncture. Division of Pediatric Emergency Medicine. Department of Pediatrics. Acupuncture for the Pediatric Patient: Ancient Approaches for Modern Ailments.