Tuesday

How to Prevent Exercise-Induced and Exertion Migraine Headaches

Exercise can trigger migraines for many a migraine patient.

Here's some advise to those of my gentle readers who want to keep in shape, migraines or other types of headaches non withstanding, from Dr. Jack Klapper, a Denver-based neurologist, Dr. Salwa H. Hanna of the Headache Clinic of Denver, and Julie Johnson, a runner with a 20-year competitive racing record who keeps on running in spite of her migraine.

When Julie Johnson feels a headache coming up while she is running, she downs 20 ounces of an electrolyte drink. She follows up with 20 more ounces over the next 30 minutes. This usually helps to stay off the migraine and allows her to finish her run.

For some athletes, migraines are triggered from muscle pain. According to some medical experts, many athletes suffer from a buildup of muscular tension brought on by exercise. During exercises like swimming or running, head and neck muscles may become tight enough to set off a domino effect, creating muscle spasms and blood-flow restriction.

Dr. Jack Klapper's advise to patients who experience such headaches to take an over-the-counter anti-inflammatory such as naproxen sodium before a hard physical exertion. According to the good doctor, one pill of Ibuprofen about an hour before exercise might just do the trick.

Dr. Salwa H. Hanna does worn, however, to be careful with OTC meds. "Use of Ibuprofen, Excedrin or Anacin on a daily basis can cause rebound headaches," said Hanna. Yours truly concurs.

Dr. Hanna also mentions to watch out you food and environmental triggers before and while you exercise. That does make sense since migraine triggers do tend to pile up. Willingly exposing oneself to a potential trigger such as an exercise, there's really no need to add anything else up to it.

link: Nutrition, hydration provide some relief from migraines

6 comments:

Anonymous said...

Hi. When I enterred perimenopause my migrainees went haywire and with it I got exercise induced migraine. I was prescribed neck exercises (even very minimal) but those induced migraine; as did every chiropractor adjustment although I stuck with it for 2 solid months and zippo. Hormones are doing me in. A neurologist prescribed indomethocin before exercise. That stuff is evil. Plus, I agree, adding an anti-inflammatory to my 15+migraines a month, is not smart. So for me, sadly, aearobic activity is out. I've got too many migraines to add yet another possible trigger: exercise. They made it sound too easy. (Sorry, my perspective). My neck is a problem and it'll be my next hurdle when I have time summer 2009. Thank you for your blog. It has lots of good info and I check it regularly. Carolyn

rain gem said...

Carolyn, I can totally understand. Several years ago I could barely do anything physical without triggering a migraine.

I usually recommend walking as a low-key, comfortable exercise. 5 minutes of a slow walk would do wonders. I actually did an article about it some time ago - 5-10 minutes walks are just as good for us as a two hour, heavy-duty exercise.

Anonymous said...

Thanks rain gem.Sometimes I sound so cranky it amazes me. Sadly, exercise was a core part of my identity and it has been lost to migraines. Oh well. Yes, walking I can do, but it's not so good for weight loss. Oh well. With migraines, you do learn to live with limitations and also learn to lower expectations. Thank you for your kind words and imput. Your website is a gem, plus I love the kitties; I have 3 cats and am now feeding one in our barn... Carolyn

Kelly, FlywithHope said...

I'm so glad you made the point about the risks of taking an NSAID every timd before you exercise. My goal is to walk on my treadmill 5-6 days/week. If I took meds everyday I'd do myself in with MOH!

I've found walking on the treadmill, starting out slow and working up my time has helped my head build tolerance to the pain. I always have head pain and even when I walk it gets worse, but the exercise does so much for me! I don't think it triggers a Migraine for me. But definitely increases the intensity of my daily headache.

But, if I can walk, I try to. It does so much for me emotionally!

Thanks for your article. Really great.

rain gem said...

Carolyn, how about a low-carb diet to go with it? Worked wonders for me - lost weight and reduced the frequency of my migraines (it's under migraine experiments label on the bottom of the page). Do check with your doc for possible counter-indications of low-carb with any meds you are taking, if you decide to try it.

rain gem said...

Kelly, thanks a bunch. I try to exercise daily. Even if it's only 5-10 minutes, it still counts. I usually go for a short walk in the evening as well. If I don't feel too well, I just make it shorter. Pacing ourselves I thing is the key idea here.