9/4/2023 0 Comments Migraine aura after exerciseWhether we are part of the subset of the migraine community that deals with PEH or not, using our best judgment and tracking skills could help us come to our own individual conclusions. Of the patients studied in a Dutch headache clinic, ‘those experiencing exercise-triggered migraine attacks, more frequently had neck pain as initial migraine symptom during normal life attacks.’ ( 5) Some studies have found there to be little evidence of exercise induced migraine symptoms and attacks. Anecdotally, we have spoken to many people over the years who feel that exercise is a trigger for them. The jury seems to still be out on this topic. PEH and migraine seem to be a common comorbidities in middle aged adults. Is exercise a trigger for most people with migraine? Or could they be ‘primary exertional headaches (PEH)? This is a relatively uncommon primary headache disorder which occurs particularly in hot weather or at high altitude, lasting within 48 hours brought on exclusively during or after strenuous physical exertion. But I’m willing to give it a try more often to see how well it works for me. Whether this was from the exertion or distraction, I don’t know. I have been able to reduce the severity of an attack when taking a walk at onset. ( 4) This is one of those try it and see what happens situations. Meaning one person was studied and found that running could abort an attack when exercise was started during the prodromal or aura stage. Most of the studies available about treating an acute attack with vigorous exercise (like running) are case studies. #AD Exercise as an acute treatment for migraine We are patient educators and all information you read should be discussed with your doctor. ** While Migraine Strong writes about the latest in migraine treatments, this is not medical advice. And researchers do acknowledge the limitation of not also studying the effects of exercise on those who have chronic migraine or even daily attacks. This practice will take several weeks to help reduce the frequency and severity of migraine attacks. Adding exercise to a migraine treatment plan is a good option. ( 3) While an antidepressant medication might work more quickly as a preventive, some people with migraine would like to (or have to) avoid medications. One of the benefits of exercise is the release of endorphins which act as a sort of natural antidepressant and pain killer which generally leaves us feeling good. You also can meet this goal by doing ten minutes of continuous exercise for three times per day.’ ( 2) This can be broken down into five sessions of 30 minutes. According to the American Migraine Foundation, ’The President’s Council on Physical Fitness recommends a minimum of 150 minutes of exercise per week. There are studies that show increased movement of 30-45 minutes a day, at least 3 times a week, can help reduce the frequency of migraine attacks ( 1). The more debilitating the migraine symptoms, the harder it is to even contemplate planned movement, especially if it feels like a trigger. People with frequent, chronic or daily migraine attacks often have difficulty finding the energy to exercise. Let’s delve in and explore this topic! Exercise as migraine prevention treatment? Does exercise help migraine? Or does it cause exercise induced migraine symptoms? Is there a best exercise for migraine? How to avoid headache after exercise? Is working out with a migraine attack recommended? The answer to all of these questions is, it depends. Exercise for migraine is a topic that comes up frequently.
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