VoLUME 8, ISSUE 3  
MaY 2003

May 13th Meeting: “Why Headaches are Like Cats and Other Migraine Mysteries”  

Discover how your headaches behave just like cats!  Learn how “cat-like behavior” can help unlock the keys to your migraine mysteries!  In an evening infused with humor and an exploration of the mind-body connection, we will discuss how a self-care approach can educate and empower people to remove the causes of their pain, achieve balance and reclaim their lives. 

We are pleased to have Jan Mundo, CMSC, CMT, as our guest speaker.  Jan Mundo is a Certified Master Somatic Coach and Massage Therapist who specializes in working with headaches, pain, stress and self-transformation.  She has 33 years experience relieving headaches and migraines with the Mundo Method hands-on therapy, and has been teaching her self-care relief and prevention program since 1992. 

Through individualized coaching, bodywork and mind-body practices, her clients focus on creating a healthy, invigorating attitude toward life, while designing and fulfilling their goals.  Jan lectures and leads workshops at medical centers, universities and corporations; she was a member of UCSF Osher Center for Integrative Medicine’s clinical practice start-up phase; and has a private practice in Berkeley. 

Jan’s essay on headaches will be published in the anthology Being Human at Work:  Bringing Emotional Intelligence to Your Professional Life, ed. Richard Strozzi Heckler, PhD (Spring 2003).  She is also writing a book on headaches, and has been published in Cephalalgia:  An International Journal of Headache;  Spiritual Midwifery; and the Farm Vegetarian Cookbook.

The meeting will be held in the Monterey Room, downstairs at John Muir Medical Center, on Tuesday, May 13, from 7:30 to 9:00 p.m.  For more information, call Leslie Davis at 925-685-8775.

NOTE:  We now prefer to meet in the Monterey Room instead of the Ball Auditorium, as it’s a more intimate room for a group of our size.  The easiest way to get there is to walk through the main lobby of the medical center (down the left side) and find the elevators in the back.  Take an elevator down to the lower level and you’ll see the Monterey Room to your right as you exit the elevator. 

Book Review... by Carol Bartlett

Headache: The 1-2-3 Program for Taking Charge of Your Pain, By David Buchholz, M.D.

The author, a neurologist at Johns Hopkins University School of Medicine, has seen headache patients for 20 years, many of them referred to him when all other efforts had failed. Buchholz’s theory is that almost all headaches are the result of a single mechanism—the mechanism of migraine that is built into us and causes painful blood vessel swelling when activated by triggers.  He’s developed what he calls the 1-2-3 Program for Headache Sufferers:

1.)  Avoid the quick fix – painkillers. Most people rely on painkillers when they have a headache, and if you only have infrequent headaches they’re fine. But, taken too often, they can cause rebound headache.  Dr. Buchholz recommends using the triptans (Imitrex, Amerge, Maxalt, etc.) only for severe headaches and only 2 days per month. For mild to moderate headaches, over-the-counter drugs such as plain acetaminophen or aspirin (without caffeine) or anti-inflammatories such as ibuprofen (Motrin) or naproxen sodium (Aleve) can be taken, but no more than 2 days per week.  If you need painkillers more often then you should try to prevent your headaches which brings us to...

2.)  Reducing your triggers – Everyone has a pain threshold which, if exceeded, can cause headache.  Dr. Buchholz maintains you can reduce your migraine trigger level by avoiding certain dietary items and medications. While some triggers are unavoidable—weather changes, hormones, smells—there are many that are in your control.  The author lists several pages of foods to avoid, including the various names for MSG.  He also lists certain hormones, diet pills and heart medications.

3.)  Preventive medicines – If you’ve tried steps 1 and 2 and still are bothered by headaches you should consider taking a preventive medicine. Dr. Buchholz lists a number of medications along with their suggested doses and vices and virtues.

In the last chapters of the book the author discusses common misdiagnoses of migraine symptoms and challenges the myth of tension and sinus headaches which he maintains are really migraines.

This is a well written, thought-provoking book and, though I could find only one journal review on it, there were 28 very enthusiastic recommendations on Amazon.com. 

The 1-2-3 Program is worth a try, although I can’t imagine a world without chocolate.  I’ll bring it to the next meeting in case anyone wants to borrow the book. Carol Bartlett

Following is a list of potential sources of MSG found in Dr. Buchholz’s book:

   Hydrolyzed protein (including vegetable/soy/plant/rice protein).
Yeast extract and autolyzed yeast - Natural   flavors/flavorings.
Broth, stock or bouillon.
Soy protein concentrate/isolate.
Textured protein.
Whey protein.
Protein-fortified items.
Malt extract.
Malted barley.
Maltodextrin.
Carrageenan.
Kombu (seaweed extract).
Sodium or calcium caseinate.
Glutamic acid.
Gelatin.
Fermented or cultured items.
Ultra-pasteurized items.
Enzyme-modified items.

Migraine Masterpieces National Art Contest and Exhibition  

Do you have artistic talent and want to show the world just what your migraines are like?  

The National Headache Foundation is conducting its fourth Migraine Masterpieces art contest and exhibition, a national competition that seeks diagnosed migraine sufferers who can artistically represent their world as it is affected by migraine headaches.  The theme for this year’s competition is “My Life with Migraine.”

Migraine Masterpieces is a free and open competition for amateur and professional artists who are diagnosed migraine sufferers.  Entries will communicate the significant impact migraine headaches have on their lives and the lives of those around them.

Migraine Masterpieces was created to encourage sufferers to share their individual experiences through their artistic contributions to increase awareness of this disease.

Entrants are asked to provide any two-dimensional painting, drawing, print, photography or computer-generated work by the entry deadline of May 23, 2003.  The Migraine Masterpieces program will culminate with an exhibition of the 25 prize winning entries in Chicago during the week of July 21, 2003. 

First prize is $4,000, second prize is $2,000, third prize is $1,000, and 22 Merit winners will each receive $100.

For contest rules and entry forms, contact the National Headache Foundation at www.headaches.org or by calling toll-free 888-NHF-5552.0

Have a Headache? Pass the Coffee, Please

Soon after settling in Wisconsin, I was introduced to real coffee drinking.  There was a barber who complained of headaches every Thursday for ten years.  After a rather extensive get acquainted conversation, the cause of this unusual complaint was revealed.  He had not been a coffee drinker prior to marriage and finishing barber school.  Thursday was his day off and there was no business partner or wife to offer coffee.  He followed my advice to carry two thermoses of coffee everywhere he went on his day off.  His Thursday headaches ceased.

Headache as the withdrawal symptom of caffeine addiction is not sufficiently known.  For instance, the mother of a teenage daughter brought the young lady in because of sudden onset of severe headache.  The crucial information:  the mother had recently told the daughter that she would have to buy her own soft drinks but this child’s allowance was insufficient to support her habit. Neither was aware of the connection.

When people state that only Anacin and Excedrin relieve their headaches, this usually means caffeine withdrawal headaches.  Some of them take their caffeine-containing pills in anticipation of trouble.  This results in the caffeine in the headache pills becoming part of their drug requirement.

So caffeine has a stereotyped withdrawal syndrome (the headache), a characteristic of addiction.  Another characteristic of addiction is that former addicts, even years after stopping the drug use, become re-addicted on fewer, smaller doses than first-time users.  I became aware of this after returning from two years in Asia where I drank tea, even though I do not like it, in order to get boiled water and avoid dysentery.

I easily weaned myself off of this practice, but withdrawal headaches occurred in late afternoons.  They hit after I had a cup of coffee for lunch three or four days in a row, which is a much smaller dose than would produce this result in someone who had not been severely addicted.

Caffeine demonstrates that drug addiction does not necessarily cause health problems or social problems.  These depend on the toxicity of the drug and the legal consequences of its prohibition.0

Dr. John A. Frantz, of the State Medical Society, is Chairman, Monroe Board of Health.  He is an internal medicine specialist.

Appeared in the Milwaukee Journal Sentinel on January 3, 2002.  Found on the Internet at http://www.jsonline.com/alive/column/jan02/9812.asp.