Natural Medicine for Headaches Dr. Barry Triestman D.C. D.A.C.B.N. Diplomate in Nutrition (1 of 750) Second Generation Dr. of Chiropractic Office in High Sierra Fitness Emphasis on Nutrition and rehab Soft Tissue Certified i.e. A.R.T. and Graston Monthly Seminars Works with M.D. via consultations and reports Latest in Laboratory Testing i.e.. Saliva Take home the information and use it Tomorrow Sailing It’s Journey Sometimes need a guide Symptoms are messages A different way of looking Medical Holistic Disease care Work on symptoms Need to be sick Wait for the invasion Get worked on Easy to receive Disease care Health promotion Work on cause Prevent invasion Do the work Much harder Lasts longer Optimal health Lab tests tell us about digestion Better to teach a man to fish then feed him for the day Our goal is to get you to take care of yourself We don’t want you to be dependent on passive care What are we going to learn An introduction to headaches Different type of stress Inflammation and how to enhance healing Exercise to strengthen Stretch Nutrients First aid Water Healing Lab tests Exercise Postural types Headache Neutral spine Basic anatomy Warning signs New headache Change in headache Fever New Symptoms Headaches Vascular Tension Migraine Allergic/Immunologic Hormonal(menstrual migraine) Postural Digestive/toxic Liver/toxic TMJ Ocular Stress Dehydration Inflammatory teeth Sinus Nutrient Deficiency Drug induced or rebound headaches:daily and predictable, 1000mg of acetaminophen, aspirin, ergotamine Musclo skeletal: Causes: Injury Tight tissues Adhesions/ scar tissue Active release Technique, Graston technique Neck and shoulder stiffness Poor posture Spinal Subluxation Muscles weakness Poor physical conditioning Neck, shoulder or arm pain Migraines Affects 18- to 26 million Americans 15 –20 percent of men 25-30 percent of women Common no warning Classic come with warning aura, vision , heating, nausea, smell, numbness, Migraines continued A risk factor for heart disease like cholesterol Abnormal release of neurotransmitters that cause blood vessel constriction and become inflamed Hyper reactivity inflammation Low serotonin Headaches are Not Deficiency of Vitamin I Some thing you have to live with Change Always check with your health care provider Not right before big activity Stress or sometimes the relief of stress Lack of food or infrequent meals Foods containing monosodium glutamate, caffeine and tyramine Certain specific foods like chocolate, citrus fruits, cheese. Alcohol, especially red wine Overtiredness (physical or mental) Changes in sleep patterns (i.e. late nights or a weekend lie-in) Headache stimulus Hormonal factors (e.g. monthly periods, the contraceptive pill, HRT or the menopause) Extreme emotions (e.g. anger, grief) Physical activity Environmental factors (e.g. loud noise, bright or flickering lights, strong perfumes, hot stuffy atmosphere, VDUs) Climatic conditions (e.g. strong winds, extreme heat or cold) Family History Most important piece information Health History These are messages They should be listened too Pay attention to your inner wisdom Health history Digestive Endocrine disorders PMS Post partum depression SAD Stress Anxiety Depression Pain Fatigue Dieting Menstrual History Regularity Diet 30 grams of fiber per day 7 or more servings of fruit and vegetables No hydrogenated fats 4 or more servings of fish per week Closer it is to picking the better Lab Tests Complete blood count Chemistry panel Food allergy panel Total, HDL, LDL cholesterol, triglycerides CR-P elevated by hormones due to inflammation Homocysteine Sed Rate Optimal lab value Headaches are A combination of factors Each individual has Minors Majors •Continuous estrogen patch •Triggered by change •Birth control pill Menstrual migraine •Menopause •HRT •Pregnancy effect Time magazine and allergies Allergic Headaches Diet diary Food allergy Food allergy/sensitivity testing Chemical sensitivity FD&C yellow #5 tartrazine 90% of migraines have a food allergy component Delayed onset Hyper reactivity just like brain blood vessels Food Allergies: Immediate onset Dangerous Anaphaltic Go to hospital Delayed onset 48 - 72 hours after ingestion Can mimic cravings Can slow down metabolism Can make you tired Can make you mentally fogged Cause water retention Inhibit fat burning Vasoactive amines Alcoholic beverages Cheese Chocolate Citrus fruits Shellfish Un-organic foods What does our immune system do Identify and protect Find and remove Good cells Food Organs Nutrients Cancer cells Virus infected cells Parasites Abnormal particles Chemicals Bad nutrients Abnormal cells Immune Work Sites Intestine (600lbs.of food) Respiratory tract (7 million breaths per year) Skin Internal organs, blood vessels, fat, muscle, tendon Intestine Largest concentration of immune tissue Leaky Gut Immune system overload 1 million decisions per day Go over the limit Abnormal function Decrease overload by decreasing exposure In the digestive tract and the air Improve the barrier Improve the removal Improve the transport Removal Liver defecation Fiber helps Saturated and trans fats hinder Urination Sweat Runny nose Cough Immune Load Ask these questions What is your favorite food_________ Anybody else in your family have food allergies I can not be allergic too_____________ Most common foods Dairy Wheat Corn Chocolate Soy Most common migraine offenders Food allergy test Decrease what's coming in Digestive competence Respiratory competence Clean up the environment Food allergies Overload and increased abnormal activity = allergy and autoimmune disease Overload and to little immune ability= colds and cancer Auto Immune disease Lupus Rheumatoid arthritis Diabetes Multiple sclerosis Eczema Psoriasis Kidney disease Cancer killers Sugar and neutrophil activity Search for clues Doctor Part of body Time of day, season Place Person Foods Patient Digestive disturbance Periods of constipation Indigestion Heart burn Excessive gas Diarrhea Lack of appetite Certain foods hard to digest i.e. fats Anti-biotic use Previous digestive disturbance Bloating Poor stool formation Cramping Cravings Get tired after eating Food allergies Silent reflux Menstrual related digestive symptoms Ideal stool Well formed Large Float Little clean up Slight yellow tint Easy to pass At least once daily (7 days a week) Constipation Diarrhea Ideal eating atmosphere Quite Pleasant Relaxed Smiling No distractions Ideal eating I put the food in my mouth Put my utensils down Enjoy the tastes and textures of the food while chewing well Totally insalvating the food (totally wet) Swallow Entirely clear my mouth Smile Then pick up the utensils again In addition to chewing completely, there is a pause between each bite. We don’t want to Eating continued on the fork as we have the next bite ready are still chewing the first. The act ofof putting the fork down between The act putting the fork down between bites is bitesof the easiest ways toways tous to eat one is one of the easiest queue queue us properly.properly. to eat A note on liquids during your meal, drink as little as possible. We should limit our drinking 15 minutes before and ½ hour after you are finished so not dilute our digestive juices. Not to be confused with drinking adequate fluids during the rest of the day. Don’t Eat while watching the Television Eat While Driving Digestive support Eating properly Stress reduction Mucilaginous foods Okra Rutabaga Yogurt Cabbage juice Acidophilus Digestive aids D.G.L. Peppermint Raise head of bed Enzymes HCL Remove allergens Pancreatic enzymes Protease Lipase Amylase Produces Insulin, Glucagon(sugar control) and digestive enzymes Protein and fat Vander, A. et al: Human Physiology, 5th ed., 1990 Symptoms Related to Small Intestine/Pancreas exocrine • Protein maldigestion • Dry, flaky skin and/or dry brittle hair • Alternating constipation and diarrhea • Abdominal cramps • Stool poorly formed • Undigested food in stool • Mucus in stool • Dark urine • Malabsorption / difficulty gaining weight • Food allergy, chronic inflammatory conditions Symptoms of endocrine pancreas Overweight Low blood sugar Sugar Craving Headaches if don’t eat Excessive thirst Carbohydrate addiction Excess insulin causes androgen symptoms Diabetes Pancreas support Exocrine Endocrine Enzymes Exercise Glandular Strength Training Fiber Chromium Bitter melon Cinnamon Exercise Glandular Liver The remover All food goes through liver before it gets into the rest of the body High concentration of white blood cells Manufactures lymph Makes bile Breaks down chemicals (detoxifies) Builds chemicals Symptoms Related to Liver/gallbladder Feel restless, agitated, angry Poor ability to concentrate, irritable Aching muscles Fatigue, weakness Dark urine, diminished flow Pain under right side of rib cage Upset stomach, nausea Unexplained itchy skin (worse at night) Stool color alternates from light, clay or yellow to brown Feeling of dryness Loss of skin elasticity Anger Loss of appetite and/or weight Elevated cholesterol Gall bladder problems Alcohol/drug use Sensitive to smells Food allergies Fat intolerance Chemicals exposure Yellowish cast to skin, eyes Chemical exposure Liver support Detoxification Sauna Fasting Detoxe diet Remove exposure Regular cardiovascular exercise (low intensity) Vitamin C, B Milk thistle Dandelion root Beet Greens Water Dry brushing Fiber Brain symptoms Balance of where we are and where we want to be Past life road blocks that need to get worked out Not taking care of our selves Depression Anxiety Brain support Journaling Balancing life Growth Psychotherapy 5 hydroxy tyrptophan Saint john’s wort Homeopathy Energy balancing Circadian rhythm Melatonin Sleep disturbanc es Weather changes Thyroid Gland (low) Mood disturbances Weight gain Depression Low energy levels Mental confusion Sleep disorders Decrease hormone production Cold Immune dysfunction Morning exhaustion Headache decreases with activity especially morning headache Thyroid gland testing Basal body temp >97.3 Shake down thermometer in evening First thing you do in morning 10 minutes Lab Tests Free T-4,T-3 and reverse T-3 TSH Thyroid antibodies Cholesterol Thyroid Gland support Natural Iodine Tyrosine Heavy Metal poisoning detoxification Glandular Armour thyroid Seaweed Selenium Zinc Types of stress Stress How do you know if your super stressed Tight tense muscles Loss of/or stagnation of progress Blood pressure Can’t think clearly Postural hypo tension Sleep, appetite, personality changes Cortisol levels Pulse You are Stressed if you are not doing these. What to do if you are stressed Exercise Sex Yoga Play Pray Laugh Bodywork Take time to take care of yourself Regular patterns Quality sleep Honor sun, moon, circadian rhythms, intuition Adrenal Gland Back up gland Produces Epinephrine Cortisol Dehydroepiandroste rone (DHEA) Esterone Epinephrine Gets you ready to fight Blood to muscles Blood away from Stomach Increases tolerance to pain Speeds bowel transit time Cortisol Cortisol symptoms Increased appetite and energy level Tired in morning Wired at bed time Decreases immune response (frequent colds) Oxidants stress Excess exercise Iron Pollution Drugs Excess Vitamin C Magnesium Found to be low in blood and RBC Helps blood vessels relax Bound to amino acid Calming effect Magnesium 400mg day Kelp, wheat bran, wheat germ,almonds, black strap molasses, buckwheat, brazil nuts, dulse,filberts, Riboflavin Energy production Decreased energy production triggers brain inflammation Liver, brewers yeast, almonds, wheat germ Vitamin B-6 Decreases Histamine Brewers yeast, sunflower seeds, wheat germ, soybeans, salmon, liver, walnuts Anti-inflammatory Omega 3 fats Onions Garlic Ginger increases absorption of oral medications Colored Vegetables Enzymes Curcumin Glucosamine At 4-8 weeks start to see results Long term gets best results Part of the cartridge and joint structure Glycosaminoglycan formation Additional Supplements Boswellia serrata Enzymes Aloe Vera Methionine S.A.M. Anti-inflammatory and healing Glycosaminoglycan formation Pharmaceutical antiinflammatory Side effects Increase arthritis Good pain relief Any type of injury No matter what type of injury you need to rehab the whole body, with emphasis on neuromuscular reeducation Trunk stabilization Maintaining the “neutral spine” through any range of motion This must happen automatically Spinal slice Posture Lying pelvic tilt Sitting Pelvic tilt Door stretch Neck Stretch Water Are you dehydrated Yellow urine Drink less then 64 ounces of water per day Drink diuretics i.e. coffee, soda Long term strenuous activity with out weight measure Water Continued What to do to get hydrated Drink water Adjust to increase water consumption Camel Back or water bottle Lemon/lime wedge Drink before activity What happens if you are dehydrated Decreased physical performance Get headaches Increases cravings Increase risk of injury Decreased mental performance Can lose up to 3.5 liters of water per hour Constitutes 60-70 of cartridge Decreased glycogen Fat Polyunsaturated Monounsaturated Saturated Trans-fatty acids Omega 3 list Polyunsaturated Omega 3 Fish Good sources-salmon, mackeral, tuna, whitefish, flax seed, decent sources: halibut, trout, bass, wild game and almonds Omega 6 nuts avocado Should make up the majority of fats consumed Bad Fats Saturated fat from animal meats unless wild Trans-fatty acids are poison Acupuncture points How to pick Supplements Ask a professional Ask company for independent lab analysis on chemical content and toxins i.e. heavy metals Friends have gotten good results with same supplement Reputation 4-6 vitamins for a daily Know which forms of vitamins are the best Is there a problem with quality in dietary supplements? LA Times questions the quality of herbs. Monmaney T. Labels’ potency claims often inaccurate, analysis finds. Los Angeles Times, August 31, 1998. Lactobacillus products mislabeled and contaminated. Hughes, et al. Microbiologic characteristics of Lactobacillus products used for colonization of the vagina. Obstet Gyneocol 1990;75:244. Herbs seriously contaminated with heavy metals and pathogens. Bateman, J. Possible toxicity of herbal remedies. Scottish Med J 1998;4:7-15. Nutrient interactions inhibit mineral absorption from multiple vitamin-mineral supplements. Shils, et al. Modern Nutrition in Health and Disease Vol 1.8th ed. Philadelphia: Lea & Febiger; 1997. pp. 216-217. Calcium supplements contaminated with lead. Bourgoin B, et al. Lead Content in 70 Brands of Dietary Calcium Supplements. Amer J Pub.Hlth. August 1993, Vol. 83, No.8 Calcium and lead “The results indicate that natural source calcium supplements are a potential source of lead because more than half the products within this category (14 of 25) had lead ingestion rates greater than the provisional total tolerable daily intake…” …many individuals may be unnecessarily ingesting substantial amounts of lead through some forms of mineral supplements.” Bourgoin B, et al. Lead Content in 70 Brands of Dietary Calcium Supplements. Amer J Pub Hlth. August 1993, Vol. 83, No.8 Is there a problem with quality in dietary supplements? Synthetic beta carotene accelerates tumor growth. Omenn GS, et al. The beta carotene and retinol efficacy trial (CARET) for chemoprevention of lung cancer in high risk populations: smokers and asbestos-exposed workers. Cancer Res 1994; 54:suppl 2038-2043s. Supplementation with d-alpha tocopherol may inhibit the absorption of gamma tocopherol contributing to free radical damage caused by peroxynitrite reactive oxidant species. Christen S, et al. Gamma tocopherol traps mutagenic electrophiles such as Nox and complements alpha tocopherol:physiological implications. Proc Natl Acad Sci USA.1997;94:3217-3222. Absorption of different forms of coenzyme Q10 varies by 300%. Judy WV, et.al. Comparison of absorption characteristics of different forms of coenzyme Q10. 1998, pre-publication. Disintegration of calcium supplements does not meet USP standards. Carr CJ, Shangraw F. Nutritional and pharmaceutical aspects of calcium supplementation. Amer Pharm 1987;NS27(2):149. References Nutrition Action newsletter:Center for science in the public interest, Suite 300, 1875 Connecticut Avenue, N.W., Washington, D.C. 200095728: cspinet.org Encyclopedia of Natural Medicine by Michael Murray Stretching by Bob Anderson Awareness through movement by Moshe Feldenkrais Thank You! For giving me the health gift Pass it on and you get the gift!