An Update On The Daith Survey Study

daith surveyLast week, we announced that a colleague of ours was hoping to gather more information about the daith piercing and its role in migraine relief. We’re still hoping to collect more information, so if you have a daith piercing and you haven’t taken the quick five-minute survey yet, please do us a favor and find a few minutes to complete it.

So far more than 100 individuals have filled out the surveys, and the results have yielded some interesting findings. Although it’s still too early to really dig in and analyze the findings, the majority of individuals said the daith piercing helped to reduce their headache pain. The findings were also consistent for individuals with the worst types of headaches – migraines.

Daith Piercing Findings

So again, if you still haven’t taken the survey, you can click here and fill out the survey. Here are some more responses from the survey so far. The majority of people who underwent the daith piercing:

  • Were pleased they had the procedure.
  • Reported a consistent reduction in intensity and frequency of both mild and migraine headaches.
  • Reported a reduction in painkiller intake.
  • Reported an increased number of “better days.”

Additionally, some people experienced headache relief after the piercing was removed, which suggests that continued pressure on the vagus nerve may not be necessary for full relief.

So if you have a few minutes and want to help us gather more information on the subject, please consider clicking the above link to take the survey. If you’re still not sure about the daith piercing, feel free to check out some of our old blog posts on the topic, and if you have any questions or comments, leave them in the comments section below. Thanks again for helping us learn more about the daith piercing and pain pathways!

Dr. Cohn

Migraine Headaches: Phases, Triggers, & Treatments

migraineMigraine headaches often involve severe pain in one side of the head, and are commonly accompanied by nausea, and sensitivity to light and sound.  These headaches are thought to be vascular with constriction and then expansion of the vessels.  Migraines occur in 28 million Americans, about 12% of the population with a ratio of 3:1 for females to males.

Check out our other posts about headaches:

4 Phases of a Migraine

A migraine attack usually has four phases:

  1. Premonitory symptoms. Symptoms of this phase include fatigue, lack of concentration, yawning, visual changes, neck pain. This phase may last from hours to days.  
  2. Aura. The auras are usually a visual or sensory phenomenon, lasting minutes to an hour. These only occur in a small portion of people with migraines.
  3. Headache. The actual headaches have a gradual onset. First thing in the morning you will start to feel pain on one side of the head. The pain can start dull, then evolve into pulsating pain with jabs and jolts.  90% of sufferers also experience nausea and sensitivity to light, sound, and smells.  Mood and mental awareness changes and neck pain are common.
  4. Postdrome. After the migraine, the postdromal period, involves fatigue, impaired concentration, irritability, and general pain and weakness.

Migraine Triggers

The triggers for migraine headaches are numerous, and are partly dependent on the individual.  All of the following can be triggers:

  • Stress
  • Weather changes
  • Caffeine withdrawal
  • Menstruation
  • Sleep problems
  • Fasting
  • Certain foods including wine, MSG, nitrates, and aspartame

The correlation to a heart defect called a patent foramina ovale (PFO) is clear, but it is an association, not a cause, and fixing the heart defect sometimes does affect the migraines.  In females, there is a correlation to hormonal changes, but regulating female hormones does not necessarily improve migraines.

Migraine Treatment Options

Migraine treatment includes a variety of medications depending on the severity and frequency of the headaches.  First line medications include anti-inflammatories, combination analgesics like acetaminophen with caffeine, and sometimes nausea and seizure drugs.  If the migraines are more severe but not more than once to twice a week, triptan type medications are often highly effective. The most common has been Imitrex and there are multiple similar drugs available.

Addictive medications like narcotics or benzodiazepines should be avoided since they are likely to cause increasing difficulties in management over time.  When migraines become frequent, twice a week or more, seizure type medications and beta-blocker heart drugs may be effective.  If the headaches become uncontrollable, sometimes intense interventions by Neurologists who just specialize in headache management is necessary.

Migraines & other Headaches

Migraines can also be mixed with other types of headaches, such as pain from the neck like whiplash or TMJ jaw problems.  Treating headaches of mixed origins is often complex and needs a team of specialists and support staff including Neurologists, Pain specialists, physical therapists and psychologists to address the variety of problems these headaches cause.

If one has migraines, and simple treatment is not working, then a Neurologist and sometimes Pain specialists can be of great benefit.  A team approach can often address the variety of factors impacting and contributing to the headaches.