Migraine in the Athlete

Lane, Judy C.

doi:10.1055/s-2000-9828

Cited by 12 publications

(8 citation statements)

References 11 publications

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“…As a method of migraine management, exercise has been frequently discussed, but an examination of the literature provides conflicting results (1). Some authors reported exercise induced migraines or prodrome symptoms (20)(21)(22) and some called our attention to sports migraine (23)(24)(25)(26). However, advocates of exercise in migraine management asserted that some special accompanying circumstances such as strenous exercise (27) and lack of proper warm up before exercise (28) caused these phenomena.…”

Section: Discussionmentioning

confidence: 99%

Aerobic Exercise and Plasma Beta Endorphin Levels in Patients with Migrainous Headache Without Aura

Akboyraz²,

et al. 2003

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This study aims to evaluate the effects of plasma beta endorphin level and exercise on migrainous headache. Forty patients with migrainous headache without aura (MWOA), firstly exercised on a treadmill and afterwards were asked to continue an aerobic home exercise program for six weeks. On evaluation, basal plasma beta endorphin level was negatively correlated with total duration of attacks in the last month period (P = 0.01). Exercise was found to have beneficial effects on all migraine parameters (P < 0.0001) and to increase beta endorphin levels after the treadmill practice (P < 0.0001) and after the home exercise program except four patients not regularly attended to the program (P < 0.0001). Any of the changes in headache parameters was not correlated with the change in beta endorphin level. However, pre-exercise beta endorphin level was found to be negatively correlated with the changes in the number of attacks (P < 0.05) and total duration of attacks (P = 0.01) and also with the change in beta endorphin level due to exercise (P < 0.0001). As a result, this study emphasizes the beneficial effect of exercise on migrainous headache, especially in patients with lower basal beta endorphin level.

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Section: Discussionmentioning

confidence: 99%

Aerobic Exercise and Plasma Beta Endorphin Levels in Patients with Migrainous Headache Without Aura

Akboyraz²,

et al. 2003

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“…On the other hand, some migraineurs report exercise as a triggering factor for their attacks [ 10 – 12 ]. This might be a reason why the interictal behaviour of migraine patients frequently includes reduced physical activity [ 2 , 10 ].…”

Section: Reviewmentioning

confidence: 99%

The association between migraine and physical exercise

et al. 2018

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BackgroundThere is an unmet need of pharmacological and non-pharmacological treatment options for migraine patients. Exercise can be used in the treatment of several pain conditions, including. However, what exact role exercise plays in migraine prevention is unclear. Here, we review the associations between physical exercise and migraine from an epidemiological, therapeutical and pathophysiological perspective.MethodsThe review was based on a primary literature search on the PubMed using the search terms “migraine and exercise”.ResultsLow levels of physical exercise and high frequency of migraine has been reported in several large population-based studies. In experimental studies exercise has been reported as a trigger factor for migraine as well as migraine prophylaxis. Possible mechanisms for how exercise may trigger migraine attacks, include acute release of neuropeptides such as calcitonin gene-related peptide or alternation of hypocretin or lactate metabolism. Mechanisms for migraine prevention by exercise may include increased beta-endorphin, endocannabinoid and brain-derived neurotrophic factor levers in plasma after exercise.ConclusionIn conclusion, it seems that although exercise can trigger migraine attacks, regular exercise may have prophylactic effect on migraine frequency. This is most likely due to an altered migraine triggering threshold in persons who exercise regularly. However, the frequency and intensity of exercise that is required is still an open question, which should be addressed in future studies to delineate an evidence-based exercise program to prevent migraine in sufferers.

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“…Three to six well-balanced meals a day should be scheduled at regular intervals. Supplementation with riboflavin, 200 mg orally twice daily, and/or magnesium citrate, 200 mg orally twice daily, may also reduce occurrence [11]. Offending allergens and odors need to be limited or avoided.…”

Section: Treatmentsmentioning

confidence: 95%

“…The second theory relates to serotonin dysregulation. When a particular stimulus is received, serotonin platelet levels drop, thus causing migraine symptoms [11]. Additional research has shown that there is hyperexcitability of the brain between migraine attacks.…”

Section: Pathophysiologymentioning

confidence: 98%

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Sport and Exercise-induced Migraines

Nadelson¹

2006

Current Sports Medicine Reports

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Sport and exercise-induced migraines are difficult to distinguish from benign exertional headaches and other headache syndromes. Exertion can be the sole cause, or may be among multiple triggers for an individual's headache. Because approximately 10% of these headaches have an organic origin, a careful history and physical examination is necessary. The hallmark of treatment for exercise-induced migraines tends to be proper warm-up before exercise, minimization of environmental risks, proper sleep hygiene, and good nutrition and hydration; however, in many cases, the pharmacologic solutions that are applied to other types of headaches may also be necessary. Because there is a lack of large trial studies on the athletic headache population, more research on the topic is needed in the future to help clarify the mechanisms, classification, and treatments of these headaches.

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Migraine in the Athlete

Cited by 12 publications

References 11 publications

Aerobic Exercise and Plasma Beta Endorphin Levels in Patients with Migrainous Headache Without Aura

Aerobic Exercise and Plasma Beta Endorphin Levels in Patients with Migrainous Headache Without Aura

The association between migraine and physical exercise

Sport and Exercise-induced Migraines

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