Skip to content

5 Comments

  1. Stephen
    24 January 2011 @ 6:30 pm

    Reading a book by David Buchholz called the “123 program.” He said that nueropeptides are a cause for the vaso dilation in the blood vessels in the brain. He says on page 13 that vaso constriction in the eyes and ears also causes debilitating symptoms in migraines and pain. It’s likely that vasoconstriction will solve a major pain problem in a common ground but add to the pain in this area. I would consider vaso-constriction and dilation control to be a necessary evil to try control and consider and to abandon it would be juvenile and impulsive action based on the excitement of ambition and new information. Developing theories on the migraines should build on treatment methods and only abandon them if it is grossly out of line. I believe there is still not enough evidence to abandon vaso constriction. Give me and different treatment method that does better and we’ll talk.

    Reply

  2. James
    24 January 2011 @ 8:51 pm

    Hi Stephen,

    Thanks for your comment! 🙂

    First of all, there are better treatment methods for many people. I take it from what you’re saying that Dr. Buchholz’s method has worked well for you – that’s great! But for many people, it does not work well. Just for the record.

    Secondly, I agree in principle with your statement that it would be a “juvenile and impulsive action” to abandon a treatment “based on the excitement of ambition and new information.” But nobody is doing that. That is not the point of this post at all.

    The “new information” here is simply that vasodilation is not necessarily a part of a migraine. That’s all. So what does that mean?

    Well, in part that’s a matter of opinion. But we do know that it means that not all migraine attacks involve vasodilation. So, if for example you try to treat a migraine by fighting vasodilation, when there may not be any, you’re setting yourself up for failure.

    It doesn’t mean that no migraine attack involves vasodilation. It also doesn’t mean that any given treatment doesn’t work.

    Dr. Buchholz’ book is now almost a decade old. There is a huge amount of useful information that we’ve learnt since then. Does that mean we consider all his ideas as worthless? No, they have worked for many people (though not all). But it may be that his methods work for a different reason than what he originally thought. Or, it could be – no, it is the case that he doesn’t have the full picture (no one does).

    The evidence from this study is extremely strong – migraine simply does not always involve vasodilation. But by no means are we throwing out all the progress that’s been made in treatments over the past many years.

    And let’s remember that this is not exactly all “new” information! It’s been a very long time since migraine experts have thought that migraine is simply caused by vasodilation. That theory was gone long before this study came along.

    If these methods are working for you, keep right on with them. Different treatments work for different people. Unless we find out somehow that this method is extremely harmful to you, there’s no reason for you to abandon it. I hope you continue to be in good health.

    Reply

  3. Jake
    14 October 2014 @ 8:30 pm

    This is ridiculous, please if you are going to put information out there to the public do the necessary research. The references you use ARE NOT from scientific articles. Try pubmed for the most recent information. Vasoconstriction treatments works in the majority of patients suffering from migraine, the patients that don’t respond to these treatments is most likely due to peripheral and central sensitization that was caused by vasodilation events; therefore, vasodilation is no longer necessary for the accompanying symptoms. Seriously, if you don’t know what your are talking about, please don’t post about it. This type of misinformation is why people don’t trust medical professionals.

    Reply

  4. James
    17 October 2014 @ 10:14 am

    Thanks for your comment, Jake.

    This particular report was presented by Dr. Andrew Charles of the Department of Neurology at the David Geffen School of Medicine at UCLA. He is certified both by the American Board of Psychiatry and Neurology and the Headache Medicine Specialty Certification.

    You might disagree with him and many others who today feel that vasodilation is not the basic cause of migraine, but we should be carefully before we completely write off research done by respected professionals.

    Certainly there is a lot of controversy still in the field of migraine – and that won’t change any time soon. This discussion is another illustration.

    Reply

  5. DLee
    3 March 2021 @ 5:35 am

    I suppose if you say that “the theory that ALL migraines are caused by vasodilation” has been disproved, that would be correct. Except I know of no one who says that. Everything I read says that migraines ‘can’ be caused by vasodilation and they ‘can’ be caused by vasoconstriction, and some are of unknown cause.

    According to the reliable sources I have read, a clear majority are related to vasodilation.

    So, really, if the theory is that ‘MOST migraines are caused by vasodilation’, well, that theory is not at all affected by this study. This article is 10 years old, but exemplifies a problem that has grown to mammoth proportion since then: headlines that are designed to get viewers to click and read. Recently (December 5, 2020) the AP had a story with the headline “Hartford Courant, oldest US newspaper, to close its offices” – turns out that the newspaper is still operating, they just closed their offices because all of the staff can do their work remotely and they realized that the offices are no longer needed. A provocative headline created from otherwise un-useful news.

    At any rate James, perhaps others, like yourself, did receive an epiphany of sorts from this new research, but many of us did not.

    Reply

Leave a Reply

Your email address will not be published. Required fields are marked *