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Migräne

Individualized help for migraines

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Young woman with headscarf holding her temples, grimace indicating migraine pain.

Modern individualized approach to the treatment of migraines

Migraine affects millions of people worldwide and can significantly impair their quality of life.

Migraine encompasses a variety of symptoms such as severe headaches, nausea, and light sensitivity. Since conventional treatments are not effective for all patients, interest in complementary approaches is growing.

Modern therapy concepts focus on a holistic approach to alleviating the symptoms. The goal is to identify individual triggers and counteract them with targeted medical support and lifestyle measures.

Smiling woman with dreadlocks and sunglasses holds a dried cannabis flower towards the camera.
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Overview of headache types
Many people experience different types of headaches in their lives. The two most common forms are tension-type headaches and migraines. Both have unique characteristics and affect daily life in different ways.
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Tension-type headaches
Tension-type headaches are widespread and manifest as dull-pressing, pulling pains that often occur on both sides. They are generally less intense, but can often be relieved by spending time in the fresh air. Physical activity usually does not worsen the pain, allowing sufferers to continue their daily routine normally.
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Migraine
Migraine, on the other hand, is more intense and can significantly impair daily life. Migraine is characterized by throbbing, pulsating pain that often occurs unilaterally. Typical symptoms include:
  • Nausea
  • Throbbing or pulsating pain
  • Increased sensitivity to light, sounds, and smells

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Individuelle Ansätze bei Migräne

Stethoskop
Pain relief

Individual treatment approaches can contribute to relieving the intense headaches associated with migraine attacks. In consultation with a doctor, suitable methods can be found to reduce the intensity of the pain and possibly shorten the duration of the attacks.

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The study evaluated the influence of different cannabis varieties on pain sensations by recording the participants' pain intensity both before and after ingestion. For this purpose, the researchers used a scale from 0 to 10, on which the participants rated their pain.

Procedure:

  1. Pain rating before the session: At the beginning, participants indicated how severe their pain currently was.
  2. Pain rating after ingestion: After using cannabis, they rated their pain intensity again on the same scale.
  3. Time window: The effect on pain was observed and documented in a period of up to 2 hours after ingestion.

Objective of the study:

The main objective was to determine how effective different cannabis varieties are in pain reduction and whether there are differences in their efficacy.

Through this methodology, the study enabled an accurate observation of the short-term effects of cannabis on pain sensations.

The study by Stith and colleagues from 2020 investigated the connection between cannabis and headaches, especially migraines. The focus was on the effect of medical cannabis and the differences between various cannabis varieties.

For data collection, the researchers used an app that people use to document their medical cannabis use. The subjects entered various information into the app, including:

  • Product characteristics: This included the origin, potency, and strain of the cannabis.
  • Reason for use: Why they consumed cannabis, for example, to relieve headaches or migraines.
  • Consumption details: This included the amount of cannabis consumed and the method of administration.
  • Symptoms: Users selected from a list of 50 symptoms those from which they suffered.
  • Symptom relief: They documented the extent to which their symptoms changed due to consumption.
  • Feelings and side effects: Information on how they felt during and after consumption and whether side effects occurred.

The study analyzed data from a total of 699 individuals who documented their experiences in the app. Among these, 493 people suffered from tension-type headaches and 280 from migraines. The entries were recorded separately for each consumption session to document both the quantity consumed and the direct effects of the use. Particular attention was paid to the phenotype of the cannabis (C. Sativa, C. Indica, Hybrid), the form of administration, as well as the reported pain and side effects.

Through these detailed data entries, the study was able to provide valuable insights into the effect of medical cannabis on headaches and migraines.

Which forms of medical cannabis consumption were preferred in the study?

The investigation found that the majority of participants consumed medical cannabis primarily by pipe or vaporizer. Smoking joints was less common and was only used by a small group of patients.

Primary forms of consumption in the study:

  • Pipes: Many preferred this traditional method.
  • Vaporizers: Also frequently used, as they represent a gentle form of consumption.

Secondary forms of consumption:

  • Joints: Only a minority opted for this classic way of cannabis intake.

The study examined three main types of cannabis: Cannabis Sativa, Cannabis Indica, and Hybrid cannabis.

Cannabis Sativa

  • Characteristics: High content of Delta-9-Tetrahydrocannabinol (THC), low Cannabidiol (CBD) content.
  • Effect: Sativa is described as stimulating and activating. Consumers report increased motivation and activation. Additionally, it helps reduce nausea and promote appetite.

Hybrid Cannabis

  • Characteristics: Combination of the characteristics of Cannabis Sativa and Cannabis Indica.
  • Effect: Offers a balanced effect that combines the benefits of both strains. This can vary depending on the specific hybrid strain, sometimes focusing on an uplifting effect, sometimes on relaxation.

The participants were categorized based on their self-reported symptoms and the different phenotypes. Furthermore, the pain before and after a cannabis session was recorded on a scale of 0 to 10 to measure the effectiveness of the different strains.

The principal authors of the study are S. S. Stith, J. P. Diviant, F. Brockelman, K. Keeling, B. Hall, S. Lucern, and J. M. Vigil. The research findings come from an article in the Journal of Integrative Medicine and illuminate the palliative effects of cannabis flower for migraine and headaches. The article was published in Volume 18, Issue 5, in the year 2020, spanning pages 416 to 424.

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