秋葉原・南浦和院の群発頭痛、片頭痛、緊張型頭痛、腰痛、肩こりなら悠鍼灸院・整骨院・整体院　院長ブログページ

群発頭痛症例　NO３１　予防で来院された症例

• 2018.07.04

４０代　男性　東京都世田谷区

・１０年程前に群発頭痛を発症。発作が同群発期に左右ランダムで起こる。群発頭痛発作は２、３日に１回とかなり少ないが群発期は２～３カ月と長い。また発作が起きた時の痛みレベルも毎回強く辛い。毎年春になると群発期に入り、目の奥がモヤモヤし始めたため来院。また２年前に腰も痛めておりそちらの改善もご希望でした。

腰痛の症状

２年前に子供を抱き、振り回して遊んであげていたところ、左腰にズキッと痛みが走り負傷。しばらくの間は激痛で動けなかった。ある程度回復した後もずっと痛みが残り今に至る。右回旋、側屈痛、つまり伸ばすと痛む。走ると痛みが出るので、走れない。寝起きも痛みが増す。

［経過］

・右の群発頭痛ラインに反応あるが弱い。ずっと腰痛をかばって生活していたため、かなり筋バランスが崩れている。整体と骨盤矯正で全身調整を行い、腰の深部に筋損傷した痕が残っていたためしっかりとアプローチ。

・３日後に２回目の施術。まだ頭痛起きていないが、すこしモヤモヤが強くなり怪しい状態に。右の群発頭痛ラインの反応も顕著に。腰痛は翌日に痛みが強く出たがその後からかなり調子が良くなってきた。まだまだバランス悪いため、整体と骨盤矯正をしっかりと行う。

・１週間後に３回目の施術。左群発頭痛ラインにも反応あり。しかし頭痛は出ない。腰大分良い。引き続き整体と骨盤矯正で施術。

・１週間後に４回目の施術。頭痛出ないが、まだ右群発頭痛ラインに反応強い。左は弱くなった。腰は順調。引き続き整体と骨盤矯正。

・１週間後に５回目の施術。群発頭痛発作なし。しかし反応は強いまま。腰痛大分良いが少し停滞したため患部へしっかり刺激を入れる。

・１週間後に６回目の施術。いまだに反応強いが、発作が全く出ていないため様子見とする。腰痛も前回施術後から３日程痛みが出たがその後からもう一段階良くなった。日常生活で痛むことがなくなったため様子をみる。

毎年同じ時期に群発期が来る方で反応もしっかり出ていたので、確実に群発期に入っていたと思います。やはり予防的に施術を初めておくと、群発期に入ってから施術するよりも回避率が高いように感じます。予防施術は症状が出ていない時期に施術を行いますので、少し通院回数が多くなってしまうデメリットがあります。また群発頭痛の方は群発期以外の時期は群発頭痛のことをすっかり忘れてしまう方が多いので、なかなか予防で来院される方がいないのが現状です。しかしあの凄まじい痛みに苦しむことなく過ごせることを考えれば、予防施術の方が魅力的に感じます。

埼玉県さいたま市南浦和　悠鍼灸院・整骨院・整体院

Male in the 40’s Setagaya-ku, Tokyo

· Cluster headache developed about 10 years ago. Seizures occur right and left randomly in the same group. Cluster headache attacks are quite small, once every 2 or 3 days, but the cluster phase is as long as 2 to 3 months. The pain level at the time when the seizure has occurred is hard and hard every time. Every spring, it comes to the cluster phase, and the back of my eyes has begun to come to the hospital for visiting. I also hurt my lower back two years ago and I was hoping for treatment there as well.

Symptoms of low back pain

I embraced the child two years ago, I was swinging around and playing, I was scratching the pain in the left hip and injured. I could not move with a severe pain for a while. Even after recovering to a certain extent, the pain has remained until now. Right rotation, side buckling pain, that is pain when stretching. Running makes pain, so I can not run. Waking up also increases pain.

Treatment course

· Response to the right cluster headache line but weak. I have been living with back pain for a long time, so the muscle balance has collapsed considerably. I adjusted the whole body with alignment and pelvic correction, firmly approaching because there were marks damaged by muscles in the deep part of my back.

· 2 nd treatment after 3 days. I have not got a headache yet, but a little suspicious Moyamoya got doubtful. Response of the right cluster headache line also remarkable. Back pain occurred strongly the following day but it became considerably well after that. Because the balance is still bad, we perform body care and pelvic correction firmly.

· Third treatment after one week. There is a reaction also in the left cluster headache line. But I have no headache. The waist is good enough. Continued treatment with body alignment and pelvic correction.

· Fourth treatment after one week. I have no headaches, but I still have a strong response to the right cluster headache line. The left became weaker. The waist is doing fine. Continued alignment and pelvic correction.

· 5th treatment after 1 week. Cluster headache no seizure. But the reaction remains strong. Lumbar pain Oita Good, but I got a little stagnant and I firmly stimulate the affected area.

· The sixth treatment in a week. Still strongly reactive, but because no seizure has appeared at all. Lumbar pain was also painful for about 3 days after the last treatment but it got better by one more step after that. I will see how it hurts in my daily life.

Since the reaction also steadily came out in the same period every year at the same time period, I think that it surely entered the cluster phase. After all, if you start treatment prophylactically, I feel that the avoidance rate is higher than treatment from entering the cluster phase. Since preventive treatment treats at a time when symptoms are not appearing, there is a disadvantage that the number of hospital visits increases a little. In addition, patients with cluster headache patients are often forgotten about the cluster headache all the time except for the cluster period, so it is currently the case that there is not a person who is easily visited by prevention. However, considering that you can spend without suffering from that terrible pain, I feel that prevention treatment is attractive.