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　NO４１　予防施術による群発期回避

• 2019.01.22

４０代　男性　千葉市　担当：院長

２０年前に群発頭痛を発症。発作時はイミグラン皮下注射を使用。発作がすぐ弱まるものの、あまり使いすぎないように気を付けている。プレドニンを使用したことはあるが効果なし。
周期は半年で３～４週間続く。忙しく、ストレスや疲労が溜まると年に３回来てしまうこともある。季節は春秋に多く、冬にずれ込むこともある。１度だけ１年空いたことがあるが、その群発期は非常に強烈で辛かった。
１日の発作回数は２回で、約２時間続く。
若い頃はレベル１０MAXの発作ばかり出ていたが、最近レベル１０の発作はかなり減ってきた。
お仕事が不規則で、時間のリズムが崩れたり、寝不足で疲労が溜まってしまう事が発症のリスクを上げた要因になったと思われる。
普段は肩こりや片頭痛等の症状はほとんどない。台風の時などにプチ群発頭痛が起こることはある。

［経過］
初診は１０月のはじめで、ご本人の感覚としてはあと１カ月くらいで群発期が来そうな状況。
・左ラインに反応あるが、群発頭痛特有の響きは弱い。初回のため、また整体や鍼灸の経験がないため無理はしない。
・９日後に２回目の施術。揉み返しがなく一安心。まだ前兆は起きていない。
・１９日後、３回目の施術。今のところ問題なし。深部のポイントに刺激を入れると群発頭痛特有の響きが強く起こる。少しずつ群発期に近づいているか？
➡この時点で１０月末
・１０日後に４回目の施術。左目の奥に違和感が出現。しかしまだ弱い。１１月中に群発期が来そうなご本人の感覚。
・１４日後に５回目の施術。前回刺激を入れ過ぎたせいで、１週間ほど首がピリピリしていた。左ラインの反応は前回よりも強い。
・７日後に６回目の施術。今のところ発作はなし。左ラインの反応も減少。しかしまだ完全には安心出来ない。
➡この時点で１２月の頭
・２１日後に７回目の施術。発作はなし。今期は回避できた様子。
・１カ月後に８回目の施術。発作はなし。群発頭痛のことを忘れて生活できた。

半年おきに来てしまい、とても辛いタイプの群発頭痛ですが、これからはしっかりと定期的に予防施術することによりうまく群発期を回避出来そうです。
しっかりと予防することにより周期が長くなったり、改善年齢が早まるなどの効果も期待できます。
日常生活に支障をきたすこともなくなり、今後は明るい未来を創造していけそうです。

Male Chiba City in charge of 40s: Director

Cluster headache developed 20 years ago. Immunogram subcutaneous injection was used at the time of attack. Although the seizure is resolved quickly, I am careful not to use too much. I have used predondin but there is no effect.
The cycle lasts 3 to 4 weeks in half a year. I am busy, sometimes come three times a year if stress and fatigue accumulate. Seasons are many in spring and autumn, sometimes slipping in winter. Although I have been free for one year only once, the cluster period was very intense and painful.
The number of attacks per day is 2, lasting about 2 hours.
By the time I was young I had only attacks of level 10 MAX, but recently level 10 attacks have decreased considerably.
It seems that work was irregular, the rhythm of time collapsed, fatigue accumulated due to lack of sleep became a factor which raised the risk of onset.
Usually there are few symptoms such as shoulder stiffness and migraine. Petit cluster headache can happen, for example, during a typhoon.

Treatment course
The first medical examination is at the beginning of October, and as a sense of the person himself / herself, the situation that the clustering season is about to come in about another month.
· There is a response to the left line, but the echo unique to the cluster headache is weak. For the first time, because there is no treatment experience with body preparation or acupuncture and moxibustion, do not push yourself.
· Second operation after 9 days. There is no rubbish return and it is a sense of relief. There is no aura yet.
· After 19 days, the third treatment. No problem so far. When stimulating the point in the deep part, the resonance peculiar to the cluster headache occurs strongly. Are you approaching the cluster little by little?
➡ At the end of October
· Fourth operation after ten days. An unnatural appearance appears in the back of the left eye. But it is still weak. The feeling of the girlfriend who is about to come out in November.
· Fifth operation after 14 days. My neck was stinging for about a week because of my last stimulus. The reaction on the left line is stronger than the previous one.
· Sixth treatment after 7 days. At the moment there is no seizure. The reaction on the left line also decreased. But still I can not rest assured.
➡ Head of December at this point
· Seventh treatment after 21 days. There is no seizure. It seems that we could avoid this term.
· The eighth procedure after a month. There is no seizure. I could live without forgetting about cluster headache.

Although it came every half year and it is a very painful type of cluster headache, from now on it is possible to successfully avoid the cluster phase by regularly preventing preventive treatment.
By preventing it firmly, you can expect effects such as longer cycle and earlier cure age.
It will not hinder our daily lives, and in the future we will be able to create a bright future.