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Trying New Treatments: A Long, Long List

Physical therapy, craniosacral therapy, cognitive behavioral therapy, biofeedback, hypnotherapy, tai chi, pilates, meditation, chiropractic. While my migraines were too bad to keep appointments this fall, I kept a running list of the new treatments and therapies I’d like to try.

I have fantasies of doing nothing else than jumping in and trying all these therapies at once. They’d have to add up to more than 40 hours a week. Reality quickly usurps the fantasy: No blog, no decent meals, no organizing and downsizing. You know, all the other activities of my life.

Prioritizing treatments is more challenging than it seems.

  • My massage therapist’s physical therapist has aborted her migraines and his techniques are different than I’ve had in the past. No question I’m seeing him as soon as possible..
  • I tried a bit of craniosacral last year and the results were promising, so that’s in.
  • Cognitive behavioral therapy, biofeedback and hypnotherapy have common threads. With my depression, cognitive behavioral therapy is the natural starting point. I expect that biofeedback and hypnotherapy will flow from that.
  • Tai chi, pilates and meditation also have similarities. I want to exercise more and learn to be mentally quiet. Pilates is more about relieving pain in my lower back, but tai chi is the perfect fit.
  • Chiropractic is last on my list. Last year’s attempt was a
    bust
    , but I’m planning to see a different chiropractor, whose approach
    is quite different than the one I saw last spring. Still, having not
    been effective in the past, I’m in no rush to try it.

Choosing one from each group leaves me with physical therapy, craniosacral, cognitive behavioral therapy and tai chi. Is that still too much? Combined with myofascial release and a yoga home practice, which are having good results, I’m afraid I’m overdoing it.

In fact, I know I am. This “narrowed” list would require appointments four days a week plus three tai chi classes. Ha! Like that’s possible. But they all seem absolutely necessary.

I’m stuck. What do you recommend?

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Psychological Treatments for Pain

Even though your headaches aren’t “all in your head,” your mind can be a powerful tool for easing them. A study shows that biofeedback or cognitive-behavioral therapy can reduce back pain by about 30%. I assume that headache sufferers could have similar results.

Biofeedback has long been recommended to treat migraine and tension-type headaches, but studies show that it is not helpful for cluster headaches. This article from the Robbins Headache Clinic‘s website is a little technical, but is the best explanation I’ve found on why and how biofeedback treats headaches.

Cognitive-behavioral therapy provided greater relief to participants in the back pain study than did biofeedback. According to the article, this approach “teaches patients to divert their attention from pain and to think about it in a less alarming manner.” Since cognitive-behavioral therapy works to change overall thinking patterns, I wonder if it, unlike biofeedback, could be helpful for cluster headache sufferers.

I know I shouldn’t, but I still balk at such treatments (like with hypnosis). As if my headaches would be proven to be psychological if I were able to use my mind to relieve them. Yet I’ve been doing relaxation exercises during migraines for years. Like it or not, my mind has been involved the whole time.

Do you do biofeedback or other relaxation techniques? What does or doesn’t work for you?