Understanding Pain, Headaches and Migraines

In this presentation, Dr. Richard Amy goes through the research and physiology of Pain, Headaches and Migraines.

  • 100% of Headaches and Migraines have a common Epi-Center, The Trigeminal Cervical Nucleus in the Brainstem
  • The nerves of the head and upper neck become hyper-sensitive
  • 100% of Headaches and Migraines have a Mechanical Pain Component
  • 100% of Migraines have a Mechanical and Chemical Pain Component
  • You must understand your Migraine Triggers (non-constants)
  • You must rehabilitate the constants that effect the Trigeminal Cervical Nucleus, which are the nerves, muscles and joints of the Jaw, Head and Neck

The Difference between and Headaches and Migraines

  • 100% of Headaches and Migraines have a Mechanical Pain Component
  • Mechanical Pain begins when the blood vessels expand and stretch the pain fibers wrapped around the blood vessels
  • As soon as the blood vessels relax the Mechanical Pain and Headache goes away
  • 100% of Migraines have a Chemical Pain Component
  • The release of Serotonin into the blood stream will cause major Chemical Pain (Serotonin is like pouring gas on the pain fire)
  • The body releases Serotonin in order to get the blood vessels to relax, preventing a TIA or STROKE
  • Migraines will continue until all of the chemicals can be neutralized by the body (That is why Migraines can last from hours to days)

How do the Pain Pathways work?

  • The longer you have pain the more efficient the pain pathways become
  • In order to break pain pathways, you must rehabilitate the overactive nerves
  • It takes about 12 weeks to rehabilitate, nerves, muscles and joints
  • Proper movement through the muscles and joints inhibits pain (Gate Theory of Pain, Wall and Melzack 1965)
  • Traumas big and small, new or old, over time decrease the body’s ability to inhibit pain

If I just eliminate Migraine Triggers will the Migraines go away?

  • It is very important to know your Migraine Triggers!
  • Hormonal and Food Triggers should always be addressed
  • Since many Triggers can be avoided, we classify them as Non-Constants
  • Migraine Constants come from the input through the nerves, muscles and joints of the Jaw, Head and Neck
  • Orthopedic-Neurological Examination of the Jaw, Head and Neck is paramount in all Headache and Migraine patients
  • You must Rehabilitate the Constants while you address the Non-Constants

Inter-relaltionship of Jaw, Head and Neck Pain

  • 100% of Headaches and Migraines have a common Epi-Center, The Trigeminal Cervical Nucleus in the Brainstem
  • Jaw, Head, Neck and Shoulder Pain have a common nerve column in the Brainstem
  • Neurologically they are Family, you cannot affect one area without affecting the others areas
  • In order to get profound results in eliminating pain, headaches and migraines you need to treat the whole Family
  • IMSA uses elite sports medicine protocols and therapies to reverse pain

The truth behind the FALLACY that TMD is psychological with Dr. Mark Piper!

Dr. Nick Yiannios asks Dr. Mark Piper if TMD patients are typically psychologically challenged. Dr. Piper is a world renowned TMJ surgeon who has seen over 24,000 TMD patients in his career. Bottom line: they're not nuts. Dr. Piper has found that the medical and dental professions make them lose hope because they typically do not arrive at a proper diagnosis, making them less likely to function effectively in social settings.

Chronic pain for unknown reasons will do that to anyone over time...and this "it's all in your head" is part of the reason that insurance companies and universities typically do not recognize the need for TMJ imaging (MRI's/CT's), TMJ surgeries, etc., forcing the patient to pay on their own, because after all, "It's all in their head, the "research" tells us so. Heads up: the research is flawed!