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Cultural Competence In Patient Care : Challenges And Opportunities

"Cultural Competence in Patient Care: Challenges and Opportunities”

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TREATMENT FOR MIGRAINE : ALL YOU NEED IS A MAT!a

    Adding yoga to your regularly prescribed migraine treatment may be better than medication alone, according to a study published in the medical journal of the American Academy of Neurology. The new research suggests yoga may help people with migraines to have reduced incidence and duration of headache symptoms. Migraine is one of the most common headache disorders, but only about half the people taking medication for it get real relief,” said study author Rohit Bhatia, M.D., of the All India Institute of Medical Sciences in New Delhi, India, and a member of the American Academy of Neurology.

“The good news is that practicing something as simple and accessible as yoga may help much more than medications alone. And all you need is a mat.”

     The study involved 114 people between the ages of 18 and 50 who had episodic migraine. Participants experienced four to 14 headaches per month and were randomly assigned to two groups: medication-only or yoga plus medication. The people in the yoga group were taught a one-hour yoga practice that included breathing and relaxation exercises and postures. Both groups received the appropriate medications and counseling about lifestyle changes that may help with migraine, such as getting adequate sleep, eating regular meals and exercising.. Participants kept a log about how long their headaches lasted, how severe they were and what medications they took.

The study showed people improved in both the medication-only group and the yoga group. However, the benefit was higher in the yoga group in all areas, including headache frequency, pain intensity, use of medications and how much migraine interfered with daily life.

    For headache frequency, the yoga group started with an average of 9.1 headaches per month, and ended the study reporting just 4.7 headaches per month, a 48% reduction. The medication-only group reported an average of 7.7 headaches per month at the start of the study and 6.8 at the end of the three months, a 12% decrease. The average number of pills participants in the yoga group used decreased by 47% after three months. Meanwhile, the average number of pills the medication-only group used decreased by about 12%.

“Our results show that yoga can reduce not just the pain, but also the treatment cost of migraines,” said Dr. Bhatia.

“That can be a real game changer, especially for people who struggle to afford their medication. Medications are usually prescribed first, and some can be expensive.”

One limitation of the study was that people reported information about their headaches themselves, so the results may not be consistent.

REFERENCES

1. American Academy of Neurology. (2020, May 6). For better migraine treatment, try adding some downward dogs. ScienceDaily. Retrieved May 14, 2020 from  https://www.sciencedaily.com/releases/2020/05/200506162154.htm

2. Nall, R. (2017, December 20).Everything You Want to Know About Migraine. Heartline. Retrieved May 14, 2020 from  https://www.healthline.com/health/migraine

IMAGE GLOSSARY

1. https://www.google.com/url?sa=i&url=https%3A%2F%2Fwww.researchgate.net%2Fprofile%2FRohit_Bhatia&psig=AOvVaw230ROkN0JjqM0590DSQixE&ust=1589990336869000&source=images&cd=vfe&ved=0CAIQjRxqFwoTCKCFwL-3wOkCFQAA AAAdAAAAABAD

2. https://www.google.com/url?sa=i&url=https%3A%2F%2Fwww.chatelaine.com%2Fhealth%2Ffitness%2Fyoga-for-headaches%2F&psig=AOvVaw0eMOM5HZB8n-6XA8PmZ7cK&ust=1589989556281000&source=images&cd=vfe&ved=0CAIQjRxqFwoTC KjBwvuiwOkCFQAAAAAdAAAAABAc