Working with Headaches, Part III: Techniques for Migraines (Myofascial Techniques)

mufinpèna rk`dje~{kp OU REA A[@DN[

Ej dk Nbynj`kb Mufnpèna Rk`dje~{kp Rk`dje~{kp rnejejl! f{r dnjbp-fj l fna |dkj |frcejl |ed melrnejkp ep f mknxdfre`naau ‑ bk`fmxrkpp” dk ofjkp f dk `rnje{m! |de`d `nj xrfyebk ofd emmkbenk xnej rkaek njb n rkb{`efj ej dknbn `dk rk~{kjù* Emnlk `f{rkpu f 0B@rnjef* [pkb |ed xkrmeppefj*

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mnppnlk ) ofbu|frc

jfykmokr&bk`kmokr ?8>8

\frcejl \frce jl \e \ ed d dk nbn nbn`dkp `dkp!! Xnr Xnr 0 R i Ml Dnjbp-fj |frc `nj dkax melrnejkp* M{aexak p{bekp p{opnjenk p{opnj enk dep!  dep!> np bfkp dk njk`bfna kyebkj`k |k―yk |ejkppkb ej f{r xreynk xrn`e`kp njb ej dk pfrekp |k dknr rfm f{r Nbynj`kb Mufnpèna Rk`dje~{kp pkmejnr xnreèxnjp* Kykj df{ld dk `n{pkp njb mk`dnjepmp f melrnejk njb à{pkr dknbn`dkp dknbn`d kp nrk fjau xnr enaau {jbkrpffb $np bep`{ppkb ej Xnr ? f dep pkrekp! Mnppnlk ) Ofbu|frc ! Pkxkmokr& F`fokr ?8>8! xnlk >84%! |k―yk f{jb |k―rk fkj noak f rkaekyk n`eyk njb n`{k melrnejkp njb! ej mnju `npkp! `nj rkb{`k dker rk~{kjù |dkj `drfje`* Ej Xnr > $ Mnppnlk ) Ofbu|frc ! G{au&N{l{p ?8>8! xnlk >>8% f dep pkrekp! |k affckb n df| kjpefj njb fdkr m{p`{afpckakna dknbn`dkp nrk bekrkj rfm melrnejkp* Ifr mfrk mfrk `fmmfj m{p`{ afpcka afpckakna kna dknbn`d dknbn`dkp! kp! f{r mnej dnjbp-fj lfna ep f rkaknpk nju mufnpèna kjpefj `fjreo{ejl f dk dknb xnej* Rdep ep napf n {pk{a |nu f pnr |dkj |frcejl |ed melrnejkp! kpxkènaau pej`k mnju melrnejkp nrk `fmejlakb |ed mufnpèna rkpre`efjp $njb `nj kykj ok rellkrkb ou n kjpefj dknbn`dk%* dknbn`d k%* Ej dk `npk f melrnejkp! dkrk ep nj nbbeefjna pkx |k `nj  nck* Fj`k npèna rkpre`efjp dnyk okkj

Xnank k`dje~{k* Ikka drf{ld dk mnteaan rfm ofd ejpebk njb f{pebk dk mf{d*

rkaknpkb! f{r xremnru dnjbp-fj lfna fr |frcejl |ed ynp`{anr dknbn`d dknbn`dkp kp ok`fmkp rkb{èjl `rnjena `fmxrkppe `fmxrkppefj* fj* Rdep kmxere`na nxxrfn`d frelejnkp ej mu xkrpfjna ktxkrekj`k np nj f``npefjna melrne jk p{krkr* B{rejl fjk f mu f|j melrnejkp! mu àknr pkjpk |np dn rkaek rfm dk `r{pdejl xnej anu jf ej |frcejl fj dk f{pebk f mu dknb! o{ ou lkejl ejpebk mu `rnje{m epka njb fxkjejl e f{|nrb rfm |edej* E `nj― pnu e ‑rkb{èjl `rnjena `fmxrkppefj” ep pfakau n p{ogk`eyk mknxdfr! fr e dk k`dje~{kp bkp`reokb dkrk dkrk n`{naau bemej epd `rnjena `fmxrkppefj ej nj fogk`eykau ykreinoak |nu* Df|kykr! ej ofd mu xkrpfjna njb àeje`na ktxkrekj`k! dkpk mkdfbp rkaenoau njb pfmkemkp ~{ek

brnmne`naau rkaekyk mnju melrnejkp e xkrfrmkb b{rejl nj kxepfbk* Xrkykjefj ep dnrbkr f ~{njeu! o{ mnju àekjp $df{ld jf naa% dnyk rkxfrkb rkb{`kb dknbn`dk rk~{kjù njb pkykreu |dkj rkl{anrau xkrfrmejl dkpk k`dje~{kp fj  dkmpkaykp*

XnanRk Rk`dje~{k E f{r nem |dkj |frcejl |ed melrnejkp ep f bk`fmxrkpp dk `rnje{m rfm dk ejpebk f{! |dn okkr xan`k f lk ejpebk dk dknb dnj dk xnank6 Jf

`fjjk` |ed uf{r `faaknl{kp fj mnppnlkxrfikppefjnap*`fm

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Gfej Rea a{`d n{ njb Rdk nbynj`k-Rrnejejlp*`fm in`{aRu! in`{aRu! |eRd pxkèna l{kp R nrR rellp! ej `fpRn re`n! ikor{nru ?9‐mnr`d ;! ?8>>! ifr nj nbynj`kb mufinpèna mufinpèna rk RrknR RrknR** `naa 4<<-255-44>> fr yepeR || |*nbynj`kb|*nbynj`kb-Rrneje Rrneje jlp*`fm ifr mfrk ejifrmnRefj*

Ej dk kmoruf! bkykafxmkj f dk mnteaan nj b xnanejk ofjkp àfpkp dk xank* N àk xnank rkp{ap |dkj dep àfp{rk ep ej`fmxakk* Emnlk rfm Lrnu―p Njnfmu f dk D{mnj Ofbu! >5>4 >5>4**

fjau ep dk  dk dnrb xnank dk ‑ckupfjk” f dk `rnje{m―p ejkraf`cejl ejkraf`cejl ofju pr{`{rk! pr{`{ rk! `fmxrkppefj `fmxrkppefj f dk xnank ou orn`kp fr frdfbfje`p pkkmp f dnyk n aknp nj njk`bfna rkanefjpdex |ed melrnejkp njb n jb `fmejlakb dknbn`dkp*? \dkj |frcejl dk xnank! naa `{pfmnru `fjpebkrn `fjpebkrnefjp efjp nof{ ejrnfrna |frc nxxau! f `f{rpk* Ok p{rk f ktxanej dk x{rxfpk fr |frcejl ejpebk dk mf{d f uf{r àekj njb lk ktxaeè xkrmeppefj okfrk uf{ bf pf* Xrn`e`k pnjenru xrf`kb{rkp |ed lafyk bepxfpna njb dnjb |npdejl! npc nof{ ankt ankt pkjpeeyeu! njb ok nme aenr |ed nju af`na fr pnk p`fxk-f-xrn`e`k pex{anefjp $pfmk pnkp rk~{erk pxkèi` rnejejl fr kjbfrpkmkj kjbfrpkmkj f ok ~{naeikb f |frc |edej dk mf{d! njb n pmnaa mejfreu xrfdeoe e f{reld%* Rf |frc dk xnank! {pk uf{r lafykb ejbkt ijlkr ejpebk dk mf{d! flkdkr |ed dk d{mo f dk f dkr dnjb f{pebk! kkaejl dk mnteaan njb xnank ok|kkj uf{r |f dnjbp $Emnlkp > njb ?%* [pk irm! pne` xrkpp{rk f kka dk pdnxk njb mfoeaeu fr iteu f dk ofjkp dn mnck {x dk xnank* Bfj― paebk nrf{jb |ed uf{r ejjkr ijlkr3 ejpknb! xrkpp! kka fr n rkpxfjpk! |ne! njb dkj rkaknpk njb mfyk f dk jkt pxf*

@fjykrpkau! n xrfjf{j`kb xnanejk rnxdk $nj njkrefr&xfpkrefr reblk nafjl dk xnank―p ejkrmnteaanru njb ejkrxnanejk mebaejk p{{rkp% mnu ok n rkp{a f `rnjena `rf|bejl fr jnrrf|ejl f dk xnank* Emnlk `f{rkpu f Xremna Xe` {rkp* [pkb |ed xkrmeppefj*

Ikka fr {j{p{na ofju rkpea ekj`k $pf fr dnrb nrknp! jf f ok mepn ckj fr dk jfb{akp f dk pmnaa lanjbp fj dk xfpkrefr xnank%* @dk`c ej |ed uf{r àekj $ykronaau njb jfjykronaau% fr kkbon`c nof{ nju xan`kp dn `dnjlk dk ~{naeu f dk dknb xnej* E uf{r àekj ep dnyejl n dknbn`dk! dkrk |eaa {p{naau ok n rknp |dkrk xrkpp{rk |eaa rkaekyk fr `dnjlk dk xnej* \ne ej dkpk xan`kp |ed pknbu xrkpp{rk! kj`f{rnlejl uf{r à ekj f rkant! orkndk! njb rkaknpk* Nadf{ld e `nj nck pkykrna mej{kp ej kn`d pxf! uf{ `nj fkj bemejepd dk dknbn`dk―p ejkjpeu njb pfmkemkp rkaekyk e `fmxakkau ou okejl xnekj njb mkdfbe`na dkrk‒xnejpnc dkrk‒xnejpnc ejl meld ok dk reld |frb* \k nrkj― ruejl f rkaknpk dk pf epp{k fr mufnpèn fj dk xnank3 |k―rk |neejl fr n `dnjlk ej ofju mfoeaeu** Nadf{ld p{oak!  dep njleoak mfoeaeu uekabejl f ofju rkpeaekj`k ejbe`nkp p{{rk rkaknpk njb nj ej`rknpk f fppkf{p nbnxnoeaeu* nbnxnoeaeu* N adf{ld uf{r f{`d ep rk`kxeyk! dep epj― epj― dk aeld f{`d f `rnjefpn`rna |frc* N adf{ld pceaakb `rnjefpn`rna |frc `nj ok ktrnfrbejnreau dkax{a fr melrnejkp! ej dep k`dj e~{k |k {pk irm! njleoak

xrkpp{rk njb |ne fr n pmnaa! uk xkr`kxeoak! uekabejl* Rdk xnèjl f uf{r xrkpp{rk ep paf| njb pknbu* Emnlejk x{pdejl n ofn n|nu rfm n bf`c7 n irp! dkrk ep jf mfykmkj! o{ np uf{ aknj njb |ne!  dk ofn uekabp njb oklejp f bre* N dk repc f metejl mknxdfrp! njfdkr |nu f bkp`reok |dn |k―rk kkaejl fr meld ok dk n`eak ‑leyk” f n jknrau rexk nyf`nbf* N xrfjf{j`kb xnanejk rnxdk $nj njkrefr&xfpkrefr reblk nafjl dk xnank―pp mebaejk p{{rkp! E mnlk 2% xnank― `nj pfmkemkp ok n rkp{a f `rnjena `rf|bejl fr jnrrf|ejl f dk xnank* [pejl lkjak o{ irm f{|nrb xrkpp{rk! kj`f{rnlk |ebkjejl njb ankrna rkaknpk f dk rff f dk mf{d* N àk xnaxnk `f{ab ok df{ld f np dk fxxfpek‒n xnank |ed ff m{`d bk`fmxrkppefj* bk`fmxrkppefj* Ej kna bkykafxmkj $Emnlk 0%! dk ofjkp f n àk xnank jkykr mk njb àfpkb nafjl dk `kjkr `kjkraejk* aejk* N jk`bfnaau jk`bfnaau!! pfmk xkfxak |dfpk àk xnankp dnyk okkj rkxnerkb p{rle`naau rkxfr nj ej`rknpk ej melrnejkp! na mfp np e dk àfpejl f dk xnank |np n``fmxaepdkb ff eldau* \du bfkp mfoeaewejl dk ofjkp f dk xnank pf fkj rkb{`k melrnejk xnej6 Xkrdnxp e ep drf{ld nj kk`


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mufinpèna rk`dje~{kp

fj dk relkmejna jkryk! |de`d ornj`dkp ejf dk l rknk rknkrr xnanejk njb jnpfxnanejk jkrykp nofyk njb okaf| dk xnank $Emnlk ;%* Fr xkrdnxp dk berk` xrkpp{rk ep rnjpmekb d rf{ld dk ykre`na yfmkr ejf dk pxdkjfeb ofjk njb dk `rnjena onpk! |dkrk dk xe{enru njb duxfdnanm{p pe $ofd f |de`d mnu xanu n rfak ej dk jk{rf-kak`re`na ‑ornejpfrm” f n melrnejk%* Pej`k m{`d f dk ykjf{p brnejnlk f dk `rnjena yn{a f``{rp drf{ld frnmejn ej  dep nrkn! |k mnu dkax bk`rknpk ejrn`rnjena xrkpp{rk ou fxkjejl dk ynp`{anr ‑brnejp” f dk yn{a* \dnkykr dk rknpfj e |frcp! E nm `fjibkj dn uf{ njb uf{r melrnejk àekjp |eaa `fmk f yna{k dep k`dje~{k* Ejpr{` uf{r àekjp fj df| f xkrfrm e fj dkmpkaykp n dk irp pelj f melrnejk*

ktRkrjna n`f{ n`f{pRe` pRe` MknR{p Rk`dje~{k Pej`k f{r ejkjefj |ed melrnejkp ep f bk`fmxrkpp dk rkanefjpdex ok|kkj dk `rnjena ofjkp! dk knrp nrk `fjykjekj dnjbakp fr nxxauejl rn`efj `fjykjekj berk`au f dk kmxfrna ofjkp* Rdk ktkrjna xnr f dk knr $fr n{reàk% dnp irm npèna nn`dmkjp f dk p{rn`k f dk kmxfrna ofjk! njb dk knr `njna $fr n`f{pe` mkn{p% xnppkp bkkx ejf dk kmxfrna―p kmxfrna―p xkrf{p xfr efj $Emnlk 9%* Rdk mkbena kjb f dep xkrf{p xnr `rnbakp dk relkmejna jkryk |dkrk e kmkrlkp rfm dk ornejpkm $dk relkmejna jkryk ep aeckau ejyfaykb ej ofd melrn ejkp njb à{pkr dknbn`dkp%* dknbn`dkp%* Naeljkb |ed dk mkn{p njb nbgn`kj f e |edej dk xkrf{p xfrefj f dk kmxfrna ofjk nrk dk `nrfeb `njna njb dk ejkrjna `nrfeb nrkru* Rdkpk p{xxau oaffb f dk `krkorna dkmepxdkrkp! kukp! njb frkdkn frkdknb‒nrknp b‒nrknp |dkrk melrnejk{rp njb à{pkr dknbn`dk dknbn`dk p{krkrp nrk fkj mfp nk`kb* Dfabejl ofd knrp― `fj`dnk $dk ejjkr `nreanlejf{p of|a nrf{jb dk fxkjejl f dk knr% np ej Emnlk
F{r mknxdfre`na lfna f bk`fmxrkppejl dk `rnjena ofjkp mnu leyk rkaek f melrnejkp ou rkaekyejl xrkpp{rk fj dk relkmejna jkryk! pdf|j dkrk |ed dk ornejp km* Fjk f dk relkmejna―p ornj`dkp! dk lrknkr xnanej k jkryk $lrkkj%! mnu ok dk rknpfj dn |frc fj dk dnrb xnank `nj fkj rkaekyk melrnejk xnej* Emnlk `f{rkpu f Xremna Xe`{rkp* [pkb |ed xkrmeppefj*

uf{r àekj nof{ df| m{`d rn`efj ep `fmfrnoak3 x{aa pknbeau! njb |ne fr n aknp n k| orkndp* Rru rn`efj ej paeldau bekrkj berk`efjp njb pnu ej àfpk ykrona `fmm{je`nefj nof{ |de`d ynrenefjp mfp nk` dk dknbn`dk―p dknbn`dk―p xnej* Pfmkemkp dk pmnaakp nbg{pmkjp f njlak! lrex! njb x{aa mnck n anrlk bekrkj`k f uf{r àekj―p ktxkrekj`k* Fj`k uf{―yk f{jb nj njlak dn kkap rkakynj f uf{r àekj! pemxau dfab dk rn`efj! emnlejejl fr kkaejl df| dk knr `njnap meld n`{naau `fjjk` |ed fjk njfdkr n n xan`k n aeak njkrefr f dk `kjkr f dk dknb $|de`d ej fjk pkjpk! dku bf!

yen dker `fjjk`eyk epp{k aejcnlkp f dk ejkrjna n`f{pe` mkn{p njb kjfre{m%* _kxkn dep pemxak o{ xrff{jb rkaknpk ej n paeldau bekrkj berk`efj* N akrjneyk akrjneykau! au! uf{ `nj lrnpx dk rnl{p $dk pmnaa ktkrjna xrfgk`efj njkrefr f dk fxkjejl f dk knr `njna% fr dk knrafokp f kka ejf bekrkj xnrp f dk knr `njna* Np |ed xnank |frc! ok xnekj njb dfrf{ld! pnuejl ej `fjpnj ykrona `fmm{je`nefj |ed uf{r àekj f lk dk njlak njb nmf{j f rn`efj g{p reld* Irkkejl dk kmxfrna ofjkp ej dep |nu `nj rkaekyk ofd melrnejkp njb m{p`{afpckak m{p`{ afpckakna na dknbn`d dknbn`dkp* kp* M{p`{afpckakna dknbn`dkp


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Bf LffB \frc E ep na|nup n lffb ebkn f dnyk uf{r àekj `dk`c |ed dep fr dkr xdupeènj |dkj dkrk nrk rk`{rrejl! pkykrk! fr xkrpepkj dknbn`dkp! kykj e uf{ nrk noak f rkaekyk dk xnej |ed dk mkdfbp bkp`reokb dkrk* Ej namfp naa `npkp! dknbn`dkp nrk {j`fmfrnoak o{ okjelj3 df|kykr! df|kykr! dku `nj ok n pelj f fdkr xrfoakmp njb n mkbe`na bf`fr pdf{ab r{ak dkpk f{! g{p f ok pnk* Nadf{ld dnjbp-fj |frc `nj xrfyebk |ka`fmk rkaek fr melrnejk njb à{pkr dknbn`dk p{krkrp! e ep |epk f ok fxemepe`naau onanj`kb ej

\ed dk Ktkrjna N`f{pe` Mkn{p Rk`dje~{k! {pk rm o{ lkjak xfpkrfankrna rn`efj |ed dk ktkrjna knr f kka bkkx ejf dk npèna njb fppkf{p `fjjk`efjp |edej dk `rnje{m* N`eyk mfykmkj f dk kukp njb gn| `nj n{lmkj n jb orfnbkj dk rkaknpk* Emnlk `f{rkpu f Xremna Xe`{rkp* [pkb |ed xkrmeppefj*

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xanu nj ktrkmkau {pk{a rfak ej mnjnlejl dk xnej f melrnejkp njb ej xrkykjejl xrkykj ejl dk  dk prkpp njb mufnpèna prnej dn `nj rellkr dkm* Rea A{`dn{ ep n mkmokr f dk Nbynj`kbRrnejejlp*`fm n`{au! |de`d fkr bepnj`k aknrjejl njb ej-xkrpfj pkmejnrp drf{ldf{ dk [jekb Pnkp njb norfnb* Dk ep napf n @kreikb Nbynj`kb _fakr njb kn`dkp fr dk _fa Ejpe{k* @fjn` dem yen ejfH nbynj`kb-rnejejlp*`fm nbynj`kb-rnejejlp*` fm njb Nbynj`kbRrnejejlp*`fm―p In`koffc xnlk* jfRkp >* R|f p{bekp dn pdf| okjkièna kk`p f dnjbp- fj |frc |ed melrnejk p{krkrp nrk7 Mnren Dkrjnjbkw-_ke k na*! ‑Melrnejk Dknbn`dkp nrk _kb{`kb ou Mnppnlk Rdkrnxu!” Ejkrjnefjna Rdkrnxu!” Ejkrjnefjna Gf{rjna f Jk{rfpèkj`k $F`fokr >554% 597 >‐>>3 njb Pdkakeld X* An|akr njb Aejbn B* @nmkrfj! ‑N _njbfmewkb! @fjrfaakb Rrena f Mnppnlk Rdkrnxu np n Rrknmkj fr Melrnejk!” Njjnap f Okdnyefrna Mkbeèjk 0? $?889%7 ;8‐5* ?* Cerpkj Dnjjnj! ‑Frdfbfje` Orn`kp njb Melrnejk Dknbn`dk7 Xrkynakj`k f Melrnejk Dknbn`dk ej Ikmnakp Nlkb >?‐>4 Uknrp \ed njb \edf{ Frdfbfje` Orn`kp!” Ejkrjnefjna Orn`kp!” Ejkrjnefjna Gf{rjna f Fpkfxnde` Mkbeèjk 4! jf* 2 $Bk`kmokr ?88;%7 >29‐>;>*


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