Do you ever wonder what the root cause of your headaches is? Probably not in the middle of having one! Realistically, you just want it gone. The functional medicine approach does not stop at the symptoms. It is a whole-body approach that asks what the root cause of those symptoms is. It’s at the moment you realize that your headaches don’t start in your head, that you are on your way to healing.

 

4 Types of Headaches

There are 4 different types of headaches, each with their own distinct symptoms but all are debilitating, no matter the form. Distinguishing the symptoms will help you categorize the type. These types are migraines, tension headaches, cluster headaches, and secondary headaches. Let’s explore the symptoms of each.

 

Migraine Headaches

The most severe and longest-lasting of all types of headaches are migraines. Migraines often times are preceded by an aura, flashes of light or blind spots. Sufferers may have difficulty speaking and experience tingling on one side of the face, an arm, or a leg. The throbbing or pulsing pain lasts from hours to days and is normally felt on one side of the head. Other symptoms of migraines can include light and noise sensitivity, nausea, and vomiting.

 

Tension Headaches

The most common headache is called a tension headache, or stress headache, It feels much like squeezing or “vice” like feeling around the head, temples, and upper neck. This type of headache is continuous and lasts anywhere from a half-hour to a week and symptoms can include trouble sleeping and difficulty concentrating.

 

Cluster Headaches

Cluster headaches, lasting 15 minutes to 3 hours occur in cluster periods, over a longer period of time. These are considered the most painful or excruciating types of headaches developing on one side of the head, in or around one eye and one side of the face. The severe, burning pain strikes at night.

 

Secondary Headaches

Secondary headaches are those that are caused by other conditions. These conditions can include sinus issues; high blood pressure, overexertion, medication side effect, withdrawal, or hormone imbalances, just to name a few. 

 

The Functional Medicine Treatment of Headaches

Functional Medicine treats all types of headaches with success by looking deeper at the causes. We have remarkable success in treating headaches because we look deeper at the causes and treat accordingly. Often, more than one underlying cause contributes to each headache. Conventional medicine treats headaches and migraines with over the counter and prescription pain medications.

 

Noting the History of Your Headaches

Linden & Arc Vitality Institute doctors and practitioners will take thorough notes on the history of your headaches, along with an in-depth look at your full health story.  We examine the location, type of pain, measured intensity, duration, and any other symptoms associated to determine the potential causes of the type of headache you are suffering from. We use the LMMD 7 Core Nodes of Healing approach to assessing your individual root causes and dig deeper. Let’s apply Linden & Arc Vitality Institute 7 Core Nodes of Healing to your headache relief.

 

7 Core Nodes of Healing For Headache Relief

 

The Gut

One of the 7 Core Nodes of Healing is the gut. Managing the gut and food reactions in terms of managing headaches could be the answer to headache relief. Food sensitivities and allergies are some of the most common reasons for headaches that we see in the clinic. You may not have symptoms immediately with a delayed IgG food sensitivity, the inflammation that grumbles from repeated exposure to a triggering food can result in daily headaches for some. 

 

Histamine and Tyramine food reactions are common triggers of headaches and migraines. As well, dysbiosis, an imbalance in good and bad bacteria, can trigger headaches. An example of dysbiosis is high opportunistic candida overgrowth in the gut. 

 

Hormones 

High levels of cortisol, one of our main stress hormones, can lead to headaches. Therefore, take note of the timing of the headaches during your menstrual cycle. Typically, migraines are caused by an imbalance in Estrogen and Progesterone in women. This is why we typically see a surge in headache symptoms the week leading up to the period. Functional Medicine physicians call this Estrogen Dominance. High levels of Xenoestrogens in our environment and inflammation both cause headaches as well. We can manage migraines/ headaches in a cyclical fashion, using supplements or hormones at different stages of the menstrual cycle.

 

Energy

Mitochondria, the little ‘powerhouses’ or ‘factories’ in the cells, make our body’s energy (or ATP). They do this using nutrient substrates and oxygen. These mitochondria can function sluggishly from nutrient deficiencies, inflammation, chronic infection, and toxicity. This leads to a cascade of events that causes “energy failure” in the nerve tissue. This energy failure can activate headaches.We are able to test the Krebs cycle to assess for mitochondrial dysfunction and can test the individual nutrients that we know fuel the mitochondria.  Riboflavin (B2), coenzyme Q10, magnesium, niacin (B3), carnitine, alpha-lipoic acid supplements are very effective in giving the mitochondria the boost that they need. Intravenous nutrients can start functioning much quicker in someone with an unhealthy gut

 

Detoxification

The body needs regular detoxification to remove the many external toxins that we are faced with on a day to day basis. These exposures come from many different sources. These sources can be anything from pesticides on our food to the air we breathe, the water we drink, chemicals in our cosmetics, and cleaning products. We are exposed to other endocrine disrupters in places like receipts or plastic bottles. Detoxification system overwhelm and poor detoxifying genes allow our bodies to accumulate toxins much easier. These are well established in the literature to cause many health conditions. This “backlog” of toxins in the body can cause many different symptoms, one of which is headaches. Fortunately, we are able to test for all of the different chemicals and metals that we know to be an issue. In a stepwise, staged process, we teach the body how to detoxify more efficiently and see improvement in many symptoms including headaches.

 

Immune Balance/ Chronic Inflammation

Chronic inflammation usually appears from infective triggers, known as “Biotoxins.” Biotoxins can appear from the inflammatory sources from food, gut imbalances, hormone imbalance, and toxin accumulation. Living toxins cause headaches. Examples are mold, Lyme, virus, or bacteria.

 

In genetically vulnerable individuals, these can trigger an inflammatory response termed Chronic Inflammatory Response Syndrome. This is a multi-symptom, multi-system disease, with headaches and other cognitive disruptions being very common. Mast cell activation syndrome, commonly associated with this, leads to the release of Histamine & other inflammatory cytokines, which can cause headaches. These are exceedingly common in our very ill patient population. We take a detailed history and analyze it appropriately.

 

Brain Power and Mood

Brain neurotransmitter’s imbalances can cause headaches and mood issues. A high level of glutamate, an excitatory neurotransmitter, can lead to headaches and mood changes. It is important to rule out underlying neurological disorders or syndromes as a cause of headaches. Your functional medicine physician will be able to determine what to look for based on a history and examination.

 

Heart Vitality

Your physician will test your heart vitality with regard to headaches. There may be vascular (blood vessel) contributions to your migraines, from vascular activation of the nervous system. There is communication between blood vessels, nerve cells, and possibly Mast cells (mentioned above) in the activation of headaches. Headaches can be caused by high blood pressure so this is an important cause to initially rule out. We can establish from your personal and family history, and other lab results whether you have risk factors for the above.

 

Structural Issues

Cervical Spine, Head, Temporomandibular joint (TMJ), and Dental structural issues are all very closely related. Imbalances in one area can cause disruptions in the other. A detailed history of previous injuries is extremely important. Even “a bump to the head” or hidden dental infections or TMJ can be significant enough to throw things out of balance and contribute to headaches. We refer our patients to brilliant Nucca Chiropractors, Physio/ manual therapists and World Class Biological dentists with experience to assess these areas.

 

Mind Body Spirit Soul 

The doctors at Linden & Arc Vitality Institute always look back to the emotional and spiritual contributions to your symptoms. Your mind, body, spirit, and soul are connected and one out of balance leads to all in illness. Addressing underlying issues helps to start the healing journey. We hold emotions and stress in our cells. Therefore, physical symptoms arise if these emotions have been held or suppressed.

 

Functional medicine practitioners have many tools to help you get the bottom of your headaches. You see from this discussion why medications fall short and do not help many headaches. If we look in the right places and treat your headaches with the individual care that they deserve, true healing and resolution can occur! 

 

A HANDY RESOURCE
To track your symptoms: https://migrainetracker.ca. This can be useful for your physician to determine what type of headache you are having, which will help determine the root cause. 

 

REFERENCES 

  1. Prevalence of Migraine in the Canadian Household Population. Pamela L Ramage-Morin  1 , Heather Gilmour  1. 2014 Jun;25(6):10-6. PMID: 24941316
  2. Front Cell Neurosci. 2018; 12: 233. Published online 2018 Aug 3. doi: 10.3389/fncel.2018.00233. PMCID: PMC6088188
  3. Vascular Contributions to Migraine: Time to Revisit? Bianca N. Mason1,† and Andrew F. Russo1
  4. Alpay K, Ertas M, Orhan EK, Ustay DK, Lieners C, Baykan B. Diet restriction in migraine, based on IgG against foods: a clinical double-blind, randomised, cross-over trial. Cephalalgia. 2010;30(7):829-837. doi:10.1177/0333102410361404
  5. Silberstein SD. Preventive migraine treatment. Continuum. 2015;21(4 Headache):973-989. doi:10.1212/CON.0000000000000199
  6. Stovner LJ, Nichols E, Steiner TJ, et al. Global, regional and national burden of migraine and tension-type headache, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol. 2018;17(11):954-976. doi:1016/S1474-4422(18)30322-3
  7. Pringsheim T, Davenport W, Mackie G, et al. Canadian Headache Society guideline for migraine prophylaxis. Can J Neurol Sci. 2012;39(2 Suppl 2):S1-59.
  8. Hajihashemi P, Askari G, Khorvash F, Reza Maracy M, Nourian M. The effects of concurrent coenzyme Q10, L-carnitine supplementation in migraine prophylaxis: a randomized, placebo-controlled, double-blind trial. Cephalalgia. 2019;39(5):648-654. doi:10.1177/0333102418821661
  9. Bektas H, Karabulut H, Doganay B, Acar B. Allergens might trigger migraine attacks. Acta Neurol Belg. 2017;117(1):91-95. doi:10.1007/s13760-016-0645-y
  10. Sadeghi O, Maghsoudi Z, Khorvash F, Ghiasvand R, Askari G. The relationship between different fatty acids intake and frequency of migraine attacks. Iran J Nurs Midwifery Res. 2015;20(3):334-339 
  11. Köseoglu E, Talaslioglu A, Gönül AS, Kula M. The effects of magnesium prophylaxis in migraine without aura. Magnes Res. 2008;21(2):101-108.
  12. Andreeva VA, Szabo de Edelenyi F, Druesne-Pecollo N, Touvier M, Hercberg S, Galan P. Macronutrient intake in relation to migraine and non-migraine headaches. Nutrients. 2018;10(9):E1309. doi:10.3390/10091309

Author

Dr. Michelle van der Westhuizen, MD

DNA is a history book – a narrative of the journey of our species through time. A shop manual, with an incredibly detailed blueprint for building every human cell. It’s a transformative textbook of medicine, with insights. These insights give health care providers immense new powers to treat, prevent, and cure diseases.”

 

Genetics and Genomics

 

Gene study exists in 2 facets: genetics and genomics. Genetics is the study of single genes in isolation. Genomics is the study of all the genes in the genome, their interaction with each other, and with the environment. Each individual’s history book is full of possible stories. The stories tell of their influence by factors such as diet, lifestyle, emotional state, and environment.


In clinical practice, we are privileged to have the ability to hear what our patients are presenting with, or their story. We have the capacity to order testing to look at their phenotypical expression. The phenotypical expression describes what each gene is telling the body to say. In other words, the “stories” told. This allows not only to offer better treatment of existing concerns but also to tailor the prevention of future disease.

 

DNA: A Patient Study

 

I saw this first-hand through the story of one of my patients, JP. When we met, JP told me “I would love to find relief from the gut pain I feel daily… I can’t remember the last day I had without some bowel pain or issue like gas and bloating.” Alongside her severe digestive symptoms, JP expressed significant anxiety, fatigue toward the end of the day, fertility concerns, and cravings for sweets.


JP was a bright, young individual experiencing undue suffering every day. The issues left unresolved by conventional care were not only causing daily pain and discomfort but put JP at risk for developing serious illness in the future.  


To get to the root-cause of JP’s suffering, I ran the following tests:


Enterolab

This uncovered hidden celiac disease, as well as casein (dairy) intolerance.


MRT LEAP

This showed 35 “reds” and “yellows” (food sensitivities), suggesting severe intestinal permeability.


GI Stool Effects 

Showing SIBO (Small Intestinal Bacterial Overgrowth) and various medication intolerances.


Neurotransmitter Testing

Showing imbalances that could aggravate and perpetuate her anxiety.


Heart Rate Variability

Showed a stressed system in need of rest and relaxation.


ION Panel

Her ION revealed numerous nutritional imbalances. These allowed for exploration into ‘nutrigenomics’, or how these nutrient deficiencies and imbalances affected JP’s gene expression and determined her health. 

All of the above tests allowed for a greater understanding of the underlying imbalances that lead to JP’s debilitating symptoms. This allowed me to eliminate her lifelong digestive problems by cleaning up her gut, reducing her toxicity, balancing her hormones, and replenishing her nutrient depletions.

Her anxiety, however, began to worsen once her digestion improved. It was only in looking at her genome that I was able to finesse her diet and supplement program to heal her fully. 


23andMe DNA Gene Test

Prior to the deciphering of the human genome, humans believed that once we knew the code of life in our DNA, we would answer all the questions related to the origin of disease. In reality, we learned that rather than disease being locked-in as hardwired “stories” in our genome, these characteristics included in our genes are dynamic. Each gene is in a constant dance with our environment, lifestyle, diet, stress level, and physical activity (or lack thereof).


In running the 23andMe DNA gene test, we uncovered genetic inefficiencies in methylation, neurotransmitter sensitivity (mood management), and nutrient usage (explaining the nutritional imbalances). We received information so we could optimize her diet and realized how to reduce her risk for the mood disorders most of her close family suffered from. The ability to improve her addictive behavior around sweets, and greatly reduce the risk of her developing the chronic illnesses she was particularly susceptible to getting.  

Thanks to genomic testing, I was able to see where JP’s gene expression was hindering her healing journey. With that knowledge, we were able to build bridges where there were once roadblocks, and JP left my office with the gifts of vitality and robust health.

 

The Genomic Revolution and Paradigm Shift in Healthcare

 

“Our health and disease patterns are not hardwired by our genes, but are rather a consequence of the interaction of our genetic uniqueness with environmental factors.”

Jeffery Bland, PhD

 

Jeff Bland called this genomic revolution a paradigm shift in our model of healthcare from a deterministic, disease-centric model to a wellness-centric model. We assumed dominant and recessive traits were locked into our genes with no ability to change them. The assumption said that medicine existed to put a band-aid on symptoms and disease which we could not prevent or heal. Luckily, our new wellness-centric model asks not only “How do you get sick?”, but “How can you be well?”.


We are on a gigantic wave of a medical revolution, and genomics is at the heart of that wave. Let’s paddle out together and see where the riptides might be.

 

About the author:

Dr. Murfin is wholeheartedly focused on her life’s mission to help people heal and achieve extraordinary outcomes. She believes that health is more than merely the absence of disease. It is a total state of physical, mental, emotional, spiritual, and social wellbeing through the creation of a whole and meaningful life. Dr. Murfin leaves no stone unturned to determine the root cause of illness or imbalance.

 

Body systems lack vibrancy without methylation. Methylation is the process of adding three hydrogen atoms and one carbon atom to a molecule in order to convert it into something else. Together, these are called a “methyl group.” This happens in your body billions of times per second and allows your body to repair DNA, reuse molecules responsible for detoxification, maintain mood, and control inflammation. Poor methylation can lead to a host of chronic illnesses such as heart disease, diabetes, osteoporosis, cancer, depression, and dementia.

 

Chronic Illness and Homocysteine

Homocysteine has a large influence on your susceptibility to chronic illness. Even greater this influence than weight, cholesterol, and blood pressure. Every time you ingest protein-rich foods, the methylation cycle produces mild inflammation in the form of homocysteine. In a healthy and well-nourished body, this homocysteine is converted into a powerful antioxidant called glutathione and a compound called SAMe (S-adenosyl-L-methionine). These help the body to produce and regulate hormones and maintain healthy cell membranes. If you are not optimally nourished, the methylation cycle becomes impaired and homocysteine starts to accumulate in the blood. Levels above 6mmol/L have been shown to lead to significantly increased risk for chronic illness. 

 

What Factors Impair Methylation?

  • Poor diet: too much animal protein, sugar, saturated fat, caffeine, alcohol, and processed food, and low intake of vegetables.
  • Digestive issues and nutrient malabsorption.
  • Genetic factors (identifiable through the 23andMe Genetic test).
  • Medications, including the birth control pill and proton pump inhibitors and antacids.
  • Smoking
  • Toxicity from pesticides, pollution, etc.
  • Stress

 

Enhancing Vibrancy by Improving Methylation and Lowering Homocysteine:

  • Improve your diet!
    • Eat lots of leafy greens and other vegetables (ideally ten servings per day).
    • Cut out caffeine, alcohol, and processed food.
    • Reduce saturated fat, animal protein, and canned foods.
  • Correct digestive issues.
  • Reduce stress.
  • Remove toxic exposure and detox your body.
  • Stop smoking.
  • Enjoy a nutritional IV, such as our Myer’s, Gut-Healing, or Vitamin/Mineral IVs.
  • B-vitamin injections.
  • Take supplements:
    • HCl
    • A good, methylated B-vitamin complex
    • Zinc
    • Trimethylglycine
    • Glutathione
    • Vitamin C
    • NAC and ALA
    • SAMe
    • A quality multivitamin

 

Vibrancy is a state of strength, full of energy and life. You can achieve it by starting on a new health journey at Linden & Arc Vitality Institute. Contact us today.