Migraine

A migraine is a severe, excruciating bore that is time and again preceded or accompanied by intellectual cautionary signs such as flashes of light, sighted spots, tingling in the arms and legs, repugnance, vomiting, and increased thoughtfulness to light and hard. The excruciating pain that migraines be the cause of can last for hours or even days.

Migraine triggers:

Whatever the literal process of the headaches, a quantity of stuff may cause them. Common migraine triggers bring in:

1. Hormonal variations in women: Fluctuations in estrogen seem to generate headaches in many manhood with known migraines. Women with a present of migraines a lot loud noise headaches immediately before or during their periods, when they have a major drop in estrogen. Others have an increased drift to obtain migraines during or importmenopause. Hormonal medications — such as oral contraceptives and hormone replacement help — also may get worse migraines, however some womankind find it's beneficial to take them.

1. Foods: Some migraines show to be triggered by convinced foods. Common offenders take account ofAntonym alcohol, in particular beer and red wine; aged cheeses; chocolate; aspartame; overplay of caffeine; monosodium glutamate — a key ingredient in some Asian foods; brackish foods; and processed foods. Skipping meals or fasting also can halt migraines.
2. Stress: Stress at work or home can bring about migraines.
3. Sensory stimuli: Bright lights and sun stare can produce migraines, as can loud sounds. Unusual smells — including friendly scents, such as fragrance, and foul odors, such as smear thinner and hand-me-downAntonym be on fire, can also activate migraines.
4. Changes in wake-sleep decoration: Either absent sleep or getting too much sleep may function as a prompt for migraine attacks in some individuals, as can jet lag.
5. Physical factors: Intense physical exertion, including sexual hobby, may bait migraines.
6. Changes in the environs: A alteration of weather or air pressure can prompt a migraine.
7. Medications: Certain medications can aggravate migraines.

Symptoms of migraine:

Symptoms of migraine can come to mind a while before the annoyance, immediately before the problem, during the pain, and after the nuisance. Although not all migraines are the same, typical symptoms omit:

Moderate to severe pain, usually enclosed to one side of the head, but switching in continuous migraines

• Pulsing and pulse head pain
• Increasing pain during physical pastime
• Inability to perform routine events due to pain
• Nausea
• Vomiting

Migrane Pain & symptoms

A migraine headache is mostly described by the case as a forceful pounding pain involving one temple. In some instances, the pain is bring into being in the forehead, nearby one eye, or in the back of the ego's head. Normally the pain is said to be joint, meaning it affects only one side of the head, although it can affect both sides in round a third of the cases. It's unusual for these headaches to change sides, basic striking one side, and then on the next attack, affecting the further side. Some common symptoms of migraines add in vomiting, unsettled stomach, diarrhea, cold hands and feet, mudpack whiteness, and a thoughtfulness to unassailable and light.

What is a Migraine Headache?

A migraine is a persistent, throbbing headache typically affecting one side of the head. It can last from anywhere between 4 and 72 hours. Migraines are thought to be caused by a precipitous splayed of the genealogy vessels that provision the brain, which in turn irritates the stress surrounding these lifeblood vessels.

Migraine Headache Symptoms

Migraine headaches can be accompanied by symptoms that have a weighty control on diurnal life. As well as the headache, relatives may also experience symptoms such as motion sickness, vomiting and imagistic disturbances. Occasionally, symptoms can be more rigorous - including one-sided paralysis, exertion in speaking, commotion, or fainting. (See Migraine Headache Symptoms)

Migraine Headache Causes:

The faithful causes of migraine headaches are not completely unspoken, but you may find that undeniable triggers can start or worsen a migraine. Avoiding these migraine triggers can become an effective revenue of reducing the digit of attacks.

A magnetic device that head off migraine pain in two hrs

In a ray of hope for millions of migraine patients for whom available drugs are of no help, American scientists have claimed to have developed a magnetic 'pain-zapper' that can relieve a sufferer of headache within two hours.

The device, of the size and weight of a hair-dryer, is based on a technique called single-pulse transcranial magnetic stimulation (sTMS) in which electrical currents produced by powerful magnets are used to stimulate brain cells.

At the first sign of a migraine, the device is held against the back of the head and switched on. It gives out two fleeting bursts of electricity which short-circuit the 'electrical storm' in the brain that causes the splitting pain, flashing lights and blurred vision associated with migraine.

The device, developed by Californian firm Neuralieve, has been tested on around 160 migraine patients -- both male and female, the Daily Mail reported.

As part of the study, half of the patients were given the gadget and half a dummy device that looked almost identical, to take home. They were told to treat up to three attacks at the first sign of symptoms and to record how they got on.

Almost 40 per cent of those who used the device were free of pain two hours later compared with 22 per cent in the other group.

Those who used the gadget were also more likely to be pain-free 24 and 48 hours later, according to a report in the journal Lancet Neurology.

According to the researchers, the electrical pulses produced by the gadget calm the over-excited brain cells responsible for migraines.

http://www.indianexpress.com/news/Now--a-magnetic-device-that-head-off-migraine-pain-in-two-hrs/586808

Yoga for Migraine : Basic Yoga ( Session II )

Kapalabhati

Kapalabhati is a Breathing Technique used specifically for cleansing. If you have a lot of mucus in the air passages or feel tension and blockages in the chest it is often helpful to breathe quickly. This article will introduce you to this breathing techniques and show you its its benefits.

Mountain Pose (Tadasana)

The Mountain Yoga Pose promotes the experience of stillness, strength, relaxed power, and immovable stability associated with mountains. This yoga posture, and coming back to this stillness after other poses, is one of the ways of becoming acquainted with stillness.

Sun Salutation (Surya Namaskar)

The Sun Salutation or Surya Namaskar is a Yoga Pose which limbers up the whole body in preparation for the Yoga Asanas. It is a graceful sequence of twelve Yoga positions performed as one continuous exercise. Learn how to practice Sun Salutation in this section.

Triangle Pose (Trikonasana)

In Hindu art, the triangle is a potent symbol for the divine principle, and it is frequently found in the yantras and mandalas used for meditation. The Trikonasana or Triangle Pose concludes the Yoga Postures in our basic session.

Stand Spread Leg Forward Fold

Practicing the Standing Spread Leg Forward Fold can strengthen and stretch your inner and back legs and your spine. People with lower back problems should avoid doing the full forward bend. For beginners, you may use props like a folding chair to support your forearms.

Crescent Moon Pose


The Crescent Moon Pose stretches and strengthens the arms and legs, increases stamina, improves balance and concentration, and can also relieve backaches. If you are suffering from diarrhea, high blood pressure or neck problems, you should take extra caution practicing this pose.

Lotus Yoga Pose (Padmasana)

The Lotus Yoga Pose is usually done in Meditation. It is a classic seated posture which strengthens your ankles and knees, enhances concentration, and improves flexibility of your legs. Know how to perform the Lotus Pose in this section.

Boat Posture

Perform the Boat Pose to strengthen your abdominal area and hip flexor, tone muscles in the midsection, improve digestion, and relieve stress. You can use a Yoga Strap to aid you in holding the pose longer or if you cannot keep your legs straight.

Fish Pose (Matsyasana)

Doing the Fish Pose relieves stiffness of the neck and shoulder muscles and improves flexibility of your spine. It is the counter-pose of the Shoulderstand. Hold the Fish Pose for at least half the amount of time you spent in the Shoulderstand in order to balance the stretch.

Locust Pose (Salabhasana)

If the Cobra Pose works mainly on the upper back, the Locust Pose targets the lower part. This posture also strengthens the abdominal area, arms, and legs. Another thing that makes it different from many poses is that it entails rapid movement. Check out how it is done in this section.

Shoulder Stand (Sarvangasana)

In the Shoulder Stand, your body is resting on your shoulders. This Yoga Pose improves circulation, strengthens the abdominal area, and stimulates the thyroid gland. In this section, learn how the Shoulder Stand is performed.

The Bow

The Bow maintains elasticity of spine, improves posture, increase vitality, reduces abdominal fats, and keeps the digestive and reproductive system healthy. This posture combines the movements of the Cobra and Locust, and counters the Plough and the Forward Bend once you raise both halves of the body.

Cat Pose (Bidalasana)

The Cat Yoga Pose teaches you to initiate movement from your center and to coordinate your movement and breath. These are two of the most important themes in Yoga practice. Keep in mind that the Cat Pose may not be advisable if you have any chronic or recent back pain or injury.

Half Spinal Twist (Ardha Matsyendrasana)

If done properly, the Half Spinal Twist lengthens and strengthens the spine. It is also beneficial for your liver, kidneys, as well as adrenal glands. Practice this Yoga Pose under the supervision of a Yoga instructor. In this section, learn how to perform the Half Spinal Twist.

Wind Relieving Pose (Pavanamuktasana)

The term Pavanamuktasana comes from the Sanskrit word 'pavana' which means air or wind and 'mukta' which means freedom or release. The Wind Relieving Pose works mainly on the digestive system. specifically, it helps in eliminating excess gas in the stomach.

Relaxation Pose

This is an essential part of Yoga Practice. It relaxes your body and mind, and makes you feel refreshed after doing the asanas and the pranayamas. In this section, learn how to relax your body and mind through this Yoga Pose.

Yoga Exercise - Final Corpse

For you to appreciate the benefits of relaxation, you should first be familiar on how it is to be tense. This is what happens when you do the Final Corpse. Everything related to that position including suggestions on how to do it is discussed in further detail in this article.

Migraine

More than 29.5 million Americans suffer from migraine, with women being affected three times more often than men. This vascular headache is most commonly experienced between the ages of 15 and 55, and 70% to 80% of sufferers have a family history of migraine. Less than half of all migraine sufferers have received a diagnosis of migraine from their healthcare provider. Migraine is often misdiagnosed as sinus headache or tension-type headache.
Many factors can trigger migraine attacks, such as alteration of sleep-wake cycle; missing or delaying a meal; medications that cause a swelling of the blood vessels; daily or near daily use of medications designed for relieving headache attacks; bright lights, sunlight, fluorescent lights, TV and movie viewing; certain foods; and excessive noise. Stress and/or underlying depression are important trigger factors that can be diagnosed and treated adequately.
Migraine characteristics can include:

• Pain typically on one side of the head
• Pain has a pulsating or throbbing quality
• Moderate to intense pain affecting daily activities
• Nausea or vomiting
• Sensitivity to light or sound
• Attacks last four to 72 hours, sometimes longer
• Visual disturbances or aura
• Exertion such as climbing stairs makes headache worse

Approximately one-fifth of migraine sufferers experience aura, the warning associated with migraine, prior to the headache pain. Visual disturbances such as wavy lines, dots or flashing lights and blind spots begin from twenty minutes to one hour before the actual onset of migraine. Some people will have tingling in their arm or face or difficulty speaking. Aura was once thought to be caused by constriction of small arteries supplying specific areas of the brain. Now we know that aura is due to transient changes in the activity of specific nerve cells.
The pain of migraine occurs when excited brain cells trigger the trigeminal nerve to release chemicals that irritate and cause swelling of blood vessels on the surface of the brain. These swollen blood vessels send pain signals to the brainstem, an area of the brain that processes pain information. The pain of migraine is a referred pain that is typically felt around the eye or temple area. Pain can also occur in the face, sinus, jaw or neck area. Once the attack is full-blown, many people will be sensitive to anything touching their head. Activities such as combing their hair or shaving may be painful or unpleasant.
Diagnosis of migraine headache is made by establishing the history of the migraine-related symptoms and other headache characteristics as well as a family history of similar headaches. By definition, the physical examination of a patient with migraine headache in between the attacks of migraine does not reveal any organic causes for the headaches. Tests such as the CT scan and MRI are useful to confirm the lack of organic causes for the headaches.
There is currently no test to confirm the diagnosis of migraine

Treatment

Many factors may contribute to the occurrence of migraine attacks. They are known as trigger factors and may include diet, sleep, activity, psychological issues as well as many other factors. The use of a diary to record events that may play a role in causing the headaches can be useful for you and your healthcare provider. Avoidance of identifiable trigger factors reduces the number of headaches a patient may experience. Healthful lifestyles including regular exercise and avoidance of nicotine may also enhance migraine management. Non-pharmacological techniques for control of migraine are helpful to some patients. These include biofeedback, physical medicine, and counseling. These, as with most elements of migraine, need to be individualized to the patient. Acute
The Food and Drug Administration (FDA) has approved three over-the-counter products to treat migraine. Excedrin® Migraine (a combination of aspirin, acetaminophen and caffeine) is indicated for migraine and its associated symptoms. Advil® Migraine and Motrin® Migraine Pain, both ibuprofen medications, are approved to treat migraine headache and its pain.
The use of other prescription anti-inflammatory agents may be effective for some migraines. These agents may have gastrointestinal side effects, which limit their use since larger than normal doses may be required to treat the migraine attack.
Migraine-specific therapies are designed specifically to treat migraine attacks. Ergotamine preparations are no longer readily available. Dihydroergotamine (DHE) may be used for self-injection. DHE is also available as the nasal spray Migranal. A combination product containing isometheptene (Midrin®) is not usually effective for migraine. Sumatriptan (Imitrex®), a 5-HT agonist, is available in self-injectable, nasal spray and rapidly-dissolving tablet forms. Other 5-HT agonists are almotriptan (Axert®), naratriptan (Amerge®, rizatriptan (Maxalt®), zolmitriptan (Zomig®), frovatriptan (Frova®) and eletriptan (Relpax®). All are available in tablet form. Both rizatriptan and zolmitriptan are available in an orally disintegrating tablet (Maxalt-MLT and Zomig-ZMT), which can be taken without water. Zomig also comes in a nasal spray.
Abortive medications are most effective when taken early in an attack, while the pain is still mild and before skin sensitivity increases. The goal is complete relief of pain and associated symptoms, allowing the sufferer to quickly return to normal functioning.
Some attacks may not be eliminated by abortive therapy, yet the patient requires pain-relieving measures. Due to the severity of the headaches, some patients may require a narcotic analgesic, but if the patient is experiencing frequent migraine attacks habituating analgesics should be avoided. Butorphanol (Stadol®) is available for intranasal administration and is not typically associated with dependency problems, but may result in dependency if used regularly for pain relief. Alternative medical treatments with medications belonging to the group known as the Phenothiazines have proven useful as non-analgesic options for treating severe migraine headaches. Patients with prolonged migraine attacks lasting more than 24 hours are experiencing status migraine and corticosteroids may be used in these cases due to their anti-inflammatory effects.

Tips and Self Help to avoid Migraine

The basic thing which we all have to follow to avoid Migraine is that we have to eat regularly. Researchers said that missing meals is the well known cause of Migraine particulary for children.

Avoid foods which can provoke migraine - chocolate, cheese, alcohol.

Bear in mind that parties involve a number of trigger factors - rushing, excitement, bright lights, alcohol and noise.

Late rising at weekends or on holiday can precipitate an attack so try to get up at the same time each day.

Shopping and being out in the hot sun for long hours.

Nutrition and Sleep

As with anything to do with the body, food has a crucial part to play in quality of sleep. The foods you eat can help or hinder your sleep. Lets start with the foods that will positively effect sleep.

You may have heard of trytophan, its an essential amino acid which has a calming affect on the nervous system and produces messages of restfulness and relaxation. Have you ever hear people say that warm milk will help you sleep? Well it will, and that's because it is high in trytophan. Other foods high in trytophan include red meat, turkey, bananas, figs, dates, yoghurt, tuna, and nuts just to name a few. Dark green leafy vegetables, brown rice, oats, mushrooms, dill and basil also have a calming affect on the nervous system.

Ideally, right before bed you want to eat as little as possible so that your fill your body full of energy before you sleep and become inactive for 8 to 9 hours; however if you do need to eat try something light and avoid these foods: spicy foods, bacon, cheese, chocolate, eggplant, ham, potatoes, sausage, spinach, and tomato. Stay away from food high in protein and refined sugar. These foods are going have the opposite affect on your nervous system and pick you up.

Its also recommended that you avoid coffee and tea due to their caffeine content. Caffeine is a stimulant and will therefore make you alert. Avoid cigarettes and alcohol as well. These too are stimulants and you'll end up buzzing off the walls which will really disrupt your sleep.

Source : DesiDieter.Com

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How Migraine Trigger

Painful among all headaches is Migraine. One afflicted from Migraine often point out pain as throbbing or pulsing in one area of head either left or right. Migraine Sufferers became sensitive to sound and light as these direct strikes them. They may also become nauseated and vomit.

While talking about the ratio of migraine in men and women then from research it came to known that migraine is three times more common in women than in men. Some persons can predict their migraine because somewhat they temporarily lose their vision or they see flashing lights or zigzag lines.

Many things can trigger a migraine. These include

• Anxiety
• Stress
• Lack of food or sleep
• Exposure to light
• Hormonal changes (in women)

Doctors used to believe migraines were linked to the opening and narrowing of blood vessels in the head.

Now they believe the cause is related to genes that control the activity of some brain cells. Medicines can help prevent migraine attacks or help relieve symptoms of attacks when they happen. For many people, treatments to relieve stress can also help.

Depression or adjustment disorder with depressed mood?

In the presence of depressed mood accompanied by symptoms, diagnoses of major depression or adjustment disorder with depressed mood may be performed.

The diagnosis of adjustment disorder applies when the depressed mood and other symptoms develop in response to a stressful situation and that the diagnostic criteria of major depression are not met. When the criteria for major depression are met, the latter diagnosis prevails.

Here are the diagnostic criteria of major depression according to DSM IV (1):
At least five of the following symptoms have been present for a period of at least two weeks, at least one of these symptoms is either (1) depressed mood or (2) loss of interest or pleasure.

1. Depressed mood most of the day, nearly every day, as indicated by the subject or observed by others.
2. Markedly diminished interest or pleasure in all or almost all activities almost all day almost every day.
3. loss or significant weight gain in the absence of regime, or decrease or increase in appetite nearly every day.
4. Insomnia or hypersomnia nearly every day.
5. psychomotor agitation or retardation nearly every day (observable by others, not limited to subjective feelings of restlessness or being slowed down).
6. Fatigue or loss of energy nearly every day.
7. Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick).
8. Diminished ability to think or concentrate or indecisiveness, nearly every day.
9. Recurrent thoughts of death (not just fear of dying) recurrent suicidal ideation without a specific plan or suicide attempt or specific plan for committing suicide.

The criteria of adjustment disorder:

A. Development of symptoms in the emotional and behavioral records, in response to one or more factor (s) identified stress (s) during the three months following the occurrence of it (them).

B. These symptoms or behaviors are clinically significant, as evidenced by:

• a marked distress, higher than was expected in response to stressors
• a significant impairment in social or occupational (or school).

C. The stress-related disturbance does not meet criteria for another disorder (for example, major depression, post traumatic stress disorder, acute stress disorder) and is not merely an exacerbation of a preexisting condition (for example, a personality disorder).

D. The symptoms are not an expression of mourning.

E. Once the stressor (or its consequences) has disappeared, the symptoms do not persist beyond 6 months.

The DSM IV identifies six subtypes of the disorder, an adaptation that are determined by the most predominant symptoms:

• With Depressed Mood
• With anxiety
• With both anxiety and depressive mood
• With Disturbance of Conduct
• With disruption of both emotions (depression, anxiety) and behavior
• Unspecified

Migraines: still a matter of hormones?

Faced with migraines, female vulnerability appears to be related to hormonal changes. In the dock, the secretion of estrogen, which varies during the cycle. The best evidence is the frequency of migraine called "catamenial, which occur over the rules or in the two days that precede them.

Why give estrogen migraine

Affecting 5 to 8% of women, these periodic headaches coincide with the sharp drop in estrogen that triggers the rules. They can be prevented by percutaneous application of estrogen.

Other evidence argue for the involvement of hormonal fluctuations. Thus women with migraines have almost always an improvement of their headaches during pregnancy and migraine tends to become less common after menopause.

Mechanism by which these hormones can they influence the occurrence of migraines? In an attempt to uncover this mystery, researchers at the University of Kansas artificially reproduced in mice phenomena vascular origin of migraine auras, that is to say that visual signs sometimes precede the migraine pain. They just presented their findings at the Congress of the American Academy of Neurology.

More than a thousand genes studied

The experiment was conducted on three groups of mice:

• Male mice;
• Female mice without ovaries (thus devoid of estrogen);
• Female mice without ovaries, but treated with estrogen.
  

Potassium chloride was administered into the brains of these animals to produce the electrical phenomena characteristic auras. The researchers then analyzed the expression of over a thousand genes. They have seen and, in males as in females without ovaries, some genes were activated and others inhibited, to mitigate the adverse effects of electrical damage.

In female mice treated with estrogen the same genes were modulated, but in an opposite direction, resulting in the secretion of substances with property to reduce inflammation and vascular dilatation responsible for migraine pain. Conversely, we can assume that the sharp decrease of secretion of this hormone during menstruation, promote changes in vascular origin of migraine. However, it should be noted that these results were obtained in experimental conditions far removed from migraine, especially catamenial forms that occur most often without aura ...

Runway magnesium

Researchers in New York have sought for their part, the presence of an ionized magnesium deficiency in 61 women with catamenial migraines *. They have seen and the deficit was more frequent (45% of cases) during the catamenial migraine, and during menstruation without migraine (14%) for non-menstrual migraine (15%) or between periods (15 %).

These results suggest that magnesium deficiency may play a role in some forms of menstrual migraine. They require however to be confirmed on a larger number of patients.

Head of the first study, Professor Loretta Mueller said that "75% of migraine sufferers are women and over half reported a hormonal origin. But we still do not know if we need to treat these headaches differently from men. Further studies may be able to answer ...

The headache always banal?

Headaches are they harmless? Nine of 10 patients who consult a physician for headache, suffer from headaches or migraines. In which case further examination is Enough?

Distinguishes between "ordinary headache", "secondary headaches" and migraines. The first, most frequent, are transient and cause discomfort more or less important. Their cause is exogenous.

However, some headache, ordinary-looking, unusually long or repeated, have an organic origin: headaches that are secondary. They should then lead to a medical.

As for migraines, it is not not only headache but also a disease called general we will not discuss here.

The common headache

These are generally small pathologies related to the environment. The brain areas involved are usually frontal or temporal, occipital or more rarely orbital.

It is difficult to state the causes and aggravating factors of the common headache. It is among the main

• Noise and continuous throbbing;
• The bright lights of solar or artificial origin;
• The active and passive smoking;
• Alcohol;
• Other causes colds, rhinitis, colds and flu-like illness - gravity consistent confining sometimes headache. Other factors such as fatigue may be seen both as causes and consequences.
  

The usual reaction to a headache usually through self-medication, including the taking of analgesics, of anti-inflammatory, of sleeping pills, etc. It is important for the patient to always refer to cons-formal indications.

The best approach is to adopt a healthy lifestyle:

• A good quality sleep in the twilight or darkness;
• The practice of relaxation;
• Hunting and excessive physical exercise tailored to the age and capabilities of each can also afford to work in the field.
  

These rules remain for the time being the most effective way to prevent most of these headaches normal.

Headache to consider carefully

Headaches can be caused by outbreaks of specific pain (sinusitis, ear infections, eye inflammation, etc..). In case of headache of organic origin, medical check-ups are necessary.

Headaches young children should be considered carefully. Thus, when the child shows his head and seems to suffer, we must suspect a headache in the same way that an earache or teething. A medical examination when required.

In the case of young children usually prostrate, somewhat reactive behavior and abnormally indifferent, it should be particularly careful. A misleading appearance can, in these cases, conceal a real pain.

Dr. Alain Dubos

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Secrets of Migraine : Ayurveda
 

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Migraine: a real disease

Welcome to the Blog of migraine ... An estimated 7 million French have migraines. You're not alone in suffering! The disease can begin very early in life from the age of one year.

Migraine can be treated. Many misconceptions still run on it: Many migraineurs believe their mother had migraines all her life and told them that nobody could do for her! Maybe it is for this reason that 40% of migraine sufferers believe that migraine is inevitable and there is no solution to their problem. ... They are wrong as half of migraine sufferers who do not see them doctor and continue to suffer in their corner!

The number of crisis is different for everyone. Some migraine sufferers have a crisis a week, a month, others for several weeks and the luckiest are 1 to 2 Crisis year.

Migraine: a real disease

Migraine deteriorating quality of life, most of you and many migraine sufferers consider their illness as a real handicap. Several migraine sufferers are reluctant to say if they have a headache, for fear of not being taken seriously. Others have wrongly so often that their family has had enough and thought (wrongly) that they are snug or listen too.

Migraine is a disease but who cares. Even if we do not know the cure, the drugs are effective against the crisis. They reduce the severity, frequency of painful episodes and can make them disappear.

There are two main kinds of medication, those that you take in times of crisis and those that you take daily to prevent seizures or decrease. Many drugs exist, do not be discouraged, sometimes you have to try several before find one you really relieved.

Dr. Emmanuel Zinsky

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