Exploring the biology and history of migraines, including personal experiences, symptoms, triggers, treatments, and impact on daily lives. The podcast delves into the phases of a migraine attack, the link between migraines and neurologic/psychiatric disorders, historical remedies, treatments throughout history, and ongoing research on migraine treatments. Listeners are thanked and expressed gratitude to, while promotions and sponsorships are mentioned in the end.
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Quick takeaways
Migraines have been recognized and treated for thousands of years, with various historical remedies and treatments attributed to the condition.
The perception and understanding of migraines shifted from home remedies to more formalized medical approaches as medicine became centralized and commercialized.
Migraines have a significant global impact, affecting approximately one billion people worldwide and causing immense physical, emotional, and financial burden.
Deep dives
Historical Understanding of Migraines
Migraines have been recognized and treated for thousands of years, with mentions in ancient medical texts from various civilizations. The early understanding of migraines often attributed the cause to an imbalance of humors, with treatments aimed at restoring balance, such as bloodletting or using specific herbal remedies. Earthworms were also used in remedies due to beliefs that they could eat up the putrifying matter causing migraines. During this time, migraines were recognized as a common and recognizable condition. The prevailing medical beliefs around migraines remained relatively consistent until the late 1700s and early 1800s.
Shift in Medical Perception
As medicine became more centralized and commercialized in the late 1700s and 1800s, the perception and understanding of migraines began to change. The rise of patent medicines and the establishment of hospitals allowed for increased observation and study of migraines. Doctors observed the frequency and duration of migraines, leading to a shift in perception and treatments. This marked the transition from home remedies to more formalized medical approaches.
Emergence of Migraine Treatments
During the transition to more formalized medicine, treatments for migraines also evolved. Patent medicines and prescribed remedies became more common, offering accessible solutions for migraine sufferers. However, despite advancements in understanding and treatment, the physical basis of migraines remained the focus, and there were no magical or religious elements associated with the treatments.
Continued Challenges and Evolution
Despite the progress made in understanding migraines and developing treatments, challenges and biases remain. Migraines continue to be stigmatized, and there is still much to learn about the underlying causes. However, the historical understanding of migraines serves as a foundation for ongoing research and advancements in medical knowledge and treatment options.
The Historical Stigmatization of Migraines
Throughout history, migraines have been stigmatized and misunderstood. In the late 18th and 19th centuries, migraines were attributed to social progress, with factors like urban living and sedentary lifestyles thought to contribute to the rise of 'nervous conditions.' The perception of migraines shifted from a legitimate medical condition to a personal failing, leading to a delegitimization of migraines and a shift in responsibility from doctors to individuals themselves. Migraines were often gendered, with women being attributed with domestic causes and men with intellectual or labor-related causes.
The Impact and Current Understanding of Migraines
Migraines have a significant global impact, affecting approximately one billion people worldwide. They are the leading cause of disability among people under 50 and are particularly prevalent among women. Migraines cause immense physical, emotional, and financial burden, with substantial direct and indirect costs associated with the condition. While progress has been made in understanding and treating migraines, there is still much to learn, and stigma and misconceptions surrounding migraines persist. Innovative treatments and ongoing research aim to improve diagnosis, management, and public awareness of this debilitating condition.
“Throbbing, pulsating pain.” “Like a drill boring into your head.” “As though your head is gripped by a vise.” “Stabbing pain hammering through your brain.” There is no shortage of metaphors used to describe the horrific, incapacitating pain of migraines. But try as we might, can any of them truly convey what it feels like to be at the mercy of such pain? In many ways, migraines reveal our shortcomings: with language that fails to accurately describe pain, with empathy when we continue to dismiss migraines as “just really bad headaches”, with medicine as we struggle to find reliable treatments and preventatives, and with biology as we fail to understand the complete pathology of this condition. In this episode, we do our best to explore these shortcomings by deep diving into what we do know about the biology and history of migraines. Why do some people get migraines and others don’t? How do certain medications work? What the heck is going on with aura? Have migraines always been around? How have people dealt with them or perceived them historically? What’s on the horizon for migraines in the future? As always, we’ve got lots of questions and lots of answers for you, so tune in today!