JamesLHollyMD.com

	James L. Holly, M.D.

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About SETMA - Special Services - Headache Clinic

Special Services

SETMA's providers can evaluate and effectively treat your head problems. One of the most debilitating problems in healthcare is chronic headaches. In a setting of competence and compassion, you will be able to be evaluated for what kind of headache you have and for what treatments are available.

In SETMA's treatment of your headaches, you will be taught about many lifestyle changes which will help you control and improve your headache pattern. Some of these are:

Eat at regular times and do not miss meals. The following foods may trigger headaches and you should take measures to avoid these foods whenever possible.

Avacado
Avoid all alcoholic beverages if possible. No more than 2 drinks per day.
Bananas (no more than 1 per day)
Caffiene (tea, coffee, cola - no more than 4 servings per day)
Canned figs
Chicken liver
Chocolate
Citrus foods (no more than 1 orange per day)
Fermented, pickled, or marinated foods
Fermented sausage (bologna, salami, pepperoni, summer and hot dogs)
Foods containing monosodium glutamate (MSG - often found in Asian foods)
Fresh breads, raised coffee cakes, and doughnuts
Herring
Instant foods such as TV dinners
Nutrasweet
Nuts (including peanut butter)
Onions
Pods of broad beans (lima, navy, and pea pods)
Pork (no more than 2 to 3 servings per week)
Potato chips
Raisins
Ripened cheeses (cheddar, emmentaler, gruyere, stilton, brie, and camberet)
(american, cottage, cream, and velveeta are permissible)
Saccharin/aspartame (found in Sweet n' Low and many diet foods and sodas)
Shrimp
Sour cream
Vinegar (except white vinegar)
Yogurt
Eliminate any foods that you believe may bring on an attack.
Discuss these foods with your doctor.

The following envorinmental factors may trigger headaches and you should take measures to avoid them if possible.

Strong smells and fumes
Tobacco smoke
Glare or dazzle
Weather/changes in weather

Sleep can have an impact on your headaches. Keep the following points in mind.

Try to avoid oversleeping (especially after prolonged stress)
Try to get an adequate amount of rest on a regular basis
Try to ensure that your sleep is restful and not disrupted

Your activity may have an effect on your headaches. Keep the following points in mind.

Avoid prolonged overexertion, especially if not acclimated
Watch your posture; avoid craning your neck forward; think "tall"
Avoid prolonged uncomfortable postures
Keep your muscles as relaxed as possible when not physically active
Avoid frowning or jaw clenching

Stress can have an impact on your headaches. Keep the following points in mind.

Try to avoid minor hassles whenever possible
Try to spread your workload out evenly through the day
Major losses can cause stress -- be prepared to handle the stress as best you can
Anger can cause stress -- avoid it whenever possible
Conflict can cause stress -- avoid it whenever possible

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