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Headaches - pt III by stan lord
Exertion reactions tend to recur with the provoking movement-in the same location and for the same duration-and then slowly resolve without treatment. As a preventive, some athletes will pop aspirin or a nonsteroidal anti-inflammatory drug before intense workouts. (This can be a double-edged sword: The nsaid may block the headache, but it can also blunt pain receptors that signal imminent injury to muscle, tendon and ligamentous tissues.) For repeated incidents, your doctor may prescribe small doses of the beta blocker propranolol (brand name Inderal), a blood-pressure medication used to avert migraines.
Generally, laying off the inciting activity for two or three weeks is enough to extinguish any predisposition to pain; lessening stress and fatigue is also a good idea. When you return (gradually) to your lifting program, make sure to warm up and cool down adequately, keep your weight evenly distributed, and stretch your neck and back muscles every hour. If the pain returns, breathe slowly and deeply, ice the affected area, and rest in a dark room-or try taking a walk, preferably in fresh air.
In addition to weightlifting and aerobics, headaches can be caused by trauma to the head and neck during boxing and football, pressure changes during diving and climbing, or performing in extreme weather. In rare instances, exertion headaches can be a sign of organic disease, and anyone who experiences chronic distress after running or a typical workout should schedule a checkup.
However they start, most headaches involve a mixture of inflamed blood vessels and tight, aching muscles, as well as other profound body changes. "Most headaches originate within the brain itself," Newman says. "Since the brain is the body's control center, it's not hard for the attack to then spread to involve other structures," resulting in an upset stomach or a sore back, for instance.
Happily, there are quick fixes that frequently do the trick-and Americans spend more than $1 billion on them every year. "Mild headaches usually respond to over-the-counter remedies like ibuprofen or aspirin," Ward says, "though moderate to severe headaches may require prescription drugs." Stronger isn't always better, however. Fewer than one-quarter of subjects with persistent headaches found pain relief when given daily narcotics, according to a study at the Michigan Head-Pain & Neurological Institute in Ann Arbor.
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