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Aborting Through Physical Exertion (Read 6553 times)
jmac
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Aborting Through Physical Exertion
Jul 9th, 2013 at 4:47am
 
Just have to share some thoughts...  I am back on cycle after (2) years of relief.  Could not believe it when I felt a shadow about 3 weeks ago...  Started off slow.  An attack every other day around 6:00 AM.  Now I am pretty much at the worst part of the cycle. (shadows almost all day, K2 waking me up at 2:00 AM and K3-K4 forcing me up at 4:00 AM.)

Intense physical activity is the only thing that has aborted an attack for me.  If you have tried this and it hasn't worked for you or made it worse, I mean no offense.  I just have to share this in case it can help someone, because it still amazes me.

The trick is, I have to get on it EARLY.  The second that shadow starts increasing in intensity I get up and either run out the door to go for a run or I also have been doing pushups to failure.  Running usually takes longer for me to abort the attack... but after about 10 minutes I start to get relief and after about 20 minutes it is pretty much gone.  Please note that if it gets to like a K6 before I start the activity it is pretty much too late.

This morning at 4 AM, I didn't want to run outside in the dark, so I started drinking a cup of coffee and did 25 pushups.  My heart was beating incredibly fast and I was breathing very heavily.  Immediate relief.  But then it came right back.  So i rested for 2 minutes.  Then did 20 more pushups.  Heart beating out of my chest.  Immediate relief, followed by pain again.  Then i did 20 more pushups to failure... and the headache was pretty much gone.  As i type this... I have a small shadow going on.  But no pain.  And I could tell this one was going to be a doozy as it started to wake me up at 2 am.  I always breath out of my mouth... never through my nose.  This seems to help me.  (especially since the left side of my nose is always draining during an attack)

I hope this can help someone.  Please know that the last thing on earth I want to do is run or do pushups at 4 in the morning.  I am not that  type of person.  I am just sick of suffering.  And i have suffered alot this cycle. (Saturday I tried to wait it out in a dark room.  The episode hit K10 and lasted 3 hours, including vomiting at the end.)  The suffering has driven me to this point because I am willing to do anything to avoid the pain. In fact, when I started the physical activity... I half assed it because I didn't want to run or do pushups.  The first time I ran this cycle i went 1 mile and it didnt work.  I was really mad.  So the next time I went 2 1/2 miles at higher intensity and it worked.  The beast has driven me to get really tough.

This awesome website is where I learned about exercise as an abortive.  So thankful for it and the support.  I was so depressed years ago before I knew about this.  I felt so alone.  Best to all.
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Bob Johnson
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Re: Aborting Through Physical Exertion
Reply #1 - Jul 9th, 2013 at 10:57am
 
My doc suggested exercise some 40+ years ago, the era when there was little to be had to abort attacks. Since then the topic comes up infrequently--but persistently.

The limitation is for folks whose attacks are triggered by an elevation in body temperature.

But we persist!
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Re: Aborting Through Physical Exertion
Reply #2 - Jul 9th, 2013 at 4:38pm
 
In the early 80's a 20 minute all out sprint was one of the few abortives available to me! Then came oxygen. Not nearly in as good a shape now but loving the 4-6 minute abort times!

Joe
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Sean McE
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Re: Aborting Through Physical Exertion
Reply #3 - Jul 10th, 2013 at 12:02am
 
Back in 97 or 98 when I was only a couple of years in dealing with the beast I couldn't understand how it knew it was night time and also why they hit at at around noon and dinner time, finally decided it was my metabolism slowing down.  So I started running and it's always been very effective, usually within a half block or so. For me the key was to get really winded, literally gasping for air, jumping jacks or push-up's don't cut it. 1:00 am or 4:am, it didn't matter cause the alternative was worse.
       I've never been able to link body temp with my clusters, guess I'm lucky. Nowadays we got oxygen, a whole lot easier than getting out of bed and running 3 or 4 times a night but if I'm caught unprepared (and it's happened) I still run and it still works after 17 years of ech.
       Have you given the d3 regimen a go yet?  I started my episode a month or two late this year, May 16th to be exact, started d3 a week and a half later and had my first drink on the 30th, yee haa. As a reference, my cycles are almost always 8 weeks or a little longer so I'm fairly certain I can credit those vitamins with giving me my summer back.

   Good Luck,  Sean
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jmac
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Re: Aborting Through Physical Exertion
Reply #4 - Jul 10th, 2013 at 5:55am
 
I am  not familiar with the D3 regimen.  Is there information on this website?  i will try to find it. 

Agreed... sometimes pushups don't cut it for me either.  Especially cuz my upper body is completely worn out from yesterday!  Had to run this am.... This was going to be a strong one... its still lingering. But the run definitely has killed it.

Its interesting... my episode started about 2 months later this year as well.  Started in June.  I was shocked....  couldn't believe it.  Thought I was clear for this year.   Normally starts in march/april. 

What part of the country are you in?  I am in Delaware.  Could it be allergy related?  I still never have figured out what comes first:  Does the clear fluid come first and creates pressure?  Or  is the intense pressure creating the clear fluid?  (my left side is where the attacks occur and always drains fluid.  sometimes its pretty thick too)
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jmac
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Re: Aborting Through Physical Exertion
Reply #5 - Jul 10th, 2013 at 6:04am
 
I mean't to add that my episodes also last about 8 weeks.  I am 4-5 weeks in now.  Hoping the end is in sight.
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Bob P
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Re: Aborting Through Physical Exertion
Reply #6 - Jul 10th, 2013 at 7:31am
 
When I first signed the Guestbook on this site (many years ago), the gentleman before me posted how running up the hill behind his house aborted his headaches.  Then one year, when I had been riding a bike to work, I had an attack at work.  I jumped on my bike to ride home.  The attack was gone in the first 4 blocks!
I then started doing squats when I felt an attack starting.  Did them till my legs were burning and I was really blowing hard.  Then would sit down and breath deeply.  The attack would abort in about 5 minutes.  Went 60 for 60 in aborting attacks.
Then, like Joe, I found oxygen.  I got better results and didn't have to work so hard at it.
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Re: Aborting Through Physical Exertion
Reply #7 - Jul 10th, 2013 at 9:08am
 
THE D-3 REGIMEN

Follow this link to the medications section of this board and read the post 

Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register

It’s a vitamin/mineral/fish oil supplement, all over the counter stuff. It’s up to an 81% success rate of those who try it and respond to the survey so you’re just shooting yourself in the foot if you don’t give it a shot. I’m 3 years pain free on it after a 35 plus year track record with episodic CH. Best of all, it’s healthy for you even without CH!

As of January 20, 2013, the compiled raw data indicates an efficacy of 80%. 240 out of the 300 CH'ers who have started this regimen and stayed on it for a month or more have experienced a significant reduction in the frequency and severity of their CH... 78% of the 300 CH'ers experienced a pain free response and 60% of the 300 have remained essentially pain free. Episodic and chronic CH'ers respond to this regimen at roughly the same rate.

Preliminary survey results indicate most of these CH'ers were pain free before the end of the third week with some responding in a little as 12 to 24 hours. The average time to respond is five days


It's scary how many people it's helping, and how fast it works for many.

Joe
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Re: Aborting Through Physical Exertion
Reply #8 - Jul 11th, 2013 at 2:18am
 
Hi jmac,  Grew up in the mid west, moved to Seattle in 74 and been here ever since. Had allergies as a teenager pretty bad, not so bad now but still have em every June. Don't think there's a link. Yep, March and April for me and Sept and Oct too, sometimes back to back, sometimes skipping and going a full year between cycles. I've had three summer episodes also over the years and they went 3+ months each, scared the b'jeebers out of me too, worrying I was gonna go chronic. Episodic is fun enough, don't think I could handle that much fun on a full time basis. Never got headaches in my life (well, hangovers don't count) till Sept of 96 when I was 43.
   I'm a left sider too but the nasal thing kind of gets drowned out by the other fun things that are happening to my head so I guess I've never paid much attention to it.
   Hope you looked up the d3 info posted by Joe and can get started on it soon.

     Good luck,   Sean
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Re: Aborting Through Physical Exertion
Reply #9 - Jul 11th, 2013 at 6:58am
 
Thanks so much for the suggestions.  I am going to get the supplements today and take the survey  when this episode is officially over.  I am getting worn down for sure.  Push ups were no help today.  Went for a run... that almost didn't work.  I think I am just tired.  Gotta get tougher I guess.  Ive had an attack every morning for about 6 days straight.  (the week before was every other day... this is typical for me though.  2 years ago I was getting 2-3 every day at the worst part of the cycle)

I can't imaging being chronic.  I feel so bad for those that are.  I agree... episodic is enough fun for me.

Thank you so much for posting the supplement instructions.  I can't wait to get started.  It's no wonder people have gotten seriously depressed.  When I didn't have support ten years ago it was very scary and lonely.  So grateful for this site and all of the support and help.
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Re: Aborting Through Physical Exertion
Reply #10 - Jul 15th, 2013 at 9:39am
 
I've found that doing stomach exercises vigorously can help with the less intense headaches K2~K4. I also remember getting some when I was doing manual labor jobs and being able to work through an attack (don't stop working or moving no matter what). I remember if I could make it through about 15 minutes usually the pain would subside. Obviously not the most scientific thing in the world, but it does appear there could be some validity to it for some of us.
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Re: Aborting Through Physical Exertion
Reply #11 - Jul 15th, 2013 at 11:23am
 
Agreed.  I got hit at 4 am  and 6 am this morning... both times i did push ups... within 30 minutes the headache was gone... k4 to k6 max pain level.  wish it would just end.  so tired... 

I got hit at work once a few years back (grouting a tile floor) ... ended up speeding home.  Will try powering through if it happens this week.
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Re: Aborting Through Physical Exertion
Reply #12 - Aug 1st, 2013 at 12:45pm
 
Hey Jmac, like several others here, I used  to use the exertion methods you describe and it saved me on many occasions - problem for me was after about 4 attacks in a day, I couldn't do anymore push-ups, squats, jobs, etc. - too tired. I use O2 when in cycle and it has been a lifesaver and much faster abortive than the exercise.  But in a pinch (when traveling for example) I still go to it.  BTW, I discovered the exercise method on my own one day after being SO PISSED at the beast and decided instead of laying down, rocking, holding ice to my eyeball, temple, etc. that I was going to go exercise (which I had planned to do right before the beast hit) - I got on an elliptical machine in intense pain and mad as hell and after about 15 minutes when my heart was going really good, the headache just drained away.  It was magic.  This was before I found this site, O2, or a doctor who knew anything about Clusters.  Good luck to you.
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Re: Aborting Through Physical Exertion
Reply #13 - Aug 1st, 2013 at 5:55pm
 
sounds like maybe exercise re-distributes blood flow from the "pain area" to the muscles being worked. Bob its really interesting because before i got all the way down to your post i was going to suggest doing squats .. especially squats with perhaps small weights in ones hands or lunges. The quads are the largest muscles in the body so they will suck up tons of blood flow if worked. I think thats why the other poster here (the bike rider) also was able to abort in short order ..   so squats, mabye stairs or stair master or bike would be my recommendation. pushups re-direct blood to the arms and chest ,,smaller muscles so it took longer to get enough blood to that area to stop the swelling perhaps.
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Bob P
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Re: Aborting Through Physical Exertion
Reply #14 - Aug 5th, 2013 at 7:43am
 
That's exactly why I chose squats, biggest muscles, farthest from head.  Over time though, I came to believe it was the deep breathing more than the blood flow.
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Re: Aborting Through Physical Exertion
Reply #15 - Aug 12th, 2013 at 3:06pm
 
When I was getting attacks almost daily at work this year, I started walking the stairs briskly as soon as I felt the beast begin to wiggle. A couple times up and down six flights in a commercial building generated a lot of hard respiration and did the trick. 10 years ago I did push-ups with some success, but not as physically capable of doing 50+ of those now at age 54.
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Re: Aborting Through Physical Exertion
Reply #16 - Aug 16th, 2013 at 4:35pm
 
Vigorous exercise has helped me too. I usually have used it in combination. It took me about a week before I could pick up oxygen tanks when my cycle started this time. I would take an imitrex at onset but taking the pill, it usually takes 30 min, so I would do jumping jacks like crazy and the pain subsides. It's amazing.
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Re: Aborting Through Physical Exertion
Reply #17 - Apr 5th, 2014 at 4:21am
 
Hi
this intense physical activity is responding in my case. I am episodic and now at the beginning of my cycle, actually at the beginning of the attack i start running fast for about 2 miles , and after a while the beast has gone. until now 4 attacks aborted during 5 days , so this is nice and exciting for me to see i can abort the attack without using any medicine. this also will help you when you do not have the access to O2 or ergotamine or imitrex!
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Re: Aborting Through Physical Exertion
Reply #18 - Apr 5th, 2014 at 3:26pm
 
I once had a Neuro that I respected. He was good. He asked me if I had ever had a CH during sex. I said No. He asked me to try it. When I feel a CH coming on have my wife nearby and experiment with it. I did, and it was amazing how quickly the CH would dissipate. I'm not trying to be funny here. My wife would stroke me and I could feel the CH subside, and be gone within a minute or so.
Now onto the funny side of it... My wife got to where she enjoyed my CH's because she knew what was coming.
Try it, I swear it works!

Patrick_A  Cheesy
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Re: Aborting Through Physical Exertion
Reply #19 - Apr 6th, 2014 at 3:02am
 
it is funny and of course the reality is that when you have sex , it is like an intense exercise !!  your heart beat and blood pressure goes up, may be same mechanism! stops the attack. anyway just as a fun what shall we do when we are at work? Wink , anyway yesterday when i was at work again the beast was coming (around k3 or K4) , so immediately i went to the stairs and trying to go up  and down !! maybe it was strange for my colleagues!! but after a while the beast was gone. this is what i am trying and until now about 6 attacks were aborted by this approach. for the nights i am taking chlor-pheniramine( an antihistamine) and until now i have slept good. I intend to continue with this approach until I have failure and then I shall again go to my doctor and take prednisone. as much as possible i am trying not to take prednisone.
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Re: Aborting Through Physical Exertion
Reply #20 - Apr 6th, 2014 at 3:28pm
 
Makes some sense to me however once the pain starts any physical activity makes it worse. Oxygen while flat on my back works the best however I have noticed over the years that if I stay active it will prevent the onset of attacks. when I get home from work and kick back in recliner I get attacks every night 4 to 6 times a night with O2 being the equalizer every time. I feel that my neck and spine is responsible for these cluster attacks do to some spinal stenosis and spurs. 2 days ago I tried my second cortisone steroid shot in the C6/C7 location and the clusters have disappeared again. This may be a unique option for some but I think it is the answer for my 20 years of month long attacks. It is still a mystery as to why they happen once a year at random intervals but the cortisone injections have lenghthen the interval it seems.
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Re: Aborting Through Physical Exertion
Reply #21 - Apr 23rd, 2014 at 7:58am
 
hi just to update my situation, again the beast is winner!! the attacks in the mornings pushed me to say ok my hands are up, and  I went to my doctor and took the prednisone , and verapamil. I am ok now with this medication and trying now to taper off and abort the cycle, but i will continue the D3 regime always. hope that it will increase the PF time.
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Re: Aborting Through Physical Exertion
Reply #22 - Apr 23rd, 2014 at 11:43am
 
"it is funny and of course the reality is that when you have sex , it is like an intense exercise !!"
"My wife got to where she enjoyed my CH's because she knew what was coming."


  Ahh! To be young and horny again  Wink

At my age the closest to doin' it I ever get is watching reruns of the Golden Girls while pacing back and forth. Cry
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Re: Aborting Through Physical Exertion
Reply #23 - Apr 25th, 2014 at 11:40am
 
Back before I was training, I noticed this helped a few times. If I did any sort of extreme physical exercise that made my heart thump and my breathing come to gasp, it would stop an all out attack.

Now that I am training as a natural bodybuilder, my endurance has improved by a lot. Maybe due to that, or just age, but physical exertion does nothing to stop it. In fact, often times I will be in the middle of a workout, trying to bench press heavy weight, and a shadow will come on.

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