Community Spirit Acupuncture London

Wimbledon Acupuncture Clinic

 

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Community Spirit is an affordable acupuncture clinic in South Wimbledon, London. We are a short walk from Colliers Wood tube station on the Northern Line.

Clinics run:
Every Tuesday from 2.00pm to 6.30pm

at:
All Saints Centre
44 All Saints Road
London
SW19 1BX

Telephone:
07791 414 440 Sue

Map & Directions

Because of our location close to the Northern Line stations of Colliers Wood and South Wimbledon, we are easy to get to from Tooting Bec, Tooting Broadway, Mitcham and Morden, as well as Wimbledon itself. Follow the link above for location, directions and travel information.

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[migraine and acupuncture]

Migraine Diagnosis and Classification

ICHD-II criteria for migraine diagnosis

(Back to main article: Migraines, Drugs, Acupuncture and other Therapies)

Migraine is a subjective phenomenon and cannot be diagnosed from biological markers [1]. Diagnosis is therefore based on patient history. This is now achieved with relatively high accuracy due to the application (now worldwide) of the International Classification of Headache Disorders, 2nd Ed. (ICHD-II), published in 2004 [2]. The full ICHD-II classification, and criteria for migraine (migraine without aura (MO) and migraine with aura (MA)) can be seen below. Despite improvements, migraine remains under diagnosed and thus under treated[3].

ICHD-II criteria for Migraine without Aura diagnosis

  1. At least five attacks fulfilling criteria 2-4.
  2. Headache attacks lasting 4-72 hours and occurring more than 15 days/mo (untreated or unsuccessfully treated).
  3. Headache has at least two of the following characteristics:
    •  Unilateral location.
    •  Pulsating quality.
    •  Moderate or severe pain intensity.
    •  Aggravation by or causing avoidance or routine physical activity (i.e. walking or climbing stairs).
  4. During headache, occurrence of at least one of the following:
    •  Nausea and/or vomiting.
    •  Photophobia and phonophobia.
  5. Not attributed to another disorder.

ICHD-II criteria for Migraine with Aura diagnosis

  1. At least two attacks fulfilling criteria 2-5.
  2. Fully reversible visual and/or sensory and/or speech symptoms but no motor weakness.
  3. At least two of the following three:
    •  Homonymous visual symptoms including positive features (i.e. flickering lights, spots and lines) and/or negative features (i.e. loss of vision) and/or unilateral sensory symptoms including positive features (i.e. pins and needles) and/or negative features (i.e. numbness).
    •  At least one symptom develops gradually over 5 minutes or more and/or different symptoms occur in succession.
    •  Each symptom lasts 5 minutes or more and 60 minutes or less.
  4. Headache that meets criteria 2-4 for Migraine without Aura (see above) begins during the aura or follows aura within 60 minutes.
  5. Not attributed to another disorder.

References

  1. ^ Author Commentaries - Dr. Jes Olesen (2008). From http://sciencewatch.com/inter/aut/2008/08-apr/08aprOlesen/
  2. ^ Jensen, R., & Stovner, L.J. (2008). Epidemiology and comorbidity of headache. Lancet Neurology, 7(4), 354-361.
  3. ^ Peres, M.F., Gonçalves, A.L., & Krymchantowski, A. (2007). Migraine, tension-type headache, and transformed migraine . Current Pain and Headache Reports, 11(6), 449-453.