Migraine diary and exercise

The pain clinic has requested that I do a migraine diary to track my pain while doing the exercises they requested to see what sort of improvements there are.

There are lots of things I could say about exercising so far. Seriously is not fun. Makes migraines worse. Makes vertigo worse. I can't seem to physically get to the level the pain clinic wants due to the FM, because of muscle fatigue partly and the pain. That muscle fatigue starts fast and just gets worse and worse fast with aerobic exercise... I run out of oomph fast. Then run out of whatever is left over pushing through the fatigue. Then it is just pain.

Point being is that tracking migraines through a change is a good way to see if that change is doing anything to improve the situation. And so far no, no, it is not. And one thing I have always loathed about migraine diaries is that they are very depressing. It is a lot like this 8,8,8,9,9,8,9,7. And it just makes you very aware that you have no break. Ever. Also makes me aware of the days where I have all day long migraines opposed to starting in the afternoon migraines.

It really is beyond me how doing exercise which causes this much pain will 'poof' reduce my pain. It seems like such a contradiction. Although I know logically with FM it is good to exercise, to a degree within your limits. With migraines it is complicated of course. All doctors though, and I mean All of them, pay attention to that one study that claims 3 hours a week of aerobic exercise, 40 min a day, for a few months was equivalent in reducing migraine frequency as topamax. 

Results: Ninety-one patients were randomized and included in the intention-to-treat analysis. The primary efficacy variable showed a mean reduction of 0.93 (95% confidence interval (CI) 0.31–1.54) attacks in the exercise group, 0.83 (95% CI 0.22–1.45) attacks in the relaxation group, and 0.97 (95% CI 0.36–1.58) attacks in the topiramate group. No significant difference was observed between the groups (p = 0.95).
Conclusion: Exercise may be an option for the prophylactic treatment of migraine in patients who do not benefit from or do not want to take daily medication. PMC
And that was not a large study by any means. Nor was it one chronic migraines I might add. Doctors seem to ignore the other aspect that of relaxation techniques. But they do Love their topamax and recommending exercise. I must say, it might be a tad easier to exercise if someone didn't have a migraine every fricken day and maybe, just maybe, not starting with aerobic exercise might be a good idea.

Either way, it is not a simple thing. It is not a fast solution. Nor apparently an easy one to accomplish. And it makes me damn cranky to have the increase in pain I will tell you that.
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