BY TOM W000 Support group begins for sufferers of the "invisible condition." THE DE TRO IT J E WIS H N EWS RUTH LITTMANN STAFF WRITER 42 E lien Blau spent much of the past 20 years in bed, incapacitated by chronic head pain. She consult- ed one physician after another: neurologists, acupuncturists, in- ternists, chiropractors. A dietitian told her the prob- lem was eggs. "Eggs? I don't eat eggs," said the 44- year-old resident of Bingham Farms. Ms. Blau is one of more than 45 mil- lion Americans who suffer from chron- ic headaches. The disorder, often called the "invisible condition," has ambigu- ous causes, but its symptoms are painfully acute. Ms. Blau experienced throbbing at her left temple. Other sufferers com- plain of "facial" headaches with pain centering around their eyes and nose. "It's the worst. You can't understand it until you experience it yourself," Ms. Blau said. "You can't open your eyes. You go into a dark room, a pillow over your head. I missed at least two to three days a week." Five years ago, Ms. Blau met Dr. Sey- mour Diamond, executive director of the Diamond Headache Clinic in Chicago and creator of the National Headache Foundation. In addition to putting Ms. Blau on a strict diet, Dr. Diamond treated her with the monoamine oxidase inhibitor, "nardil," which serves to overcome in- tractable migraines in many individuals. "I got a lot better. While I had my headaches, I weighed 105 pounds. After seven months of treatment, I gained 30 pounds," she said. "I have my life back." Driven to help other headache suf- ferers, Ms. Blau researched the topic so thoroughly that others in the local Jew- ish community began consulting her about their own conditions. Recently, Ms. Blau accepted when Dr. Diamond offered her the job of "sup- port group coordinator" for the Nation- al Headache Foundation. As such, Ms. Blau is starting peer-led groups in a dozen U.S. cities. The mission is to establish monthly forums open to headache sufferers and family members who want to learn f She knows the answer: "Most people more about the disorder — causes, treat- ments and cures. Participants also will don't think headaches are a real illness. be encouraged to discuss the daily frus- They are told, 'It's all in your head.' trations of living with chronic head pain. That's why we need a support group. Fortunately, Ms. Blau has a husband People need validation that their who was sympathetic to her trauma, headaches are real." In fact, there are several very real she said. But some spouses aren't so un- derstanding, especially when sufferers types of headaches triggered by a wide have to miss events and family simchas. range of very real factors, according to "A lot of people are uneducated about the National Headache Foundation. headaches and a lot of women get a lot Chronic headaches seem to be genetic. of flak from their husbands because they Ms. Blau's mother suffered, so did her can't go to the show, for instance — or sisters. The National Headache Foun- the family vacation has to be canceled," dation reports that individuals have a Ms. Blau said. "It puts a lot of stress on 50 percent chance of suffering from the the marriage, which increases the disorder if one parent has it — a 75 per- headaches, which increases the stress, cent chance if both parents suffer. Most sufferers experience tension- which increases the headaches ... There's a support group for everything type headaches, triggered by stress, fa- tigue or hidden depression. The else, why not headaches?" "migraine" is a type of vascular headache, caused when blood vessels in the scalp expand and contract. The re- sult is throbbing pain. Another type of vascular headache is called the "cluster." Cluster headaches come in groups — usually in the spring or fall — and can last for days, even months, before remitting for a while. Notwithstanding the number of tele- vision commercials for sinus headaches, they are relatively rare and most often accompany the flu. "Many people who think they have sinus headaches actually may be suf- fering from muscle contraction headaches or migraines," reports the National Headache Foundation. The TMJ — temporomandibular joint HEAD page 44