What Are some of the Dangers of Taking Fioricet for Migraine?

What are some of the dangers of taking Fioricet for migraine?

  • Fioricet can be habit-forming: Over time, your body can stop responding to a regular dose of Fioricet, which might push you to take a higher dose than you normally would. It is also possible to develop a dependency on Fioricet. In other words, you might begin to think you can’t feel normal without it. This might cause you to take Fioricet too frequently.
  • Too much Fioricet can make you dangerously sleepy: Butalbital is a relaxant, and it can be harmful when combined with other relaxants, including alcohol. In large doses this effect can be life-threatening. Additionally, because Fioricet contains acetaminophen and caffeine, you should not take it with Tylenol, cold medicines that contain acetaminophen, caffeine pills, or caffeine-containing beverages like coffee, soda, or energy drinks. Both acetaminophen and caffeine are also dangerous at high doses.
  • Stopping Fioricet quickly can cause withdrawal: If you’ve been taking Fioricet for a while, you could experience symptoms of withdrawal, including seizures, if you stop taking it suddenly. Talk to your provider about finding a way to lower your dose safely if this is a problem for you.
  • Taking Fioricet can increase your risk of headaches: Taking Fioricet frequently can cause a different sort of headache, called a medication-overuse headache. Also, when the caffeine in Fioricet wears off, some people get a rebound headache.
  • Too much Fioricet can damage your liver: The acetaminophen ingredient in Fioricet can cause damage to your liver if you take it too often. If you already have liver problems you should avoid Fioricet.
  • Fioricet is not a good choice for pregnant or nursing women: If you take Fioricet while you are pregnant, your newborn baby could experience withdrawal symptoms after they are born. Acetaminophen and caffeine carry their own risks during pregnancy. In addition, all three ingredients can be passed through the breastmilk to infants who are nursing. Fortunately, there are other medications you can take if you are pregnant or nursing and need treatment for your migraines.

When should you take Fioricet for migraine?

Fioricet is best when it is used for tension-type headaches, which are different from migraines.

Tension-type headaches, which are also known as muscle contraction headaches, usually feel like a steady tightness on both sides of the head. They don’t cause nausea or vomiting and don’t get worse with movement. Unlike migraines, tension-type headaches also don’t usually get worse with bright lights or loud sounds.

For migraines, safer and more effective medications are available (see next section). If nothing else works for you, Fioricet can be a back-up option.

Regardless of why you are taking it, Fioricet should only be used occasionally.

Fioricet is a Prescription for Managing Migraines

What are migraines?

Migraines are a recurring type of headache. They cause moderate to severe pain that is throbbing or pulsing. The pain is often on one side of your head. You may also have other symptoms, such as nausea and weakness. You may be sensitive to light and sound.

What causes migraines?

Researchers believe that migraine has a genetic cause. There are also a number of factors that can trigger a migraine. These factors vary from person to person, and they include

    • Stress
    • Anxiety
    • Hormonal changes in women
    • Bright or flashing lights
    • Loud noises
    • Strong smells
    • Medicines
    • Too much or not enough sleep
    • Sudden changes in weather or environment
    • Overexertion (too much physical activity)
    • Tobacco
    • Caffeine or caffeine withdrawal
    • Skipped meals
    • Medication overuse (taking medicine for migraines too often)

Some people have found that certain foods or ingredients can trigger headaches, especially when they are combined with other triggers. These foods and ingredients include

    • Alcohol
    • Chocolate
    • Aged cheeses
    • Monosodium glutamate (MSG)
    • Some fruits and nuts
    • Fermented or pickled goods
    • Yeast
    • Cured or processed meats

Who is at risk for migraines?

About 12% of Americans get migraines. They can affect anyone, but you are more likely to have them if you

    • Are a woman. Women are three times more likely than men to get migraines.
    • Have a family history of migraines. Most people with migraines have family members who have migraines.
    • Have other medical conditions, such as depression, anxiety, bipolar disorder, sleep disorders, and epilepsy.

What are the symptoms of migraines?

There are four different phases of migraines. You may not always go through every phase each time you have a migraine.

    • Prodome. This phase starts up to 24 hours before you get the migraine. You have early signs and symptoms, such as food cravings, unexplained mood changes, uncontrollable yawning, fluid retention, and increased urination.
    • Aura. If you have this phase, you might see flashing or bright lights or zig-zag lines. You may have muscle weakness or feel like you are being touched or grabbed. An aura can happen just before or during a migraine.
    • Headache. A migraine usually starts gradually and then becomes more severe. It typically causes throbbing or pulsing pain, which is often on one side of your head. But sometimes you can have a migraine without a headache. Other migraine symptoms may include
      • Increased sensitivity to light, noise, and odors
      • Nausea and vomiting
      • Worsened pain when you move, cough, or sneeze
    • Postdrome (following the headache). You may feel exhausted, weak, and confused after a migraine. This can last up to a day.

Migraines are more common in the morning; people often wake up with them. Some people have migraines at predictable times, such as before menstruation or on weekends following a stressful week of work.

How are migraines diagnosed?

To make a diagnosis, your health care provider will

    • Take your medical history
    • Ask about your symptoms
    • Do a physical and neurological exam

An important part of diagnosing migraines is to rule out other medical conditions which could be causing the symptoms. So you may also have blood tests, an MRI or CT scan, or other tests.

How are migraines treated?

There is no cure for migraines. Treatment focuses on relieving symptoms and preventing additional attacks.

There are different types of medicines to relieve symptoms. They include triptan drugs, ergotamine drugs, and pain relievers. The sooner you take the medicine, the more effective it is.

There are also other things you can do to feel better:

    • Resting with your eyes closed in a quiet, darkened room
    • Placing a cool cloth or ice pack on your forehead
    • Drinking fluids

There are some lifestyle changes you can make to prevent migraines:

    • Stress management strategies, such as exercise, relaxation techniques, and biofeedback, may reduce the number and severity of migraines. Biofeedback uses electronic devices to teach you to control certain body functions, such as your heartbeat, blood pressure, and muscle tension.
    • Make a log of what seems to trigger your migraines. You can learn what you need to avoid, such as certain foods and medicines. It also help you figure out what you should do, such as establishing a consistent sleep schedule and eating regular meals.
    • Hormone therapy may help some women whose migraines seem to be linked to their menstrual cycle
    • If you have obesity, losing weight may also be helpful

If you have frequent or severe migraines, you may need to take medicines to prevent further attacks. Talk with your health care provider about which drug would be right for you.

Certain natural treatments, such as riboflavin (vitamin B2) and coenzyme Q10, may help prevent migraines. If your magnesium level is low, you can try taking magnesium. There is also an herb, butterbur, which some people take to prevent migraines. But butterbur may not be safe for long-term use. Always check with your health care provider before taking any supplements.

Anyone who has experienced the pain of migraine is well aware that the declaration.

Often with one side of the head, these headaches can be very stressful for patients. They are able to be offended, but also painful to the point where you just throw up. The effects can last from 12 to 72 hours, with little relief or not.

Many people experience an aura at the beginning of a migraine. “Lightning” in the corner of my eye, dizziness, blurred or double vision and nausea were observed, are some of the classic tale signs that a migraine is to occur. The pain is extreme, and it is extremely sensitive to sights and sounds. Light of any kind is intolerable. The individual will need to lie as a rule, in a dark and quiet, although they too are waiting for the disappearance of these headaches.

Many women begin to experience migraines because they go through menopause.

You can never find a headache in their lives, but they are steadily during this period. There is no known reason, why would they start to happen in this time of life. Often, the trigger voltage is used, but may at some point this individual will be brought to eat. Physical illness may be an additional trigger, but it is not known, for an individual.

There are migraine drugs to prevent or relieve symptoms after the accident. Many people find themselves in the emergency room of the hospital, as they always have a shot if a migraine is severe enough. Signs and symptoms of visual impairment due to extreme headaches accompanied lead people to think about what they can to have a brain tumor. Your doctor will probably order an MRI to know for this purpose. Governance

even though you suffer from frequent migraines to stretch and use a cold compress on the forehead and back of neck. Caffeine will also help relieve signs and symptoms of dilated blood vessels.

Often a doctor will prescribe certain drugs that are also used to make the higher blood pressure because they have an influence on the frequency and intensity of migraines seem to possess. Known as calcium channel blockers and beta blockers have been used with some success in the past. These are used as preventative measures.

Your doctor will work with you to try to alleviate the frequency of migraine, although some people have more or as much as 5 or 6 in the week. How often you have it, is not something that can be predicted.

Try to determine what it is you need to make simple, took place before the headache. Keep a list of things you eat that appear to precipitate migraine. My doctor informed of your findings are.

Help with the discovery of what is the cause of migraine to control them. even though the natural way does not control the migraines, you will find drugs on the market these days, a doctor can prescribe to help with migraines can be. It always says if you can control them without medication, then it is proposed to do.

Why is Fioricet used to treat migraine?

Fioricet is an older medication that used to frequently be prescribed to treat migraine symptoms. However, there is not enough evidence that shows it’s effective for migraine attacks, especially when compared to safer products.

Although Fioricet has been used for many years for migraine, it’s not approved for this use, and there are greater risks than benefits with this medication.

Fioricet may be an option if other migraine treatment options have not worked. Your doctor will just want to monitor you closely to avoid side effects.

It’s prescribed to help relieve immediate headache symptoms, but not to prevent migraine attacks.

How does Fioricet work to treat migraine?

Fioricet contains three different active ingredients which work together on tension headaches. The exact way Fioricet works to help relieve tension headache is not clear.

Butalbital is a barbiturate that helps with relaxation and anxiety, acetaminophen works as an analgesic for pain relief, and caffeine also helps with pain relief.

How do you take Fioricet?

Fioricet is available as a capsule you take by mouth. The recommended dose is 1-2 capsules every 4 hours. Do not take more than 6 capsules in a 24-hour period.

Fioricet can cause an upset stomach, so taking it with food or milk may help.

Ask your pharmacist for information on the best way to take Fioricet.

What are the possible side effects of taking Fioricet?

Share your medical history with your doctor and ask if Fioricet is safe for you to take. Fioricet can cause some serious side effects, including:

      • confusion
      • seizure
      • depression
      • drowsiness, dizziness
      • feeling intoxicated
      • stomach pain
      • dry mouth
      • heartburn
      • fast heart rate
      • muscle pain
      • rash, itching
      • vomiting

If you experience a severe or life-threatening reaction to Fioricet, call 911 right away.

Butal/APAP/Caf 50-325-40mg Tab Mayne Pharma Pill Identification: MIA 110
Butal/APAP/Caf 50-325-40mg Tab
Mayne Pharma
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Potential drug interactions from Fioricet

Fioricet can also interact with different medications, including:

      • MAO inhibitors
      • opioid pain relievers
      • alcohol
      • sleep or anxiety medications like benzodiazepines
      • other medications that cause sedation
      • multi-symptom cough/cold medications with acetaminophen

This is not a full list of all the side effects and interactions of Fioricet. Ask your pharmacist for a complete list.

Are there risks from taking Fioricet for migraine?

Fioricet has several risks and may not be suitable for everyone.

The active ingredient butalbital in Fioricet may be habit-forming. Using higher doses for a long time may lead to dependence on Fioricet. Suddenly stopping the medication after regular use may also cause withdrawal symptoms.

Drinking alcohol or taking other sedative medications with Fioricet may be harmful and cause dangerous side effects. Butalbital takes a long time to clear from your body.

Do not take Fioricet with other products that have the same active ingredients. Taking too much of these ingredients together can increase the risk of overdose, cause liver or kidney damage, and may be life-threatening.

Talk with your doctor about any medications and over-the-counter products you’re taking, including vitamins, herbs, and natural supplements.

Some examples include:

      • acetaminophen (Tylenol, multi-symptom cough/cold products)
      • caffeine (energy drinks, Excedrin migraine, caffeine pills)
      • butalbital (barbiturates)

Taking Fioricet regularly can increase your risk for rebound headaches or medication overuse headaches. The American Migraine Prevalence and Prevention Study found use of butalbital for 5 days per month would increase the risk of acute migraine becoming chronic migraine.

Fioricet can raise blood pressure and heart rate, if you have a history of high blood pressure or heart related conditions, ask your doctor about the risks of Fioricet.

What Is Gabapentin Off Label Usages ?

Neurontin is the trade name for the generic drug gabapentin. It is useful as an anti-epileptic drug and as an analgesic, particularly for pain of the neuropathic or neurogenic type. (pain from irritation or inflammation of nerves). When used for controlling epilepsy, it is usually used in conjunction with another anti-epileptic drug.

It is used much more extensively in the medical field to treat pain than it is to treat epilepsy.

How Gabapentin Works

Gabapentin is believed to work by altering the release of glutamate and other neurotransmitters in your brain.1 Neurotransmitters send messages from one brain cell to another. Glutamate is really helpful for certain things, like learning new information. That’s because it gets your brain cells stirred up and active.

Kind of like a toddler with chocolate, though, if you have too much glutamate running around, your brain cells can become overstimulated. That can make all kinds of things go wrong.

Glutamate has more than one job, though. It also helps transmit pain signals in your brain and nerves. Too much glutamate may play a role in hyperalgesia, which essentially turns up the volume of pain.

To counter the effects of glutamate, you have another neurotransmitter called gamma-aminobutyric acid (GABA).2 It calms your cells and quiets your brain. When GABA and glutamate exist in balance with each other, things go well. (It’s likely out of balance in fibromyalgia, though.)

Some diseases and conditions—including fibromyalgia—may interrupt this balance and let glutamate run amok. Gabapentin is believed to reduce your brain’s release of glutamate so the cells can calm down and your brain can function better.

Gabapentin belongs to a class of drugs known as anticonvulsants, used to help control seizures in the treatment of epilepsy. Neurontin will only be able to control seizures for as long as you take it. It can’t cure epilepsy. Gabapentin capsules, tablets, and oral solution are used to help control certain types of seizures in people who have epilepsy.

Gabapentin capsules, tablets, and oral solution are also used to relieve the pain of postherpetic neuralgia (PHN; the burning, stabbing pain or aches that may last for months or years after an attack of shingles). Gabapentin extended-release tablets (Horizant) are used to treat restless legs syndrome (RLS; a condition that causes discomfort in the legs and a strong urge to move the legs, especially at night and when sitting or lying down).

Gabapentin is in a class of medications called anticonvulsants. It has also been reported to be helpful in controlling the pain of fibromyalgia.

Gabapentin for Fibromyalgia

Research suggests that people with fibromyalgia have too much glutamate in certain parts of their brain, so gabapentin has long been prescribed for it. But is it effective? Research is mixed.

Two reviews of the evidence disagree. One released in 2016 found that gabapentin is an effective fibromyalgia treatment,3 while another, published in 2017,4 reported only low-quality evidence.

A 2014 review of gabapentin for fibromyalgia and neuropathy found that about 35 percent of study participants saw their pain drop by at least 50 percent while on the drug.5 It’s important to note, though, that 21 percent saw similar drops when taking a placebo.

In studies comparing gabapentin with pregabalin (Lyrica), including one published in The Journal of the American Medical Association, pregabalin appeared to perform better.

An extended-release form of gabapentin showed promise in one small trial published in Pain Practice.3 Researchers say it improved pain, sleep, and quality of life. This was a preliminary trial, though, so more work needs to be done before we’ll know for sure whether it’s safe and effective long term.

Gabapentin treats seizures by decreasing abnormal excitement in the brain. Gabapentin relieves the pain of PHN by changing the way the body senses pain. It is not known exactly how gabapentin works to treat restless legs syndrome.

Buy Gabapentin 800mg Online
Buy Gabapentin 800mg Online

Gabapentin Off Label Usages

Gabapentin is also sometimes used to relieve the pain of diabetic neuropathy (numbness or tingling due to nerve damage in people who have diabetes), and to treat and prevent hot flashes (sudden strong feelings of heat and sweating) in women who are being treated for breast cancer or who have experienced menopause (”change of life”, the end of monthly menstrual periods). Talk to your doctor about the risks of using this medication for your condition.

Pregabalin (Lyrica), a drug similar to gabapentin, was the first medication approved by the Food and Drug Administration (FDA) to treat fibromyalgia. While gabapentin hasn’t been approved by the FDA for the treatment of fibromyalgia, some doctors may prescribe it off-label for such use.

Gabapentin and pregabalin were originally approved to treat certain types of epilepsy and nerve pain. Both drugs work by limiting the release of pain-communicating chemicals by nerve cells in the brain and spinal cord. The most common side effects of both drugs are dizziness and drowsiness.

It is also used to control pain associated with shingles and has been evaluated for pain conditions, including migraine, as its pain-modulating properties may regulate the perception of pain.

Anticonvulsant drugs, such as gabapentin, are becoming increasingly popular for migraine prevention.

Efficacy of gabapentin in migraine prophylaxis research on a history of migraine episodes for a mean of about 21 years shows that Gabapentin is an effective prophylactic agent for patients with migraine. In addition, gabapentin appears generally well tolerated with mild to moderate somnolence and dizziness.

Gabapentin is generally well tolerated. The main side effects are dizziness and drowsiness. Occasionally there maybe some fluid retention, unsteadiness or G.I upset, mainly diarrhea.

The effective dose of gabapentin varies greatly. Some persons need only 200-300 mg a day whereas others may need 3000 mg or more a day. It may take several weeks to become effective, so it is important to stay on it for an adequate length of time.

Gabapentin has a lot of off-label usage. It is widely used nerve related diseases. Most of them are reviewed by patients and reviewed high.


General speaking, Gabapentin can be off label used to treat Cough, Hot Flashes, Occipital Neuralgia, Trigeminal Neuralgia, Transverse Myelitis,
Alcohol Withdrawal, Pruritus, Bipolar Disorder, Migraine, Anxiety, Postherpetic Neuralgia, Insomnia, Restless Legs Syndrome, Vulvodynia, Benign Essential Tremor, Peripheral Neuropathy, Fibromyalgia, Diabetic Peripheral Neuropathy, Pain, Neuropathic Pain, Reflex Sympathetic Dystrophy Syndrome, Epilepsy, Hiccups, Syringomyelia, Periodic Limb Movement Disorder, Spondylolisthesis, Burning Mouth Syndrome, Pudendal Neuralgia, Small Fiber Neuropathy, Nausea/Vomiting, Chemotherapy Induced.

Gabapentin reviews for migraine prevention

A migraine is not just a headache. Migraines are usually more severe and last longer than headaches. Migraines can last as long as 72 hours.

The major symptom of a migraine is pain that you usually feel on one side of your head. This pain is typically moderate or severe. Migraines also include other symptoms, such as nausea, vomiting, and severe sensitivity to light and sound.

About 20% of people who have migraines experience an aura before the pain begins. An aura is a group of symptoms. You could have some or all of the following symptoms during a migraine aura:

  • Changes in your vision, such as seeing squiggly lines or having short-term, partial vision loss
  • Difficulty talking
  • Tingling or numbness of any part of your body

Migraine triggers

It is not known exactly why people have migraines. However, some people can track their migraine back to a certain trigger. Migraine triggers can include stress, lack of sleep, certain foods, and even hormone changes during a menstrual cycle.

Migraine prevention

Some people can prevent migraines by avoiding triggers. Others have prevented migraines successfully through relaxation techniques, acupuncture, or exercise. However, these therapies alone don’t work for everyone. Some people also need treatment with medication to reduce the number of migraines they have. The drugs used to prevent migraines are different from drugs that to treat migraines once a migraine starts. Drugs that prevent migraines, such as gabapentin, must be taken on an ongoing basis to work properly.

Gabapentin is a drug that is approved to treat seizures in people with epilepsy. It is also approved to treat nerve pain from shingles, which is a painful rash caused by herpes zoster infection. It’s used off-label for migraine prevention.

Gabapentin belongs to a class of drugs called anticonvulsants. A class of drugs is a group of medications that work in a similar way. Anticonvulsants help calm nerve impulses. It is believed that this action can help prevent migraine pain.

Gabapentin for migraine prevention reviews by drugs.com
Gabapentin for migraine prevention reviews by drugs.com

Migraine Headache Treatments

Many people around the world suffer from migraine headaches. These headaches can often lead to a large amount of pain which can be debilitating for some people.

Migraine treatment
Migraine treatment

Migraine is a common neurological condition that affects millions of people from all ages, nationalities and gender. Like any other disease, its presence is manifested by symptoms felt by the sufferer and whose existence allows physicians to make a diagnosis.

The most common migraine symptom and the most recognizable as well, is the headache. Although it is not present in the rarer forms of the disease, it is one evident sign of migraine. The headache that accompanies a migraine is not the kind that gives a dull ache. The pain felt by migraines is the intense, throbbing kind which sometimes necessitates complete rest and disrupts normal daily functions.

However, a headache is not the only indicator that signals a migraine. Depending on the migraine attack, a host of other symptoms arise as well. Analyzing them helps the medical practitioner in determining what type of migraine the patient is suffering from and in prescribing the appropriate medications.

An inventory of migraine symptoms could be quite lengthy due to the various types of the disease. A generalized list of these include: severe headache on one or both sides of the head, nausea, vomiting, weakness, vision disturbance, sensitivity to light and sound, pain over one eye, aura, blurred vision and temporary blind spots.

When the migraine comes with aura, this gives rise to a whole new set of symptoms that consists of: seeing flashing lights or zigzag lines, temporary blindness, speech difficulty, tingling and weakness in the limbs and face, confusion, giddiness and noise sensitivity.

This does not mean the sufferer undergoes all the symptoms during the attack. Most likely, he will experience only a few. Symptoms also vary from person to person. Further, a migraine symptom could be felt days before the attack, during the aerodrome stage.

In these times, the migraine has unexplained feelings of elation or intense energy, cravings for sweets, thirst, drowsiness or irritability and depression.

Diagnosing migraine is not an easy task for the physician. In order to make an accurate evaluation, he will need to have as much information as possible, obtained from the patient and from medical tests conducted. Observation and analysis of symptoms is very helpful in arriving at a diagnosis. By knowing what symptoms are experienced by the patient, the specialist will be able to tell what type of migraine it is and what treatments are to be administered.

During consultation, the patient will be required to describe the duration and frequency of his All kinds of Headache and how intense they are, where pain is located, presence of associated symptoms and behavior during a headache. Since other illnesses also exhibit similar sings to migraine, these have to be ruled out. A case in point is the fact that people with sever sinusitis also experience double vision and vision loss.

Experiencing migraine, however mild, is not a pleasant event. But the sufferer can put this to good use by being observant and recording what he is going through. The complexity of migraine and the difficulty in diagnosing it means that no detail is insignificant. Thus, if the patient is to take an active role in the management of his disease, he needs to be vigilant of every single migraine symptom.

Migraines are affecting a huge percentage of people and the causes are usually determined on an individual basis. People often use acupuncture to reduce the severity of the migraine headaches and reduce the frequency that they occur.

These alternative therapies can also be used to reduce the side effects of migraines such as sickness, stress, muscle tension and fatigue.

No matter what types of medication you take for migraine headaches they can produce unwanted side effects and symptoms. And unfortunately, they can also increase the intensity of the very pain they were intended to relieve.

There are many migraine headache triggers that will cause migraines and the first step toward eliminating this painful disorder is to determine what these triggers are and then eliminate them.

Throbbing head pain is caused when the blood vessels surrounding the brain dilate. Placing a cold compress on the back of the neck can help minimize the flow of blood to the brain, thus relieving the throbbing pain.

There are other effective home remedies that can help reduce pain. Massaging tight muscles can aid in relaxation and the best spots for massage are the muscles of the neck, shoulders, face, and head.

Be sure to use the pads of your fingers or thumbs and rub your muscles gently, but firmly. Another migraine treatment that has shown good results is taking niacin, also known as vitamin B3.

If taken in sufficient amounts it can cause a person’s body to flush, or turn red. Before beginning a proper treatment for migraine headaches relief, it isn’t uncommon for sufferers to wind up in an emergency room because of the unendurable pain.

Constrictions of blood vessels that supply the brain with blood are the likely root cause of migraines.

Migraines are a medical condition that impairs millions of people each year. While migraines differ in severity, common symptoms include altered perceptions, severe headaches, and nausea. Preventative migraine headache treatment options are used to prevent – or reduce – the number of migraines a person suffers from. Treatment usually is in the form of a medication or patch. Trigger management migraine treatments are aimed at identifying what causes migraines. Triggers can include a change of weather, air pressure, bright lights, glare, fluorescent light, fumes, and foods.

General pain management for migraine headache treatment can be used to treat non-life threatening migraines. Treatment options include the use of narcotic analgesics, non-steroidal anti-inflammatory drugs, and simple analgesics. As someone who has the unfortunate task of dealing with migraines you will surely be seeking some kind of migraine headache treatment to relieve yourself of the agony and pain that migraines come bearing when they do attack.

This option as it suggests should offer you more pleasant results compared to medicine. There are a number of techniques that have been researched by many migraine sufferers like applying heat or cold to the affected area and many more.