Adult with headache. Problem-specific video guides to diagnosing patients and helping them with management and prevention
|
|
- Brianne Lester
- 8 years ago
- Views:
Transcription
1 Adult with headache Problem-specific video guides to diagnosing patients and helping them with management and prevention London Strategic Clinical Networks London Neuroscience Strategic Clinical Network How to achieve a working diagnosis? 1 If headache duration less than 6 months, consider serious cause If headache duration greater than 6 months, serious cause unlikely If episodic headache Introduction If daily headache i.e. occuring greater than 50% of days and chronic headache to the types of episodic headache 5 6 What are the red flag features? 2 3-minute neurological exam A YouTube video by Dr Fayyaz Ahmed, consultant neurologist at Hull Royal Infirmary, on how to conduct a brief neurological examination Red flag features Diagnosing tension type migraine 5a 5b cluster 5c other 5d Headache impact test chronic migraine 6a Find out more When is a brain scan helpful? 3 A PDF questionnaire from the British Association for the Study of Headache to help patients communicate what they cannot do because of headaches Headache diary Acute treatment options Managing migraine 7 menstrual migraine 10 tension type 12 cluster Easy-to-use monthly and annual PDF diaries from the National Migraine Centre to help patients record information about headache attacks chronic tension type 6b Who to refer and where? 13 4 Healthline recommend the fourteen best migraine iphone and Android apps of 2014 medication over-use migraine medication 8 migraine and the contraceptive pill Acute treatment options Acute treatment options 6c List of the videos 11 new daily persistent If serious problem suspected If serious problem not suspected Refer patient to specialist headache services Consider other acute cause: TMJ dysfunction Cervicogenic headache Occipital neuralgia Sinusitis 6d Acute treatment options Preventing migraine 9 tension type cluster Prevention options Prevention options Prevention options If patient is responding Headache apps medication over-use If other secondary headache return to How to achieve a working diagnosis? 14 Prevention options If patient is not responding or there are complicating co-morbidities Management options About specialist headache services 15 Refer patient to specialist headache services Acknowledgements
2 Red flag features Progressive headache Sudden inset worst ever headache Jaw claudication and scalp tenderness Significant fever or systemic upset New altered headache in elderly New altered headache in immunocompromised New altered headache in patient with known malignancy Examination abnormal: Eye movements Fundi e.g. papilledema Pupils and pupillary reactions Limb and or gait ataxia Tendon reflexes / plantar
3 Migraine headache acute treatment options At headache onset: Analgesia: NSAID e.g. Ibuprofen mg or Naproxen mg Anti-emetic: e.g. Metoclopramide 10 mg, Domperidone mg Sumatriptan mg All up to 6 times / month
4 Tension type headache acute treatment options Analgesia: NSAID e.g. Ibuprofen 400 mg or Naproxen mg PRN Avoid opiates and compound analgesia
5 Cluster headache acute treatment options Subcut injection 6 mg, Sumatriptan as needed for acute episode Nasal Sumatriptan or Zolmitriptan as needed Oxygen 100% l/min for mins Prednisolone mg for 7 10 days
6 Other headache acute treatment options For neuralgia: Carbamazepine mg daily on two divided doses
7 Migraine headache prevention options Identify / avoid / modify migraine triggers Propranolol mg od Metoprolol mg daily Topiramate mg bd or Amitriptyline mg nocte
8 Tension type headache prevention options Lifestyle and headache trigger avoidance Consider acupuncture
9 Cluster headache prevention options Verapamil mg / day (with normal ECG)
10 Chronic medication over-use headache prevention options Reduce / stop analgesia Monitor with headache diary Further treatment based upon diagnosis e.g. migraine, tension type, etc.
11 Episodic headache management options For migraine, tension type and daily headaches: Monitor and adjust treatment Consider withdrawing preventative rx after 4 6 months Avoid increasing analgesic use
12 List of the videos 1 History taking History of presentation: headache history, medical history, treatment history. 2 Red flag Headache duration, headache characteristics, patient characteristics. Associated neurological and systemic features. Screening. Red flag features but not a red flag. 3 Brain scan and blood tests Use: diagnosis, anxiety. CT and MRI. Refining a diagnosis. Headache but a normal brain scan, discovery of abnormalities not linked to headache. Blood tests inflammatory markers. 4 Referral Diagnostic (urgent/non urgent. Referral pathways two week wait/a&e. Management neurology headache services). 5 Introduction: episodic headaches types 5a Episodic migraine diagnosis Headache characteristics, duration and intensity. 5b Episodic tension type headache diagnosis Headache characteristics. Migraine v tension type same or different. Approach to take. 5c Episodic cluster headache diagnosis Headache characteristics, attack patterns, severity, patient responses, triggers, why diagnosis can be missed. 5d Other episodic headaches Trigeminal neuralgia and cluster headache. Trigeminal autonomic cephalgia. 6 Introduction to chronic daily headache Definition and duration. 6a Chronic migraine common cause of daily headache Prevalence and characteristics. 6b Chronic tension type common cause of daily headache Characteristics. 6c Medication overuse common cause of daily headache Definition, analgesia thresholds/use, characteristics. 6d New daily common cause of daily headache Characteristics, primary and secondary. Secondary: spontaneous intracranial hypotension, intracranial hypertension, intracranial venous thrombosis. Primary: Hemicrania continua. 9 Migraine prevention When to use, patient explanation choices, licensed medication, dose level and patient tolerance, preventative duration, monitoring. 9 Menstrual migraine Timing, hormonal, menopausal, strategies: triggers & self-help, triptan, oestrogen replacement. 9 Migraine and contraceptive pill Combined contraceptive pill, risk, migraine with aura, alternatives. 12 Tension headache management Featureless headaches, underlying migraine, treatment, complementary strategies acupuncture, nutraceuticals, physiotherapy. 13 Cluster headache Treatment for acute attacks, treatment to shorten bouts, treatment to prevent bouts occurring. Acute attacks triptans, oxygen (Ouch uk files/downloads/home_oxygen_order_form_ parta_dv.pdf). Transitional treatment steroids, nerve block. Preventative medications. 13 Medication overuse Explanation to patient, treatment strategies, patient characteristics. 13 Specialist headache services Characteristics and conditions managed: time, expertise in use of rating scale, medication history, patient information, diagnostic investigations, treatment medication, nerve blocks, Botox, detox. 7 Migraine management Diary, patient discussion, avoiding headache triggers, self-help. 8 Migraine treatment Medication package analgesic, antiemetic, triptans. Doses and frequency.
13 Acknowledgements Pathway created and updated by Dr Bal Athwal, Consultant Neurologist, Royal Free London Hospital with contributions from Dr Nassif Mansour, GP, Kingston CCG Podcasts by London Neuroscience Strategic Clinical Network shared learning working group September 2014 Prof Lionel Ginsberg Dr Bal Athwal Dr Nassif Mansour Dr Philippa Curran Version 1.7 June 2015 London Neuroscience SCN
SIGN. Diagnosis and management of headache in adults. Quick Reference Guide. Scottish Intercollegiate Guidelines Network
SIGN Scottish Intercollegiate Guidelines Network 107 iagnosis and management of headache in adults Quick Reference Guide November 2008 opies of all SIGN guidelines are available online at www.sign.ac.uk
More informationWhat is chronic daily headache? Information for patients Neurology
What is chronic daily headache? Information for patients Neurology What is chronic daily headache (CDH)? Chronic daily headache (CDH) is the term used when a person has a headache on 15 days a month or
More informationHeadaches in Children
Children s s Hospital Headaches in Children Manikum Moodley, MD, FRCP Section of Pediatric Neurology The Cleveland Clinic Foundation Introduction Headaches are common in children Most headaches are benign
More informationHEADACHE. as. MUDr. Rudolf Černý, CSc. doc. MUDr. Petr Marusič, Ph.D.
HEADACHE as. MUDr. Rudolf Černý, CSc. doc. MUDr. Petr Marusič, Ph.D. Dpt. of Neurology Charles University in Prague, 2nd Faculty of Medicine Motol University Hospital History of headache 1200 years B.C.
More informationHeadaches in Children How to Manage Difficult Headaches
Headaches in Children How to Manage Difficult Headaches Peter Procopis Childhood headaches Differential diagnosis Migraine Psychological Raised Pressure Childhood headaches Other causes: Constitutional
More informationTension-type headache Non-pharmacological and pharmacological treatment
Danish Headache Center Tension-type headache Non-pharmacological and pharmacological treatment Lars Bendtsen Associate professor, MD, PhD, Dr Med Sci Danish Headache Center, Department of Neurology Glostrup
More informationJuly 2012 Target Population. Adult patients 18 years or older in primary care settings.
Guideline for Primary Care Management of Headache in Adults July 2012 Target Population Adult patients 18 years or older in primary care settings. Exclusions: This guideline does not provide recommendations
More informationHEADACHES IN CHILDREN AND ADOLESCENTS. Brian D. Ryals, M.D.
HEADACHES IN CHILDREN AND ADOLESCENTS Brian D. Ryals, M.D. Frequency and Type of Headaches in Schoolchildren 8993 children age 7-15 in Sweden Migraine in 4% Frequent Nonmigrainous in 7% Infrequent Nonmigrainous
More informationDifferential diagnosis of Orofacial Pain. Prof. Yair Sharav School of Dental Medicine Hebrew University-Hadassah, Jerusalem
Differential diagnosis of Orofacial Pain Prof. Yair Sharav School of Dental Medicine Hebrew University-Hadassah, Jerusalem Orofacial Pain & Headache Yair Sharav & Rafael Benoliel 2008, MOSBY, Elsevir Special
More informationPost Traumatic and other Headache Syndromes. Danielle L. Erb, MD Brain Rehabilitation Medicine, LLC Brain Injury Rehab Center, PRA
Post Traumatic and other Headache Syndromes Danielle L. Erb, MD Brain Rehabilitation Medicine, LLC Brain Injury Rehab Center, PRA Over 45 million Americans have chronic, recurring headaches 62% of these
More informationMigraine Treatment - What You Should Know
What kind of headache do you have? Less than 2% of the population have never had a headache. Most of us get them from time to time and they are usually resolved with a couple of painkillers, a rest or
More informationUBC Pain Medicine Residency Program: CanMEDS Goals and Objectives of the UBC Headache Clinic Rotation
UBC Pain Medicine Residency Program: CanMEDS Goals and Objectives of the UBC Headache Clinic Rotation Overview: The UBC Headache Clinic is located in located in rm. 267, on the 2nd floor of UBC Hospital.
More informationA chiropractic approach to managing migraine
A chiropractic approach to managing migraine What is chiropractic? Chiropractic is a primary healthcare profession that specialises in the diagnosis, treatment and overall management of conditions that
More informationWhen the Pain Won t Stop: Managing Chronic Daily Headache
When the Pain Won t Stop: Managing Chronic Daily Headache Arnolda Eloff, MB, ChB, Mmed Presented at the University of Calgary s Wednesday Evening Course Program, Calgary, Alberta. Copyright Chronic daily
More informationClinical Guideline. Low Back Pain Orthopaedics. Princess Alexandra Hospital Emergency Department. 1 Purpose. 2 Background
Princess Alexandra Hospital Emergency Department Clinical Guideline Orthopaedics Review Officer: Katherine Isoardi Version no: 1 Approval date: 18/03/2015 Review date: 18/03/2017 Approving Officer Dr James
More informationClassification of Chronic Headache
Chronic Headache Classification of Chronic Headache JMAJ 47(3): 112 117, 2004 Mitsunori MORIMATSU Professor, Department of Neurology and Clinical Neuroscience, Yamaguchi University School of Medicine Abstract:
More informationAkuter Kopfschmerz. Till Sprenger, MD Neurologie USB
Akuter Kopfschmerz Till Sprenger, MD Neurologie USB Disclosure I have consulted for Biogen Idec, Novartis, Mitsubishi Pharmaceuticals, Eli Lilly, Genzyme and Allergan. I have received compensation for
More informationHeadaches. This chapter will discuss:
C H A P T E R Headaches 1 1 Almost everyone gets an occasional headache at some time or another. Some people get frequent headaches. Most people do not worry about headaches and learn to live with them
More informationHeadaches + Facial pain
Headaches + Facial pain Introduction: Each of us experienced sporadically/ chronically headache 40% worldwide population suffers with severe, disabling headache at least annually Common ailment Presenting
More informationTension-type headache Non-pharmacological and pharmacological treatment
Danish Headache Center Tension-type headache Non-pharmacological and pharmacological treatment Lars Bendtsen Associate professor, MD, PhD, Dr Med Sci Danish Headache Center, Department of Neurology Glostrup
More informationMIGRAINE. Denise Cambier M.D. Delaware Neurology, Ohio Health March 2013
MIGRAINE Denise Cambier M.D. Delaware Neurology, Ohio Health March 2013 HISTORY: Graham and Wolff 1938: decreased amplitude of arterial pulsations coincided with reduction of headache with IV ergotamine.
More informationHEADACHE UK An alliance working for people with headache. School Policy Guidelines for School Students with Migraine and Troublesome Headache
HEADACHE UK An alliance working for people with headache School Policy Guidelines for School Students with Migraine and Troublesome Headache Content Background 2 Aim The extent and impact of the problem
More informationHeadache: Differential diagnosis and Evaluation. Raymond Rios PGY-1 Pediatrics
Headache: Differential diagnosis and Evaluation Raymond Rios PGY-1 Pediatrics You are evaluating a 9 year old male patient at the ED brought by his mother, who says that her son has had a fever, cough,
More informationMigraine The Problem: Common Symptoms:
Migraine The Problem: A combination of genetic and environmental factors alter pain mechanisms in your brain Transient changes in brain chemicals such as serotonin and neuropeptides affect the membranes
More informationOptic Neuritis. The optic nerve fibers are coated with myelin to help them conduct the electrical signals back to your brain.
Optic Neuritis Your doctor thinks that you have had an episode of optic neuritis. This is the most common cause of sudden visual loss in a young patient. It is often associated with discomfort in or around
More informationToothaches of Non-dental Origin
Toothaches of Non-dental Origin This brochure is produced by the American Academy of Orofacial Pain The American Academy of Orofacial Pain is an organization of health care professionals dedicated to alleviating
More informationINFORMATION ON CLUSTER HEADACHE AND OTHER HEADACHE DISORDERS. Organisation for the Understanding of Cluster Headaches (OUCH ) October 2008 Background
INFORMATION ON CLUSTER HEADACHE AND OTHER HEADACHE DISORDERS Organisation for the Understanding of Cluster Headaches (OUCH ) October 2008 Background Cluster headaches (CH) are part of a group of 'primary'
More informationDifferential Diagnosis of Chronic Headache
Chronic Headache Differential Diagnosis of Chronic Headache JMAJ 47(3): 118 123, 2004 Koichi HIRATA Professor, Department of Neurology, Dokkyo University School of Medicine Abstract: Headache is one of
More informationHeadache Medicine Core Curriculum
Headache Medicine Core Curriculum Adopted by the United Council for Neurologic Subspecialties (UCNS) Board of Directors December 2005 2005 Table of Contents 1. Traditional Curriculum Components 3 A. Definition
More informationNeuroimaging of Headache. Kenneth D. Williams, MD
Neuroimaging of Headache Kenneth D. Williams, MD Disclosures Financial: None Off Label Usage: None Key Points Headache is an extremely common symptom. Structural abnormalities (Primary HA) are rare. Clinical
More informationWhat s new, and why, in Neurology 4?
What s new, and why, in Neurology 4? All topics in Neurology 4 have been extensively reviewed and updated by the expert writing group, to provide concise evidence-based advice for the busy practitioner.
More informationClinical guidance for MRI referral
MRI for cervical radiculopathy Referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of spine for a patient 16 years or older for suspected: cervical radiculopathy
More informationLevels of evidence and grades of recommendation
MOH Clinical Practice Guidelines 5/2007 Levels of evidence and grades of recommendation Levels of evidence Level Type of Evidence 1 + + High quality meta-analyses, systematic reviews of randomised controlled
More informationMedical wisdom says that migraines reduce as people age - they are most common in the productive years and therefore migraine attacks should not be a
Migraine at 65 Medical wisdom says that migraines reduce as people age - they are most common in the productive years and therefore migraine attacks should not be a major problem in later life. Studies
More informationREFERRAL GUIDELINES: NEUROSURGERY
Outpatient Referral Guidelines Page 1 1 REFERRAL GUIDELINES: NEUROSURGERY Essential Referral Content Date of birth Demographic Contact details (including mobile phone) Referring GP details Interpreter
More informationCLINICAL PRACTICE GUIDELINES FOR MANAGEMENT OF LOW BACK PAIN
CLINICAL PRACTICE GUIDELINES FOR MANAGEMENT OF LOW BACK PAIN Low back pain is very common, up to 90+% of people are affected by back pain at some time in their lives. Most often back pain is benign and
More informationIs All Headache Pain The Same? Diagnostic and Treatment Pearls
Is All Headache Pain The Same? Diagnostic and Treatment Pearls Director, Dalessio Headache Center Scripps Clinic International Classification of Headache Disorders Second Edition Jan 2004 4 Primary Headache
More informationWelcome to the program!
Calgary Headache Assessment & Management Program (CHAMP) EDUCATION SESSION Welcome to the program! Why is this Session Mandatory? Provide headache management information and orientation to the Champ program
More informationHEADACHES IN CHILDREN : A CLINICAL APPROACH
HEADACHES IN CHILDREN : A CLINICAL APPROACH Chong Shang Chee A physician is commonly faced with a child presenting with headaches. The assessment of a child s headache is challenging, but an accurate assessment
More informationPost-Concussive Headaches and Dizziness Louise M. Klebanoff, MD
Post-Concussive Headaches and Dizziness Louise M. Klebanoff, MD Associate Professor and Vice Chairman for Operations Chief, General Neurology Department of Neurology Disclosures: None Introduction: Headaches
More informationWhat is migraine aura?
What is migraine aura? What is migraine aura? Migraine aura is the collective name given to the many types of neurological symptoms that may occur just before or during a migraine headache. Migraine with
More informationHeadaches when to worry is a scan always needed? Regan Solomons
Headaches when to worry is a scan always needed? Regan Solomons Introduction o Headache is a common problem in childhood o Up to 25% of school children suffer from chronic recurrent headaches o Primary
More informationChronic daily headache
Chronic daily headache Chronic daily headache (CDH) is defined as any headache syndrome affecting more than half of the month, i.e. a headache on more than 15 days per month. It is also known as daily
More informationSinus Headache vs. Migraine
Sinus Headache vs. Migraine John M. DelGaudio, MD, FACS Professor and Vice Chair Chief of Rhinology and Sinus Surgery Department of Otolaryngology Emory University School of Medicine 1 Sinus Headache Problems
More informationSporadic attacks of severe tension-type headaches may respond to analgesics.
MEDICATIONS While we are big advocates of non-drug treatments, many people do require the use of medications to control headaches. Headache medications are divided into two categories. Abortive drugs are
More informationGuide to Claims against General Practitioners (GPs)
Patients often build up a relationship of trust with their GP over a number of years. It can be devastating when a GP fails in his or her duty to a patient. Our medical negligence solicitors understand
More informationUpdated guidelines on headache management for use by the pharmacist
M I P C A MIGRAINE IN PRIMARY CARE ADVISORS Updated guidelines on headache management for use by the pharmacist Introduction N U M B E R 2 1, O C T O B E R 2 0 1 2 Headache is a major public health problem,
More informationCases in Neurology. Migraine is the most common cause of recurrent. What to do About the Child with Headaches. Case 1: Mary s pain
What to do About the Child with Headaches Sheikh Nigel Basheer, MB; and Kevin Farrell, MB Presented at UBC s 11th Annual Pediatric and Adolescent Refresher for General Practitioners, 2003 Migraine is the
More informationCareful Coding: Headaches
Dynamic Chiropractic March 26, 2012, Vol. 30, Issue 07 Careful Coding: Headaches By K. Jeffrey Miller, DC, DABCO and Ray Tuck, DC Because s are among the most common reasons for seeking chiropractic care,
More informationMIGRAINE: QUESTIONS AND ANSWERS FOR PATIENTS Headache Research and Treatment Program Department of Neurology, David Geffen School of Medicine at UCLA
MIGRAINE: QUESTIONS AND ANSWERS FOR PATIENTS Headache Research and Treatment Program Department of Neurology, David Geffen School of Medicine at UCLA What is a migraine? Migraine is not just a headache,
More informationHeadaches and Kids. Jennifer Bickel, MD Assistant Professor of Neurology Co-Director of Headache Clinic Children s Mercy Hospital
Headaches and Kids Jennifer Bickel, MD Assistant Professor of Neurology Co-Director of Headache Clinic Children s Mercy Hospital Overview Headache classifications and diagnosis Address common headache
More informationEmergency and inpatient treatment of migraine: An American Headache Society
Emergency and inpatient treatment of migraine: An American Headache Society survey. The objective of this study was to determine the practice preferences of AHS members for acute migraine treatment in
More informationPain Syndromes Acute Neck and Back Pain with or without arm or leg pain Chronic Neck and Back Pain with or without arm or leg pain
Pain Syndromes The most common and best understood type of pain is acute pain. Acute pain will result when tissue is injured by trauma, surgery, illness, or infection. This type of pain is generally understood
More informationRELAPSE MANAGEMENT. Pauline Shaw MS Nurse Specialist 25 th June 2010
RELAPSE MANAGEMENT Pauline Shaw MS Nurse Specialist 25 th June 2010 AIMS OF SESSION Relapsing/Remitting MS Definition of relapse/relapse rate Relapse Management NICE Guidelines Regional Clinical Guidelines
More informationDifferential Diagnosis of Craniofacial Pain
1. Differential Diagnosis of Craniofacial Pain 2. Headache Page - 1 3. International Headache Society International Classification... 4. The Primary Headaches (1-4) Page - 2 5. The Secondary Headaches
More informationSpine University s Guide to Neuroplasticity and Chronic Pain
Spine University s Guide to Neuroplasticity and Chronic Pain 2 Introduction Neuroplasticity is also called Brain Plasticity. Neuroplasticity is the ability of your brain to reorganize neural (nerve) pathways
More informationRefractory Migraine: Definition, Diagnosis, Management
Refractory Migraine: Definition, Diagnosis, Management Morris Levin, MD Associate Professor of Neurology Associate Professor of Psychiatry Dartmouth Medical School Co director, Dartmouth Headache Center
More informationBoard Review: Headaches. May 28, 2015
Board Review: Headaches May 28, 2015 = primary HA Headache Patterns = most worrisome! Most often benign Question #13 Is this a primary or secondary headache? A 15-year-old girl who has just started to
More informationHeadaches. Myriam Camilleri. Summary. Differential Diagnosis. Introduction. Achieving the diagnosis. Incidence. Keywords.
In Practice Headaches Myriam Camilleri Summary A 30 year old lady was seen by her family doctor during a busy clinic complaining of three episodes of left-sided headache over the previous four months.
More informationStuart B Black MD, FAAN Chief of Neurology Co-Medical Director: Neuroscience Center Baylor University Medical Center at Dallas
Billing and Coding in Neurology and Headache Stuart B Black MD, FAAN Chief of Neurology Co-Medical Director: Neuroscience Center Baylor University Medical Center at Dallas CPT Codes vs. ICD Codes Category
More informationEuropean principles of management of common headache disorders in primary care. Scope and Purpose
in conjunction with Lifting The Burden The Global Campaign against Headache A collaboration between the World Health Organization, non-governmental organisations, academic institutions and individuals
More informationHeadache - Causes, Symptoms and Treatments
24 April 2012 MP3 at voaspecialenglish.com What You Can Do About Headaches BARBARA KLEIN: This is SCIENCE IN THE NEWS in VOA Special English. I'm Barbara Klein. STEVE EMBER: And I'm Steve Ember. Today
More informationPart ii Neurological Disorders
Part ii Neurological Disorders CHAPTER 15 HEADACHE AND FACIAL PAIN Dr William P. Howlett 2012 Kilimanjaro Christian Medical Centre, Moshi, Kilimanjaro, Tanzania BRIC 2012 University of Bergen PO Box 7800
More informationBotulinum toxin in the treatment of chronic migraine. Gregory P. Hanes, MD Neuroscience Summit 5/14/15
Botulinum toxin in the treatment of chronic migraine Gregory P. Hanes, MD Neuroscience Summit 5/14/15 Primary Headache Disorders: Frequency Classification After Secondary Causes Are Ruled Out Short-Duration
More informationHeadache - What is Your Migraine Size?
Headache The Pharmacist s Role in Assessment & Peter Loewen, B.Sc.(Pharm), Pharm.D. Vancouver Hospital & Health Sciences Centre University of British Columbia ETC, Headache. Nan Quintin www.vhpharmsci.com
More informationare often attributed to cervical spondylosis, refractive errors or high blood pressure: evidence for such associations is poor. Headaches also follow
Pharmaceutical care when dispensing OTC medications for the symptomatic treatment of headaches. Pharmaceutical care of patients with disorders of local circulation Headache is an almost universal experience
More informationManaging migraine in older patients
Migraine 637 Managing migraine in older patients Migraine is a common complaint in all age groups, but the diagnosis and treatment in an elderly population require special consideration. Dr Judith Pearson,
More informationNEUROLOGICAL FOUNDATION OF NEW ZEALAND. Migraine A PATIENT S GUIDE
NEUROLOGICAL FOUNDATION OF NEW ZEALAND 2 Migraine A PATIENT S GUIDE 3 By Dr Jon Simcock Medical Adviser Neurological Foundation of New Zealand Contents Introduction 1 Definition 2 Clinical Features 3-7
More informationCommon Headaches- Diagnosis and Treatment
Common Headaches- Diagnosis and Treatment Anjaneyulu Alapati,M.D Honorary Clinical Professor UAB School of Medicine Huntsville, AL Headache-incidence Headache- patterns Minutes - vascular Hours to days-
More informationBOTOX Treatment. for Chronic Migraine. Information for patients and their families. Botulinum Toxin Type A
BOTOX Treatment Botulinum Toxin Type A for Chronic Migraine Information for patients and their families. Is Chronic Migraine the same as Migraine? Chronic Migraine is similar to migraine as sufferers experience
More informationHeadaches. Dr Simon Pumfrey 1 BSc MSc DC
Headaches Dr Simon Pumfrey 1 BSc MSc DC Dr Simon Pumfrey BSc MSc DC 2 3 Sick Care vs. Health Care Dr Simon Pumfrey BSc MSc DC Tension type Migraines Cervicogenic Cluster 4 Temporal arteritis Sinusitis
More information6245.02: Headache 6245.02 HEADACHE
INTRODUCTION Headache is among the most common complaints encountered by emergency healthcare clinicians. The goal of managing a patient with headache involves identifying emergent versus non-emergent
More informationNeurovascular Orofacial Pain. Orofacial pain of potential neurovascular origin may mimic odontogenic pain to the extent that
Neurovascular Orofacial Pain Introduction Orofacial pain of potential neurovascular origin may mimic odontogenic pain to the extent that a large population of patients with migraine and trigeminal autonomic
More informationNone related to the presentation Grants to conduct clinical trials from:
Chronic Daily Headache Bassel F. Shneker, MD, MBA Associate Professor Vice Chair, OSU Neurology The Ohio State University Wexner Medical Center Financial Disclosures None related to the presentation Grants
More informationTension Type Headaches
Tension Type Headaches Research Review by : Dr. Ian MacIntyre Physiotherapy for tension-type Headache: A Controlled Study P. Torelli, R. Jenson, J. Olsen: Cephalalgia, 2004, 24, 29-36 Tension-type headache
More informationADULT HEALTH AND WELLBEING LONG-TERM NEUROLOGICAL CONDITIONS
ADULT HEALTH AND WELLBEING LONG-TERM NEUROLOGICAL CONDITIONS i. Summary The National Service Framework for long-term neurological conditions categorises neurological conditions as: Sudden-onset conditions
More informationThe McMaster at night Pediatric Curriculum
The McMaster at night Pediatric Curriculum HEADACHES Blume, HK. Pediatric Headache: a Review. Pediatrics in Review 33 (12). 2012. Objectives Understand the evaluation of a child who has headache Learn
More informationPolymyalgia Rheumatica www.arthritis.org.nz
Polymyalgia Rheumatica www.arthritis.org.nz Did you know? Arthritis affects one in six New Zealanders over the age of 15 years. Polymyalgia rheumatica is a common rheumatic condition. It affects more women
More informationtrust clinical guideline
CG23 VERSION 1.0 1/7 Guideline ID CG23 Version 1.0 Title Approved by Transient Loss of Consciousness Clinical Effectiveness Group Date Issued 01/01/2013 Review Date 31/12/2016 Directorate Authorised Staff
More informationHeadaches in Primary Care: An Approach to Management 2015 Update
Headaches in Primary Care: An Approach to Management 2015 Update Kathleen B. Digre MD Professor Neurology, Ophthalmology Adjunct Professor Anesthesia, Obstetrics and Gynecology UNIVERSITY OF UTAH Disclosures:
More informationhttp://www.dh.gov.uk/en/publicationsandstatistics/publications/publicationspolicyandg uidance/dh_080956
GUIDANCE AND COMPETENCES FOR THE PROVISION OF SERVICES USING PRACTITIONERS WITH SPECIAL INTERESTS (PwSIs) HEADACHE FOREWORD The White Paper Our health, our care, our say: a new direction for community
More informationWHAT IS MIGRAINE? Aura without Headache About 1% of migraineurs experience the aura symptoms of migraine without ever having a headache.
WHAT IS MIGRAINE? Migraine is the most common neurological condition in the world, affecting about 1 in 10 people. It is 3 times more common in women and is usually inherited. It is a very individual condition.
More informationi n p r i m a r y c a r e *
Headache i n p r i m a r y c a r e * Key Advisers: Dr Neil Whittaker GP, Nelson Dr Alistair Dunn GP, Whangarei Expert Reviewer: Dr Alan Wright Neurologist, Dunedin Every headache presentation is unique
More informationVision Health: Conditions, Disorders & Treatments NEUROOPTHALMOLOGY
Vision Health: Conditions, Disorders & Treatments NEUROOPTHALMOLOGY Neuroophthalmology focuses on conditions caused by brain or systemic abnormalities that result in visual disturbances, among other symptoms.
More informationLow Back Pain Protocols
Low Back Pain Protocols Introduction: Diagnostic Triage And 1. Patient Group Adults aged 18 years and over with routine low back problems. Patients who have had recent surgery should be referred directly
More informationTreating Severe Migraine Headaches in the Emergency Room A Review of the Research for Adults
Treating Severe Migraine Headaches in the Emergency Room A Review of the Research for Adults Is This Information Right for Me? Yes, this information is right for you if: Your doctor* has told you that
More informationChristy M. Jackson, MD Director, Dalessio Headache Center Scripps Clinic, La Jolla
Christy M. Jackson, MD Director, Dalessio Headache Center Scripps Clinic, La Jolla Company Nature of Affiliation Unlabeled Product Usage Allergan Speaker None 4 Primary Headache Categories 8 Secondary
More informationMigraine and Related Headache Syndromes
neurology Board Review Manual Statement of Editorial Purpose The Hospital Physician Neurology Board Review Manual is a peer-reviewed study guide for residents and practicing physicians preparing for board
More information8/23/2015 A PRACTICAL OPTOMETRIC HEADACHE APPROACH A PRACTICAL OPTOMETRIC HEADACHE APPROACH A PRACTICAL OPTOMETRIC HEADACHE APPROACH
8/23/2015 A Practical Optometric Approach To Headaches Leonid Skorin, Jr., OD, DO, MS, FAAO, FAOCO Consultant, Department of Surgery Community Division of Ophthalmology Mayo Clinic Health System in Albert
More informationHeadache 2013. Dr Richard Peatfield. MD FRCP Princess Margaret Migraine Clinic Charing Cross Hospital London W6 8RF r.peatfield@imperial.ac.
Headache 2013 Dr Richard Peatfield. MD FRCP Princess Margaret Migraine Clinic Charing Cross Hospital London W6 8RF r.peatfield@imperial.ac.uk January 2013 Headache a Symptom Many causes:- Some structural
More informationMULTIPLE SCLEROSIS. Mary Beth Rensberger, RN, BSN, MPH Author
MULTIPLE SCLEROSIS Mary Beth Rensberger, RN, BSN, MPH Author All rights reserved. Purchasers of this module are permitted to reproduce the forms contained herein for their individual internal use only.
More informationMigraine and stroke. What is migraine? What are the main types of migraine? Stroke Helpline: 0303 3033 100 Website: stroke.org.uk
Stroke Helpline: 0303 3033 100 Website: stroke.org.uk Migraine and stroke Migraine is a complex condition, which can impact on your work and social life. It is characterised by a severe headache, which
More informationBASH MANAGEMENT GUIDELINES
BASH MANAGEMENT GUIDELINES GUIDELINES FOR ALL DOCTORS IN THE DIAGNOSIS AND MANAGEMENT OF MIGRAINE AND TENSION-TYPE HEADACHE BRITISH ASSOCIATION FOR THE STUDY OF HEADACHE Writing Committee: T.J. Steiner,
More informationWeb: www.migraine.org.uk. Medication overuse headache and undergoing a detox programme
Web: www.migraine.org.uk Medication overuse headache and undergoing a detox programme Web: www.migraine.org.uk/moh What is medication overuse headache? Medication taken to help relieve migraine attacks
More informationHeadache (Dr. Merchut)
Headache (Dr. Merchut) The common symptom of headache can be produced by several mechanisms. When a brain tumor or hemorrhage causes a headache, it does so by stretching, compressing, and distorting intracranial
More informationTest Request Tip Sheet
With/Without Contrast CT, MRI Studies should NOT be ordered simultaneously as dual studies (i.e., with and without contrast). Radiation exposure is doubled and both views are rarely necessary. The study
More informationMISCP MCSP MMACP. Chartered Physiotherapist specialising in treating Sports & Musculoskeletal Disorders
MISCP MCSP MMACP Chartered Physiotherapist specialising in treating Sports & Musculoskeletal Disorders Physiotherapy Treatment of Migraine Classification of headaches Primary Pain felt in the head from
More informationThe ICHD III Secondary Headaches
The ICHD III Secondary Headaches ICHD II Morris Levin, MD Professor of Neurology Professor of Psychiatry Dartmouth Medical School Co-Director, Dartmouth Headache Center Hanover, New Hampshire, USA ICHD
More informationReview for NHS Surrey Prescribing Clinical Network. Treatment: Botox for chronic migraine. Prepared by: Victoria Overland
Review for NHS Surrey Prescribing Clinical Network Treatment: Botox for chronic migraine Prepared by: Victoria Overland Date: To be considered at September 2012 PCN meeting 1. Purpose of the Review NICE
More information