Advanced Headache Therapy: Outpatient Strategies by Lawrence Robbins

By Lawrence Robbins

This state of the art publication will disguise quite a few facets of headache administration, with a spotlight on tough sufferers. sensible, step by step recommendation for treating hard complications, together with migraine, refractory and cluster complications, may be supplied intimately besides tips on how to method sufferers of other a while and people with mental issues. targeted and intricate case reports and whole factors to the sizeable array of medicines can also be featured. Authored by way of one of many top specialists on refractory complications, complicated Headache administration may be a useful consultant for the resident or clinician and an easy-to-read source for plenty of patients.

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Sample text

Of course, missing meals, under- or oversleeping, bright lights, and certain foods also contribute, but the role of foods tends to be overemphasized. People are given a forbidden-food list and told, “Avoid these foods and you won’t have headaches,” and then they are disappointed. Many books concentrate on diet and foods, but these are low on the list of important triggers. Caffeine, however, is a major trigger. We need to limit the patient’s intake, although the limit varies. Some people can consume 800 mg a day of caffeine and not incur rebound headaches or withdrawal.

Massage can benefit a wide range of patients, but the benefits often are short-lasting. It has been difficult to prove in studies that acupuncture is more effective than sham treatment. After examining more than 500 randomized controlled trials of acupuncture for various conditions, nothing definite can be concluded as far as efficacy [5]. I think, with many pain studies, the outcome of the study can be predicted from how robust the placebo response is. Unfortunately, with acupuncture studies, when the sham acupuncture is performed along with the real acupuncture, there is going to be a robust placebo response.

Caffeine, however, is a major trigger. We need to limit the patient’s intake, although the limit varies. Some people can consume 800 mg a day of caffeine and not incur rebound headaches or withdrawal. Other people 28 1 Migraine and Headache: General get headaches from a small amount of caffeine in their diet. Caffeine is an adjunct for pain relief as it does help enhance analgesics. Small amounts often help people with their headaches. We have to watch out for the specialty coffeehouse effect. Starbucks coffee has approximately 23 mg of caffeine per ounce.

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