Clinical Medicine

New PDF release: Clinicians Guide to Chronic Headache and Facial Pain

By Gary W. Jay

ISBN-10: 1439824878

ISBN-13: 9781439824870

As headache and facial soreness are of the most typical scientific lawsuits, it really is crucial that clinicians are good outfitted to address those concerns. Clinician’s consultant to power Headache and Facial Pain is designed for all clinicians facing those syndromes in day-by-day practice—whether within the outpatient, emergency, or ambulatory surroundings.


  • Presents the recommendation of 12 specialists with huge event in headache and facial discomfort management
  • Contains evidence-based chapters derived from prior successes and screw ups and together with transparent, concise statistical outcomes
  • Reviews either conventional and replacement interdisciplinary and interventional ache administration cures to aid practitioners select the easiest remedy or mix of remedies for his or her sufferers
  • Offers broad-based assurance of all kinds of complications and facial soreness syndromes from facial neuralgias to post-traumatic headache
  • Includes extra chapters on opioid utilization and felony features of remedy support to organize practitioners for quite a number attainable scenarios

Devoted completely to dealing with power headache and facial ache, this booklet is an important source for clinicians.

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Extra info for Clinicians Guide to Chronic Headache and Facial Pain

Sample text

The MacDonald Critchley Lecture. The migraine aura: clinical features and genetics. Cephalalgia 2002; 22(7):568–569. 31. Lipton RB, Cady RK, Stewart WF, et al. Diagnostic lessons from the Spectrum Study. Neurology 2002; 58(Suppl 6):S27–S31. 32. Burstein R, Cutrer MF, Yarnitsky D. The development of cutaneous allodynia during a migraine attack. Clinical evidence for the sequential recruitment of spinal and supraspinal nociceptive neurons in migraine. Brain 2000; 123(Pt 8):1703–1709. A. B. A. THE DISORDER Epidemiology Tension-type headache (TTH) is often referred to as the “patient’s normal headache” by both patients and physicians, and has a life-time prevalence of 88% in women and 69% in men (1).

One study found Paroxetine 20 to 30 mg daily to be less effective than sulpiride 200 to 400 mg daily, which is not approved for use in the United States (80). Another trial found SSRIs to be ineffective in CTTH sufferers that did not respond to TCAs (84). A third study found that citalopram showed no superiority to placebo, but rather, reinforced the efficacy of amitriptyline in TTH prophylaxis (86). In contrast, mirtazapine, which is a noradrenergic/serotonergic antidepressant, has shown some efficacy in TTH prevention and has proven to be an effective alternative in patients who failed amitriptyline (83).

Eighty percent of patients with PTHA after minor head trauma or a whiplash injury had remission of their headaches within six months. Chronic PTHA lasting at least four years was found in 20% of patients. PTHA has been found to have great variation in both nature and severity. In another study, 78% of 297 patients had either continuous or intermittent HA secondary to an MTBI (18). A German study found that 80% of patients who had a whiplash injury recovered within a few months, while 15% to 20% developed “late whiplash injury syndrome” with many complaints of the cervicocephalic syndrome, including PTHA, vertigo, instability, nausea, tinnitus, and hearing loss (19).

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Clinicians Guide to Chronic Headache and Facial Pain by Gary W. Jay

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