Conquering Headache: An Illustrated Guide to Understanding by Alan M. Rapoport

By Alan M. Rapoport

Conquering Headache, Fourth variation presents the knowledge had to overcome complications and enhance the standard of existence. This new version comprises chapters detailing the most recent information regarding drugs for acute therapy of assaults, preventative therapy of migraine and therapy of cluster headache. The publication covers components of therapeutic massage, actual remedy, replacement treatments similar to chiropractic, acupuncture, and ordinary treatments like supplements, minerals, and herbs. sensible guidance for medicine use together with dosages, negative effects, and obstacles also are included during this new version.

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Additional resources for Conquering Headache: An Illustrated Guide to Understanding the Treatment and Control of Headache (with CD-ROM)

Example text

These medications raise your serotonin levels and can work against headache, depression, anxiety, and sleep problems. 41 CONCLUSION Psychological factors may contribute to your headaches, but they are rarely the cause. A variety of psychological tests may help to identify depression and anxiety. Other disorders such as alcoholism and other forms of drug or substance abuse must be identified as well. Although many headache patients may overuse medication, they are not often substance abusers; rather, they use medications in an effort to remain functional and to decrease their pain.

All patients, however, are asked to accurately record on a headache calendar how much medication they use on a daily basis (see Chapter 12). Headache medication falls into the following three categories: 1. Symptomatic treatment. Medications in this category are directed at symptoms such as pain, nausea, or vomiting; they may also help patients to relax and possibly sleep. 2. Specific treatment. Medications in this category interfere with the process that causes the headache, thereby stopping pain and its associated symptoms such as nausea, vomiting, and sensitivity to light and sound.

Giving lower-level treatment first makes sense only if the patient has not tried low-end treatment already, and most people going to a doctor for headache have tried a variety of symptomatic treatments, both over the counter and prescription, without success. The other approach for selecting medication is called stratified care, which is the matching of the type of treatment to the patient or headache characteristics. One way to do this is to ask how bad the headache attacks are; how quickly they get bad; whether there is nausea, vomiting, or sensitivity to light, noise, and movement; and if the headache impacts 51 on the patient’s activities of daily living.

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