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Management of migraine headaches.
1Midwifery Education Program, Baystate Medical Center, Springfield, MA 01199, USA. Barbara.graves@bhs.org
Journal of Midwifery & Women'S Health
|May 2, 2006
Summary
Migraine is a chronic condition requiring a comprehensive management plan, not just sporadic medication. Effective migraine treatment involves patient education and ongoing provider discussions for realistic long-term goals.
Area of Science:
- Neurology
- Internal Medicine
Background:
- Migraine headaches affect 17-18% of women.
- Migraine is an episodic chronic neurological disease.
- Patients frequently request medication for migraine relief.
Purpose of the Study:
- To review the clinical presentation of migraine.
- To provide recommendations for acute and preventive migraine treatment.
- To discuss migraine management in pregnancy and identify "red flag" symptoms.
Main Methods:
- Literature review of migraine management strategies.
- Synthesis of current clinical guidelines for acute and preventive therapies.
- Inclusion of complementary therapies and "red flag" indicators.
Main Results:
- Migraine management requires a holistic, long-term plan.
- Patient education and provider communication are crucial for setting realistic goals.
- Treatment options include acute medications, preventive strategies, and complementary therapies.
Conclusions:
- Effective migraine management emphasizes a continuous treatment plan over sporadic medication.
- Understanding "red flags" is vital for differentiating migraine from serious neurological conditions.
- Special considerations are necessary for managing migraine during pregnancy.