Related Experiment Video

Updated: Apr 23, 2026

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
10:39

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache

Published on: June 2, 2014

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Providing Care for Patients with Chronic Migraine: Diagnosis, Treatment, and Management

Carrie Dougherty1, Stephen D Silberstein1

  • 1Jefferson Headache Center, Philadelphia, Pennsylvania, U.S.A.

Pain Practice : the Official Journal of World Institute of Pain
|October 2, 2014
PubMed

Insights

Chronic migraine is a disabling condition requiring proper diagnosis and management. Key strategies include identifying triggers, assessing medication overuse, and continued patient-physician communication for better outcomes.

Area of Science:

  • Neurology
  • Headache Medicine

Background:

  • Chronic migraine (CM) is defined as ≥15 headache days/month for ≥3 months, with ≥8 days meeting migraine criteria.
  • CM is a disabling, underdiagnosed, and undertreated disorder.
  • It significantly impacts quality of life and incurs high economic costs.

Purpose of the Study:

  • To provide patient management guidelines for chronic migraine.
  • To improve treatment success and address comorbidities in CM patients.

Main Methods:

  • The article outlines key steps in managing chronic migraine patients.
  • Emphasis on proper diagnosis, identifying exacerbating factors, and assessing medication overuse.
  • Highlights the importance of continued management and patient-physician communication.

Main Results:

  • Effective management involves a systematic approach to diagnosis and treatment.
  • Addressing medication overuse is crucial for successful chronic migraine management.
  • Proactive management of comorbidities can improve patient outcomes.

Conclusions:

  • Implementing structured management guidelines can enhance treatment success for chronic migraine.
  • Physician-patient communication regarding treatment goals is vital.
  • Comprehensive care addressing diagnosis, triggers, medication overuse, and comorbidities is essential for managing chronic migraine.
Keywords:
chronic migrainechronic paincomorbiditiesdiagnosisonabotulinumtoxinaprophylaxisreview

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