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Managing Chronic Headache Disorders.

Grace Forde1, Robert A Duarte2, Noah Rosen3

  • 1North American Partners in Pain Management, Department of Pain Medicine, 900 Franklin Avenue, Valley Stream, NY 11580, USA.

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|November 29, 2015
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Summary
This summary is machine-generated.

Migraine is a common but often underdiagnosed headache disorder. Prophylaxis treatment is recommended for patients with frequent or disabling migraines, indicated by 8+ headaches monthly or a high Migraine Disability Assessment Score (MIDAS).

Keywords:
BotoxCluster headachesHeadachesMigrainesPregnancyPrimary careRed flagsTreatment

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Area of Science:

  • Neurology
  • Public Health

Background:

  • Headaches are highly prevalent, exceeding combined rates of asthma and diabetes.
  • Migraine, the most common headache disorder, suffers from underdiagnosis and undertreatment.

Purpose of the Study:

  • To highlight the prevalence and commonality of migraine headaches.
  • To define criteria for initiating prophylactic migraine treatment.

Main Methods:

  • Literature review on headache prevalence and migraine epidemiology.
  • Analysis of treatment guidelines for acute and prophylactic migraine management.

Main Results:

  • Migraine remains underdiagnosed and undertreated despite its high prevalence.
  • Prophylaxis is indicated for patients experiencing 8 or more headache days per month.
  • The Migraine Disability Assessment Score (MIDAS) is a key tool for determining treatment needs.

Conclusions:

  • Early diagnosis and appropriate treatment, including prophylaxis, are crucial for managing debilitating migraines.
  • Utilizing tools like MIDAS can help identify patients who would benefit from preventive migraine therapies.