Societal Impact Of Headache

This volume describes the impact of headache disorders on public health, and their adverse consequences for society. It opens with an overview of relevant headache disorders before describing, qualitatively, how the burdens attributable to these disorders fall upon adults, adolescents and children. In the second section, beginning with a methodological introduction discussing the principles and potential pitfalls of epidemiological studies assessing prevalence, headache-attributed burden and functional impact, the burdens of headache including financial cost are examined quantitatively and in detail. The third section critically reviews society’s response, its inadequacies and the scope for improvement. Topics here include the political failure to recognize the public ill-health and cost that are the consequences of inadequate headache care; the role of the WHO in addressing the problem; headache service organization, delivery and quality; and the effectiveness and cost-effectiveness of interventions. The book closes by considering the way forward. This volume contains important messages for primary care and is likely to be of even greater interest to headache specialists and those concerned with public health and health policy.

Headache disorders are among the most common disorders of the nervous system. They are pandemic and, in many cases, they are recurrent and can accompany the patient for the whole life. These disorders impose a substantial burden on headache sufferers, on their families and on society: the individual impact is measured by the frequency and severity of attacks, while the societal burden is measured in terms of loss of activity at work and school as well as of costs for the health system. As a matter of facts, headaches are ranked in the top ten, and maybe the top five, causes of disability worldwide: they are therefore extraordinarily common. Population-based studies have mostly focused on migraine, which, even if it is the most frequently studied headache disorder, is not the most common . Other types of headache, such as the more prevalent TTH and sub-types of the more disabling chronic daily headache, have so far received less attention and need to be better investigated. This book will provide a useful tool to a wide medical population, who is required specific skills to diagnose and manage these frequent and often disabling disorders .Furthermore, it could also represents a compendium for medical students who are usually introduced to this topic through multidisciplinary university programmes.

In this book, headache experts summarize all the currently available therapies for primary headaches and most importantly, describe the ‘tricks’ that can ensure the success of headache pharmacotherapy. Prevention and acute treatment of migraine and cluster headache receive particular attention and individual chapters are devoted to the treatment of primary headaches in special groups, i.e. children, pregnant women and the elderly. Further chapters focus on selected secondary headache disorders and cranial neuralgias for which pharmacotherapy is available. The book is designed to meet the daily practice needs of general physicians, general neurologists, neurologists in training and medical students. Headache remains a leading reason for people to seek medical consultation, and migraine and other primary headache disorders are classified by the WHO as among the most disabling medical conditions in the general population, often affecting individuals during their most productive years. Unfortunately, under treatment and mismanagement are the fate of many headache patients and this book provides a sound basis for optimizing treatment.

Headache Medicine has recently become an official medical subspecialty. Practitioners who specialize in the field come from many different backgrounds including neurology, internal medicine, anesthesiology, rehabilitation medicine, family medicine, psychiatry, dentistry and others. A great deal of research is being done in HM, and, as a result, the field is one which is growing rapidly in every way. Interestingly, most patients with headache are not being treated by specialists in HM, in large part because of the vast numbers of patients requiring medical attention for headache disorders, and the relatively small number of bona fide specialists. Thus, there is a need for resources to guide these practitioners as they manage headache patients. There are several excellent scholarly texts in the field and numerous books for the public about headache. There are really no concise manuals of HM, however, there are books aimed at the bulk of skilled practitioners taking care of the major share of headache sufferers, who wish to understand the important concepts of diagnosis, treatment, and prognosis in this complex field. This is the aim of Dr. Levin's book which consists of 4 parts: Part 1- Headache Medicine Basic Science, Part 2- Diagnosis of Primary Headache Disorders, Part 3- Diagnosis of Secondary Headache Disorders, and Part 4- Headache Treatment. Chapters in each section are concise, but include cutting edge information about these aspects of headache medicine. The organization of the contents of this book is similar to the Curriculum for Headache Medicine designed by the United Council for Neurologic Subspecialties (UCNS) which is the organization responsible for accrediting Headache Medicine training programs and accrediting individual practitioners. The content of the book mirrors that of the UCNS board examination as well. Chapters include key tables and illustrations. Review questions are included at the end of each chapter and serve as a study resource. The editor is a charter diplomate of the UCNS HM examination and has directed board review courses for the American Headache Society and Headache Cooperative of New England. All of the eligible chapter authors have taken and passed this exam as well. The International Classification of Headache Disorders is used throughout this text and a concerted effort has been made to base content on evidence when available, rather than personal practices. Each chapter is intended as a stand alone monograph and as a result the book can be read in virtually any order.

This book contains reviews by a renowned group of clinicians and scientists, which consider in great depth the potential involvement of neurogenic inflammation in the pathogenesis of migraine and inhibition of this putative mechanism as a possible mode of action of antimigraine medications. The authors carefully consider current and future potential therapeutic approaches for the abortive as well as preventive treatment of migraine. The pioneering work by Professor Michael A. Moskowitz's group at Harvard gave rise to the "neurogenic hypothesis" of migraine pathogenesis and to an intel lectual framework for many aspects of migraine research through a detailed phar macological characterization of the trigeminovascular system. This knowledge then spurred detailed research worldwide into the roles of the dural vasculature, trigem inal nerve fibers, and sensory neuropeptides, such as substance P and calcitonin gene-related peptide, in migraine. Similar in-depth investigations have not been made of the role of the seventh cranial parasympathetic nerves but this area war rants further study because of its potential for interactions with the trigeminovas cular system and its clear involvement in cluster headache."

Another selection of the Jones and Bartlett Series: Contemporary Issues in Physical Therapy and Rehabilitation Medicine Multidisciplinary Management of Migraine: Pharmacological, Manual, and Other Therapies is the first textbook focused on the multidisciplinary treatment of migraine including pharmacological and non-pharmacological approaches. This comprehensive text discusses epidemiology, pathophysiology, diagnosis, and management of patients with migraine headache integrating clinical experience and expertise with current evidence-based best practices. The authors are worldwide experts recognized in migraine and headache with experience in academic, research, and practice settings. Multidisciplinary Management of Migraine: Pharmacological, Manual, and Other Therapies reviews the options for medical management of patients with migraine by way of: pharmacological interventions; musculoskeletal interventions including muscle and joint–centered interventions, manual therapy, and dry needling; and complementary and alternative medicine techniques including naturopathy, acupuncture, and placebo. With a multimodal and multidisciplinary approach, this comprehensive resource provides a variety of therapeutic tools for students and practitioners to provide excellent care and medical management of patients with migraine headache. Key Topics: • Theories of migraine pathophysiology • Sensitization mechanisms • Migraine triggers • Examination of the cervical and thoracic spinal joints • Pharmacological interventions • Musculoskeletal interventions • Alternative medicine techniques This textbook is perfect for completing a headache library combined with tension-type and cervicogenic headache. Browse additional titles in the Jones & Bartlett Learning Series Contemporary Issues in Physical Therapy and Rehabilitation Medicine, at: http://go.jblearning.com/PTseries

Patients with chronic pain present a unique set of challenges to the primary care clinician. In Chronic Pain: A Primary Care Guide to Practical Management, leading pain specialist Dawn A. Marcus, MD, offers practical, clear, and succinct evidence-based approaches to the diagnosis and treatment of the myriad of painful conditions clinicians see in their offices every day, such as headache, back pain, arthritis, fibromyalgia, and abdominal pain. Using an engaging case-based approach, the author simplifies the often complex care of patients with chronic pain by providing practical strategies for targeting important symptoms, establishing realistic treatment goals, and efficiently and effectively managing patients. Clinic-friendly instructional sheets (questionnaires, diaries, and chart documentation tools) can be copied directly from the book and used for both education and the monitoring of therapeutic compliance and response. Importantly, Dr. Marcus offers all of these practical applications in the context of the busy office practice. The author also presents invaluable guidelines for prescribing medications and nonmedicative therapies, and provides descriptions, illustrations, and diagnostic criteria to help identify specific, commonly occurring syndromes that produce chronic pain. Additional features include sections on opioid therapy and on chronic pain in special patient groups such as children and adolescents, pregnant women, and geriatrics. Also included is a value-added compact disk containing a companion ebook version of the book for downloading and use in the reader's computer or PDA, and continuing medical education (CME) questions that provide the opportunity to acquire 5 AMA/PRA category 1 CME credits from the American Society of Contemporary Medicine and Surgery. Comprehensive and case-oriented, Chronic Pain: A Primary Care Guide to Practical Management offers busy health care providers a practice-friendly approach to assessing and managing the often complex and time-consuming problems of chronic pain.

Headaches represent one of the most common medical conditions and one of the most frequent reasons for patients seeking medical care. Wolff's Headache has become a classic in the field of head pain. Providing a compendium of facts, it stands above other texts as one of the most definitive and comprehensive textbooks on diagnosis and management. Wolff's Headache and Other Head Pain 7E provides a comprehensive overview of headache disorders. The contributors are the acknowledged world leaders in their fields. The new edition reflects the enormous growth of knowledge regarding the classification of epidemiology, mechanisms, and treatment of headaches. The book provides both practical clinical advice and a clear overview of the science which provides the foundation for that advice.