The resistant medication overuse headache, chronic migraine, new daily persistent headache, and chronic tension-type headache patients often need a more intensive program that is interdisciplinary in nature. Physical therapy, medical, and focused psychological therapy are combined to create a treatment plan for each patient over a period of several weeks. Utilizing the same abortive and preventive principles found to be successful for less resistant cases, add paced physical rehabilitation and individually tailored stress reduction, psychotherapy, and biofeedback. Include behavioral evaluation and treatment, because ignoring psychological ramifications of chronic pain states, including headaches, as well as the psychological comorbidity commonly seen in the patient population, is tantamount to ignoring intra-abdominal trauma as the cause of shock in the severe accident-related head trauma case!
This chapter explores the medical treatment of chronic daily headache and suggests that success can be achieved with an interdisciplinary approach to the refractory chronic headache patient population.
Chronic daily headache Medication overuse headache Chronic migraine New daily persistent headache Chronic tension-type headache Medical treatment Interdisciplinary headache program Multidisciplinary care
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