Interdisciplinary management of headache disorders

Nicol, Andrea L.; Hammond, Nancy; Doran, Shamsha Velani

doi:10.1053/j.trap.2014.07.005

Cited by 4 publications

(5 citation statements)

References 226 publications

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“…This is in accordance with the research of Andrea l. Nicol et al reported that migraine has a moderate to severe headache intensity, whereas TTH has a mild to moderate headache intensity but in poor conditions, the headache will be felt as very severe pain. It should be emphasized that pain is subjective so that the perception of mild, moderate, or severe pain depends on what the patient feels (Nicol, Hammond, and Doran 2013). This study is in line with the National Consensus III for Diagnostics and Management of Headaches which states that TTH has a lighter headache intensity than migraine.…”

Section: Discussionsupporting

confidence: 79%

“…Another study conducted by Andrea L. Nicol et al stated that migraines are generally unilateral, which at any time can progress to bilateral to generalized, while TTH is generally bilateral which is often followed by a feeling of a burden on the top of the head or a strong pressure that surrounds the entire head so that pain in migraine and TTH can be felt all over. head section (Nicol, Hammond, and Doran 2013).…”

Section: Discussionmentioning

confidence: 99%

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The Relationship of Myofascial Trigger Points (MTrPs) Pain to Headache: Type, Location, and Intensity of Headache

Maulana

et al. 2022

KESANS

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Headaches are one of the most common nervous system disorders with a major impact on public health. They can be caused by various etiologies, and some of them are symptoms of serious pathology. The location and intensity of the headache are related to the etiology of the headache. In some cases, headaches can be accompanied by pain due to myofascial trigger points (MTrPs), which are small hyper-irritating spots located centrally within bands that have been injured or overworked. The purpose of this study was to determine the relationship between Myofascial Trigger Points (MTrPs) Pain and the Type, Location, and Intensity of Headaches. This type of research is analytic observational with a cross-sectional design. Data were collected in October and December of 2014, and a sample of 50 people was drawn using a consecutive sampling technique.Data were gathered through neurologists' history-taking and physical examinations, as well as interviews using a numerical pain scale (NPS), and then analyzed using Fisher and Mann Whitney.The results showed that MTrPs were positive for M. sternocleidomastoid in 38 people, M. trapezius in 36 people, M. temporalis in 31 people, M. masseter superficialis in 20 people, M. suboccipital in 18 people, M. levator scapulae in 34 people, and M. obliquus superior in 20 people. The highest number of active MTrPs was 4 in 15 people, and referred pain from MTrPs was present in only 5 people. It can be concluded that there is no relationship between Myofascial Trigger Points (MTrPs) pain and the type of headache, but there is a relationship between Myofascial Trigger Points (MTrPs) pain and the location and intensity of the headache.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

The Relationship of Myofascial Trigger Points (MTrPs) Pain to Headache: Type, Location, and Intensity of Headache

Maulana

et al. 2022

KESANS

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“…In contrast, preventative treatment guidelines for migraine provide stronger recommendations for drug treatments (Level A) with additional recommendations also provided for several herbs and supplements such as butterbur (Level A), feverfew and magnesium (Level B) and coenzyme Q10 (level C) [65, 66]. Beyond headache diagnosis, provider referral to assist headache prevention requires careful consideration regarding a range of patient factors and circumstances including headache severity, headache comorbidities, patient treatment preferences and response to current care [15, 67, 68]. While more research is needed to understand this finding, one possible explanation is that engagement with headache diagnosis leads to more practitioner certainty about their own capacity to provide sufficient preventative management for those with primary headaches.…”

Section: Discussionmentioning

confidence: 99%

“…Significant challenges remain regarding the management of headache patients. Headache patients are often poorly or under diagnosed [11], under treated [12, 13] or can fail to receive effective interdisciplinary management [14, 15]. Such challenges have led international headache organisations [16–18] and headache researchers [19, 20] to call for more effective health care service delivery for this significant patient population.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and factors associated with the use of primary headache diagnostic criteria by chiropractors

et al. 2019

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Background The diagnosis of primary headaches assists health care providers in their decision-making regarding patient treatment, co-management and further evaluation. Chiropractors are popular health care providers for those with primary headaches. The aim of this study is to examine the clinical management factors associated with chiropractors who report the use of primary headache diagnostic criteria. Methods A cross-sectional survey was distributed between August and November 2016 to a random sample of Australian chiropractors who are members of a practice-based research network ( n = 1050) who had reported ‘often’ providing treatment for patients with headache disorders to report on practitioner approaches to headache diagnosis, management, outcome measures and multidisciplinary collaboration. Multiple logistic regression was conducted to assess the factors that are associated with chiropractors who report using International Classification of Headache Disorders (ICHD) primary headache diagnostic criteria. Results With a response rate of 36% ( n = 381), the majority of chiropractor’s report utilising ICHD primary headache diagnostic criteria (84.6%). The factors associated with chiropractors who use ICHD primary headache diagnostic criteria resulting from the regression analysis include a belief that the use of ICHD primary headache criteria influences the management of patients with primary headaches (OR = 7.86; 95%CI: 3.15, 19.60); the use of soft tissue therapies to the neck/shoulders for tension headache management (OR = 4.33; 95%CI: 1.67, 11.19); a belief that primary headache diagnostic criteria are distinct for the diagnosis of primary headaches (OR = 3.64; 95%CI: 1.58, 8.39); the use of headache diaries (OR = 3.52; 95%CI: 1.41, 8.77); the use of ICHD criteria improves decision-making regarding primary headache patient referral/co-management (OR = 2.35; 95%CI: 1.01, 5.47); referral to investigate a headache red-flag (OR = 2.67; 95%CI: 1.02, 6.96) and not referring headache patients to assist headache prevention (OR = 0.16; 95%CI: 0.03, 0.80). Conclusion Four out of five chiropractors managing headache are engaged in the use of primary headache diagnostic criteria. This practice is likely to influence practitioner clinical decision-making around headache patient management including their co-management with other health care providers. These findings call for a closer assessment of headache characteristics of chiropractic patient populations and for further enquiry to explore the role of chiropractors within interdisciplinary primary headache management.

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“…While the use of chiropractors for the management of headache disorders appears to be significant, little is understood about how this provider group manage this substantial patient population. With increasing research examination on interdisciplinary headache management [ 14 , 15 ], more information is needed to understand the role of chiropractors within the interdisciplinary headache management landscape. Gathering this information can offer important insights that may help to guide more effective and coordinated healthcare delivery between providers and improve the management of headache patients.…”

Section: Introductionmentioning

confidence: 99%

The management of common recurrent headaches by chiropractors: a descriptive analysis of a nationally representative survey

et al. 2018

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BackgroundHeadache management is common within chiropractic clinical settings; however, little is yet known about how this provider group manage headache sufferers. The aim of this study is to report on the prevalence of headache patients found within routine chiropractic practice and to assess how chiropractors approach key aspects of headache management applicable to primary care settings.MethodsA 31-item cross-sectional survey was distributed to a national sample of chiropractors (n = 1050) to report on practitioner approach to headache diagnosis, interdisciplinary collaboration, treatment and outcome assessment of headache patients who present with recurrent headache disorders.ResultsThe survey attracted a response rate of 36% (n = 381). One in five new patients present to chiropractors with a chief complaint of headache. The majority of chiropractors provide headache diagnosis for common primary (84.6%) and secondary (90.4%) headaches using formal headache classification criteria. Interdisciplinary referral for headache management was most often with CAM providers followed by GPs. Advice on headache triggers, stress management, spinal manipulation, soft tissue therapies and prescriptive neck exercises were the most common therapeutic approaches to headache management.ConclusionHeadache patients make up a substantial proportion of chiropractic caseload. The majority of chiropractors managing headache engage in headache diagnosis and interdisciplinary patient management. More research information is needed to understand the headache types and level of headache chronicity and disability common to chiropractic patient populations to further assess the healthcare needs of this patient population.Electronic supplementary materialThe online version of this article (10.1186/s12883-018-1173-6) contains supplementary material, which is available to authorized users.

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Interdisciplinary management of headache disorders

Cited by 4 publications

References 226 publications

The Relationship of Myofascial Trigger Points (MTrPs) Pain to Headache: Type, Location, and Intensity of Headache

The Relationship of Myofascial Trigger Points (MTrPs) Pain to Headache: Type, Location, and Intensity of Headache

Prevalence and factors associated with the use of primary headache diagnostic criteria by chiropractors

The management of common recurrent headaches by chiropractors: a descriptive analysis of a nationally representative survey

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