Treatment of PTSD and Chronic Daily Headache

Smitherman, Todd A.; Black, Anna Katherine; Davis, Christal N.

doi:10.1007/s11940-014-0312-7

Cited by 4 publications

(4 citation statements)

References 73 publications

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“…In clinical practice, a chronic headache is defined as a headache that lasts for at least 15 days a month for a minimum of 3 months, irrespective of any underlying headache disorder (1). The two most common primary headaches are migraine and tension headaches (2)(3)(4). In recent studies, a new hypothesis of chronic headaches was proposed.…”

Section: Introductionmentioning

confidence: 99%

Correlation between chronic headaches and the rectus capitis posterior minor muscle: A comparative analysis of cross-sectional trail

Yuan

Liu

et al. 2016

Cephalalgia

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Objective We aimed to investigate the morphological changes and potential correlation between chronic headaches and the rectus capitis posterior minor muscle (RCPmi). Methods Comparison of RCPmi between patients with chronic headaches and healthy adult volunteers were collected using magnetic resonance imaging (MRI) and Mimics software. Results Among the 235 MRI images analyzed, the data between the two groups were considered statistically significant. The number of males was larger than that of females ( p < 0.001) and the headache group showed greater hypertrophy than the control group in both males ( p < 0.001) and females ( p = 0.001). Conclusions Chronic headaches were correlated with the RCPmi. Patients with chronic headaches suffered from more obvious hypertrophy than that of the control group. Additionally, it was supposed that RCPmi hypertrophy may be one pathogenesis of the chronic headaches.

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Section: Introductionmentioning

confidence: 99%

Correlation between chronic headaches and the rectus capitis posterior minor muscle: A comparative analysis of cross-sectional trail

Yuan

Liu

et al. 2016

Cephalalgia

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“…Increases in emotional liability and anxiety are diagnostic features of PPCS, according to the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, and the International Statistical Classification of Diseases, 10th revision (Theeler et al, ). A frequent symptom observed following concussion is headache, which appears to be more likely to develop following an mTBI compared with a moderate or severe TBI; similarly, chronic headaches have been noted as a common occurrence among PTSD patients (Rosenthal and Erickson, ; Theeler et al, ; Smitherman et al, ). With respect to the combat setting, the high co‐occurrence of PTSD and mTBI in veterans makes intuitive sense; one could argue that the psychological trauma of the blast causes PTSD.…”

mentioning

confidence: 99%

Examining the relationship between blast‐induced mild traumatic brain injury and posttraumatic stress‐related traits

Tschiffely

Ahlers

Norris

2015

J of Neuroscience Research

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Emerging evidence suggests that mild traumatic brain injury (mTBI) resulting from blast exposure may contribute to the occurrence of posttraumatic stress disorder (PTSD) and related affective sequelae, such as anxiety and depression. Many studies have used survey techniques to describe blast exposure leading to comorbid mTBI and related persistent postconcussive symptoms (PPCS) with PTSD in military populations. Despite this, there is a lack of literature that examines possible biological mechanisms by which blast exposure contributes to the development of PTSD sequelae. This Mini-Review addresses the current literature on potential neurophysiological changes that may contribute to PTSD-like traits as a result of a single or multiple exposures to blast events. Evidence from clinical blast-induced mTBI populations and animal models of blast-induced mTBI was evaluated with an emphasis on behavioral and physiological symptoms similar to those seen in PTSD populations and models. From the analysis, we propose potential mechanisms that merit further investigation for better understanding of how blast exposures may produce a higher rate of comorbid PPCS, PTSD, and affective phenomena. An improved understanding of PTSD-like outcomes resulting from blast exposure will ultimately help facilitate the development of future treatments and contribute to a better understanding of PTSD sequelae that develop from physical trauma.

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“…21,22 The efficacy of these approaches may be because many CDH patients also suffer from psychiatric comorbid diagnoses including anxiety, depression, and posttraumatic stress disorder, and mind-body interventions commonly focus on reducing the effects of stress and reduce central nervous system reactivity. 23 Many of our patients with chronic stress and headaches are found to have a head forward posture and exhibit multiple palpable myofascial trigger points. We utilized TPIs with this patient because they are a safe and effective adjunctive treatment for tension-type and migraine headache to address the myofascial pain syndrome content.…”

Section: Case Discussion and Care Perspectivementioning

confidence: 96%

Section: Case Discussion and Care Perspectivementioning

confidence: 99%

Integrative East–West Medicine Intervention for Chronic Daily Headache: A Case Report and Care Perspective

Laube

Araujo²,

Taw

2020

Glob Adv Health Med

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Chronic daily headache is a group of headache syndromes including most commonly chronic migraine and chronic tension-type headache, which often overlap, are complicated by medication overuse and are disabling, costly, and variable responsive to western pharmacotherapeutic interventions. There is growing research and awareness of integrative health approaches and therapies to address patients with chronic headache, yet limited examples of how to deliver this approach. This article reviews a commonly seen challenging case of a patient with overlapping chronic migraine and chronic tension-type headache complicated by medication overuse managed with an integrative east–west medicine intervention. This included person-centered biopsychosocial history taking, traditional Chinese medicine informed acupuncture, trigger point injections, and contributing factors modifications. A narrative review of the literature is presented to demonstrate an evidence-informed rationale for incorporating nonpharmacologic approaches to effectively help reduce the symptom burden of this patient population.

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Treatment of PTSD and Chronic Daily Headache

Cited by 4 publications

References 73 publications

Correlation between chronic headaches and the rectus capitis posterior minor muscle: A comparative analysis of cross-sectional trail

Correlation between chronic headaches and the rectus capitis posterior minor muscle: A comparative analysis of cross-sectional trail

Examining the relationship between blast‐induced mild traumatic brain injury and posttraumatic stress‐related traits

Integrative East–West Medicine Intervention for Chronic Daily Headache: A Case Report and Care Perspective

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