Paper Search Console

Home Search Page About Contact

Journal Title

Title of Journal: J GEN INTERN MED

Search In Journal Title:

Abbravation: Journal of General Internal Medicine

Search In Journal Abbravation:

Publisher

Springer US

Search In Publisher:

DOI

10.1002/cber.19370700830

Search In DOI:

ISSN

1525-1497

Search In ISSN:
Search In Title Of Papers:

Trends in the Management of Headache

Authors: Glen D Solomon
Publish Date: 2015/02/10
Volume: 30, Issue: 6, Pages: 710-710
PDF Link

Abstract

To the Editors—I read with great interest the article on “Trends in the Ambulatory Management of Headache”1 reporting a decline in clinician counseling for headache While the paper references three clinical guidelines2 – 4 suggesting lifestyle modification counseling during headache visits a review of those guidelines shows no evidence to support lifestyle counseling as having efficacy in reducing migraine or headarche frequency Review of the headache literature also fails to show scientific evidence that lifestyle modification—changes in diet sleep or exercise—have ever been proven to reduce headache frequencyLifestyle modification counseling may provide value in specific situations There is evidence that simple advice can be effective as a withdrawal strategy in medication overuse headache5 Obesity and smoking have been associated with increased severity of headaches in addition to other myriad medical problems and should be discouragedPhysicians have limited time with headache patients to take a detailed history perform an appropriate physical examination review the diagnosis and treatment options and explore patient preferences for therapy Using that limited time for lifestyle modification counseling that provides no clinical benefit offers no valueAs a headache specialist for over 30 years I find that I spend increasing amounts of patient time debunking myths about the value of lifestyle modification While increased stress dehydration lack of sleep sedentary lifestyle and poor diet all may contribute to poor health they have not been scientifically linked to increased migraine frequency Emphasis on lifestyle modification may detract from nonpharmacologic therapies that have evidence to support their use in headache such as biofeedback relaxation therapy and cognitivebehavioral therapy2

Keywords:

References

.
Search In Abstract Of Papers:
Other Papers In This Journal:
  1. Comparison of Hospital Costs and Length of Stay for Community Internists, Hospitalists, and Academicians
  2. Health Literacy, Cognitive Abilities, and Mortality Among Elderly Persons
  3. Capsule Commentary on Olchanski et al., Abdominal Aortic Aneurysm Screening: How Many Life Years Lost from Underuse of the Medicare Screening Benefit?
  4. Trends in Primary Care Clinician Perceptions of a New Electronic Health Record
  5. Moving Forward in GME Reform: A 4 + 1 Model of Resident Ambulatory Training
  6. Does Motivation Matter? Analysis of a Randomized Trial of Proactive Outreach to VA Smokers
  7. A Symbol of Our Profession: White Coat Ceremony Address to the Class of 2014
  8. Patient Expectations as Predictors of Outcome In Patients with Acute Low Back Pain
  9. Effects of a Video on Organ Donation Consent Among Primary Care Patients: A Randomized Controlled Trial
  10. “Could this Be Something Serious?”
  11. Building a Career as a Delivery Science Researcher in a Changing Health Care Landscape
  12. Failing
  13. Comorbidities, Treatment and Survival
  14. Predictors of Mortality in Patients with Stable COPD
  15. Reflective Practice and Stress: Helpful, Harmful or Uninfluential in Critical Thinking
  16. Pre-Exposure Prophylaxis: A Narrative Review of Provider Behavior and Interventions to Increase PrEP Implementation in Primary Care
  17. Interventions to Improve Outcomes for Minority Adults with Asthma: A Systematic Review
  18. Awareness of Hepatitis C Diagnosis is Associated with Less Alcohol Use Among Persons Co-Infected with HIV
  19. Using Evidence to Inform Policy: Developing a Policy-Relevant Research Agenda for the Patient-Centered Medical Home
  20. Providing Patients Web-based Data to Inform Physician Choice: If You Build It, Will They Come?
  21. Extended Evaluation of a Longitudinal Medical School Evidence-Based Medicine Curriculum
  22. The Relationship Between Multimorbidity and Patients’ Ratings of Communication
  23. Symptom Burden, Depression, and Spiritual Well-Being: A Comparison of Heart Failure and Advanced Cancer Patients
  24. Improving Medication Adherence: Keep Your Eyes on the Prize
  25. Improving Quality of US Health Care Hinges on Improving Language Services
  26. Retroperitoneal Hemorrhage from Kidney Angiomyolipoma
  27. Massachusetts Health Disparities: Key Lessons for the Nation
  28. Using Decision Tree Models to Depict Primary Care Physicians CRC Screening Decision Heuristics
  29. Collaboration and Authorship of High-Impact Randomized Clinical Trials
  30. Cyanotic Congenital Heart Disease (CCHD) with Symptomatic Erythrocytosis
  31. Capsule Commentary on Al-Khatib et al., Future Research Prioritization: Implantable Cardioverter Defibrillator Therapy in Older Patients
  32. Duty Hour Reform in a Shifting Medical Landscape
  33. “Learning by Doing”—Resident Perspectives on Developing Competency in High-Quality Discharge Care
  34. Patient Perceptions of Electronic Medical Record Use by Faculty and Resident Physicians: A Mixed Methods Study
  35. Patient Care Outside of Office Visits
  36. Cefdinir-Induced Hepatotoxicity: Potential Hazards of Inappropriate Antibiotic Use
  37. A Successful Multifaceted Trial to Improve Hypertension Control in Primary Care: Why Did it Work?
  38. Predictors of Primary Care Management of Depression in the Veterans Affairs Healthcare System
  39. Concurrent Sweet’s Syndrome and Erythema Nodosum
  40. Do Health Educator Telephone Calls Reduce At-risk Drinking Among Older Adults in Primary Care?
  41. Do Health Educator Telephone Calls Reduce At-risk Drinking Among Older Adults in Primary Care?
  42. Structuring Payment to Medical Homes After the Affordable Care Act
  43. Longitudinal Patterns in Survival, Comorbidity, Healthcare Utilization and Quality of Care among Older Women Following Breast Cancer Diagnosis
  44. Mysterious Abdominal Pain
  45. Quantification of Authors’ Contributions and Eligibility for Authorship: Randomized Study in a General Medical Journal
  46. Tailoring Outreach Efforts to Increase Primary Care Use Among Homeless Veterans: Results of a Randomized Controlled Trial
  47. Capsule Commentary on Rana et al., Diabetes and Prior Coronary Heart Disease Are Not Necessarily Risk Equivalent for Future Coronary Heart Disease Events
  48. Anorexia Nervosa: Russell’s Sign with Concurrent Tetany
  49. The Effects of Guided Care on the Perceived Quality of Health Care for Multi-morbid Older Persons: 18-Month Outcomes from a Cluster-Randomized Controlled Trial
  50. Massive Paraesophageal Hernia Mimicking Pulmonary Embolus
  51. Reducing Health Disparities or Improving Minority Health? The End Determines the Means
  52. Medication Adherence After Myocardial Infarction: A Long Way Left To Go
  53. Brief Training of Student Clinicians in Shared Decision Making: A Single-Blind Randomized Controlled Trial
  54. From HMOs to ACOs: The Quest for the Holy Grail in U.S. Health Policy
  55. A Heart-Breaking Case of Fever and Rash
  56. The Need for Higher Standards in Correctional Healthcare to Improve Public Health
  57. Assessing the Quality of Clinical Teachers
  58. Secondary Symptomatic Parvovirus B19 Infection in a Healthy Adult
  59. Conducting High-Value Secondary Dataset Analysis: An Introductory Guide and Resources
  60. Clinical Image: Clubbed with a Reminder to Test for HIV
  61. Disability and Decline in Physical Function Associated with Hospital Use at End of Life
  62. Are Physician Estimates of Asthma Severity Less Accurate in Black than in White Patients?
  63. Training Residents to Employ Self-efficacy-enhancing Interviewing Techniques: Randomized Controlled Trial of a Standardized Patient Intervention
  64. Recognition of Depression in Older Medical Inpatients
  65. Understanding the Costs of Patient-Centered Medical Homes
  66. Choosing Wisely: Prevalence and Correlates of Low-Value Health Care Services in the United States
  67. Patients’ Satisfaction with and Preference for Telehealth Visits
  68. Capsule Commentary on Grant, et al., Exercise as a Vital Sign: A Quasi-Experimental Analysis of a Health System Intervention to Collect Patient-Reported Exercise Levels
  69. Toward Safe Hospital Discharge: A Transitions in Care Curriculum for Medical Students
  70. Perspectives of Non-Hispanic Black and Latino Patients in Boston’s Urban Community Health Centers on their Experiences with Diabetes and Hypertension
  71. Professional Language Interpretation and Inpatient Length of Stay and Readmission Rates
  72. Overcoming Poor Attendance to First Scheduled Colonoscopy: A Randomized Trial of Peer Coach or Brochure Support
  73. A Computerized Aid to Support Smoking Cessation Treatment for Hospital Patients
  74. VA and Medicare Utilization Among Dually Enrolled Veterans with Type 2 Diabetes: A Latent Class Analysis
  75. Electronic Health Record-Based Patient Identification and Individualized Mailed Outreach for Primary Cardiovascular Disease Prevention: A Cluster Randomized Trial
  76. Having a Say: Agency and End-of-Life Decision-making in The Chaneysville Incident
  77. Evaluation of the Effectiveness of Making Weight Watchers Available to Tennessee Medicaid (TennCare) Recipients
Search Result: