There are two crucial issues in the treatment and management of headache patients: More than 50% of individuals experiencing headache have only been treated symptomatically, with no appropriate diagnosis established; and history and neurologic examination are essential to establishing a diagnosis, and thus selecting appropriate therapy. Headache and Migraine Biology and Management is a practical text that addresses these issues, featuring contributions from expert clinical authors. The book covers in detail topics including chronic and episodic migraine, post-traumatic headache, sinus headache, cluster headache, tension headache, and others. Chapters are also dedicated to treatment subjects, including psychiatric and psychological approaches, medication overuse, inpatient treatment, and pediatric issues. This book is an ideal resource for researchers and clinicians, uniting practical discussion of headache biology, current ideas on etiology, future research, and genetic significance and breakthroughs. This resource is useful to those who want to understand headache biology, treat and manage symptoms, and for those performing research in the headache field. A practical discussion of headache biology, current ideas on etiology, future research, and genetic significance and breakthroughs Features chapters from leading physicians and researchers in headache medicine Full-color text that includes both an overview of multiple disciplines and discusses the measures that can be used to treat headaches

Migraine Biology, Diagnosis, and Co-Morbidities, Volume 195 covers a wide range of issues related to migraine. The epidemiology, global and personal impacts of migraine are covered, including topics on the pathophysiology of migraine and migraine aura, the pathophysiology of the associated symptoms of photophobia and phonophobia, and the genetics of migraine. The classification and diagnostic criteria of common and uncommon subtypes of migraine are also explored in detail, including childhood variants. Issues related to the diagnosis and management of vestibular migraine and the co-morbid disorder of persistent postural-perceptual dizziness are also covered. The important comorbidities of migraine such as anxiety, depression and other forms of chronic pain will also be discussed, along with the current state and future directions of migraine research and management. Summarizes research and clinical information on the pathophysiology of migraines Explores the pathophysiology of aura, photophobia, and phonophobia Discusses migraine triggers Reviews migraine subtypes and comorbid conditions in migraine Explores the relationship of migraine to chronic pain and cerebrovascular and psychological conditions Concludes with future directions in migraine research and 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 is the first new book in many years to provide a comprehensive review of the latest theory, research, and treatment of chronic headaches from a biopsychological perspective. It is designed to make the tools of assessment and therapy widely accessible, while placing them in the context of how the disorders arise. The physiology and psychology of pain, and each disorder, are reviewed in an accessible manner. Clinical experience, laboratory data, and illustrative vignettes aid in treatment selection. Part I introduces the major types of headaches and provides a comprehensive review of pain. Part II details the major forms of headaches—migraine, tension-type, cluster, secondary, and headaches in children. A clinical presentation introduces each type of headache, followed by the physiological and psychological underpinnings and their implications for assessing and treating patients. Part III serves as a clinical guide for practitioners. The book closes with an analysis of how well the treatments work, the mechanisms behind the efficacy, and guidelines for treatment matching. A range of practical tools is incorporated. Clinical evaluation is reviewed in depth, including the interview, psychometrics, and psychophysiological assessment. Key sections of the 2004 International Headache Society diagnostic criteria serve as a “mini” diagnostic manual. Tables allow rapid look-up of the various disorders and their distinguishing characteristics; trigger point referral patterns; and the comparative merits of migraine medications. Blank headache diaries, appropriate for various stages of treatment, serve as models. A relaxation exercise is provided, as are muscle tension and hand temperature norms. Key terms are defined in the extensive glossary to help psychologists and medical professionals share vocabulary. Medical, herbal, and behavioral therapies are discussed in terms of the underlying science. Chronic Headaches is intended for healthcare providers, pain specialists, psychologists, researchers, and clinicians who study headaches in a variety of disciplines. This accessible, student-tested text is ideal for graduate courses on the psychology of pain and/or chronic headaches. Readers will gain expertise in headaches and a clear sense of how to translate this knowledge into clinical practice.

This practical and comprehensive title provides illuminating, evidence-based approaches in headache medicine for using traditional medical therapies in conjunction with alternative approaches to care. In all, the book details how multidisciplinary management and the combination of conventional and complementary medical services – integrative medicine – leads to superior patient outcomes: improved patient satisfaction, reduced stress, and more readily treatable, less serious illness. State-of-the-art and developed by experts in their fields, these 12 chapters present research and analysis of a wide range of non-pharmacologic interventions in headache care, seeking to inspire clinicians to formulate personalized headache treatment plans, and to work together by integrating their expertise in a multidisciplinary context to address patients’ unique conditions, needs, circumstances, and treatment. Chapter one provides an overview of integrative medicine and proposes a step-wise approach for incorporating integrative modalities into a headache practice. Chapter two focuses on the attention to be paid to relevant aspects of a patient’s medical history. The next four chapters discuss lifestyle factors that play a role in headache, including trigger identification, exercise, nutrition, and sleep. The scope of mind-body therapies such as acupuncture, yoga, and mindfulness is explored in chapter seven, and the psychology of pain is the subject of chapter eight. Chapter nine investigates the safety and efficacy of nutraceuticals, or pharmaceutical alternatives. The final three chapters review neuromodulation and interventional approaches to headache management. An invaluable and timely contribution to the clinical literature, Integrative Headache Medicine – An Evidence-Based Guide for Clinicians will be of great interest to neurologists, pain physicians, primary care clinicians, behavioral psychologists, psychiatrists, physical therapists, social workers, nutritionists and any other health professionals interested in delivering the highest quality care for headache patients.

This is the first new book in many years to provide a comprehensive review of the latest theory, research, and treatment of chronic headaches from a biopsychological perspective. It is designed to make the tools of assessment and therapy widely accessible, while placing them in the context of how the disorders arise. The physiology and psychology o

Migraine: Manifestations, Pathophysiology, and Management, Second Edition, is a much expanded, updated monograph that focuses in detail on migraine's diverse variations, its pathophysiology, and its treatment. Authored by a clinician/scientist who himself suffers from migraine, the book's premise is that the clinical significance of migraine and its treatment are intelligible only if the physician understands the anatomical, physiological, and pharmacological factors underlying both head pain and the other manifestations of migraine. The book provides clear clinical descriptions of the myriad of specific migraine syndromes, and discusses the rationale for, and elements of, a sensitive, inclusive patient history. Also covered are important but sometimes ignored topics such as environmental triggering of migraine and myofascial syndromes. The Second Edition also bridges the gap between basic science and clinical practice by explaining those substantive advances made in understanding fundamental mechanisms of head pain and aura. Recent knowledge about genetics, hormonal changes, cerebral circulation, nitric oxide, peptides, central sensitization of trigeminal neurons, and the role of periaqueductal gray matter buttress the discussion of basic mechanisms. On the treatment side, the Second Edition reflects the impressive advances in pharmacological approaches to migraine. There is a greatly expanded section on the triptans and their mechanisms of action, and rationales and practical information about the use of all other viable anti-migraine and prophylactic drugs. Psychobiological aspects of stress and stress management, elimination of environmental stimuli, the educational facets of management, and aspects of the patient/physician interaction so crucial in the treatment of migraine are all discussed. Special problems associated with the care of women, children, the elderly, patients with intractable headaches, and emergency department patients are thoroughly reviewed. In sum, this scholarly, well-referenced book offers in one volume a comprehensive scientific and clinical discussion of migraine headache.