Chronic daily headache: understanding and treatment.

Autor: Ruoff GE
Zdroj: Consultant (00107069); 7/1/2005, Vol. 45 Issue 8, p871-882, 9p
Abstrakt: The management of chronic daily headache is difficult and complex. Those affected have a sensitive nervous system, and their predisposition for a low tolerance to sensory stimuli appears to be inherited. Under appropriate conditions, the equilibrium or balance between bombardment from painful stimuli and the regulatory systems that inhibit those stimuli is disrupted, allowing painful stimuli to become manifest at a greater intensity than in the nonmigraineur. Successful management depends on close adherence to nonpharmacologic approaches and pharmacologic regimens that desensitize the system and restore equilibrium. Comorbid conditions must be identified and treated as well. [ABSTRACT FROM AUTHOR]
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