Successful Treatment of Multifactorial Chronic Daily Headaches at an Interdisciplinary Chronic Pain Program: A Case Study
| Autor: | Jeffrey Cara, Sarah A. Mihalov, Karina J. Bouffard |
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| Rok vydání: | 2017 |
| Předmět: |
Chronic daily headaches
Occupational therapy Male 050103 clinical psychology medicine.medical_specialty Headache Disorders Psychological intervention MEDLINE Physical Therapy Sports Therapy and Rehabilitation 03 medical and health sciences 0302 clinical medicine Occupational Therapy Medicine Humans 0501 psychology and cognitive sciences Medical history Physical Therapy Modalities Pain Measurement Cognitive Behavioral Therapy business.industry 05 social sciences Rehabilitation Chronic pain Evidence-based medicine Middle Aged medicine.disease Neurology Physical therapy Neurology (clinical) business Rehabilitation interventions 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | PMR : the journal of injury, function, and rehabilitation. 10(4) |
| ISSN: | 1934-1563 |
| Popis: | Chronic daily headaches (CDHs) are common, disabling, and difficult to treat. We report a case of a patient with a complex medical history experiencing multifactorial CDH referred for and eventually enrolled in an interdisciplinary chronic pain program. Focusing on enhancing the patient's function while minimizing the use of medications and invasive procedures, this comprehensive rehabilitation intervention consists of diverse treatment approaches, including cognitive-behavioral therapy, physical and occupational therapy, and medical interventions. Despite the patient's challenges with implementation of strategies learned in the program, positive results were seen, including decreased symptomatology, decreased opioid use, and attainment of employment. Although time-intensive, interdisciplinary chronic pain programs may result in a greater likelihood for sustained functional improvements and prevention of disability for patients with CDH, even in the most complex. Level of Evidence IV |
| Databáze: | OpenAIRE |
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