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Headache - American Family Physician

Jun 15, 2019 - This collection features AFP content on headaches and related issues, including cluster headaches, migraines, tension-type headaches, and treatment of headaches. This collection features AFP content on headaches and related issues, including cluster headaches, migraines, tension-type ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=10

Erenumab (Aimovig) for Migraine Prophylaxis in Adults - STEPS - American Family Physician

Jun 15, 2019 - Erenumab is a safe option for migraine prophylaxis in adults. However, it is expensive and should be reserved for patients who have experienced intolerable adverse effects while taking oral migraine prophylaxis medication or who have poor adherence to daily preventive treatment.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0615/p781.html

Manipulative Therapies: What Works - American Family Physician

Feb 15, 2019 - Manipulative therapies include osteopathic manipulative treatment and many other forms of manual therapies used to manage a variety of conditions in adults and children. Spinal manipulative therapy may provide short-term improvement in patients with acute or chronic low back pain, ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0215/p248.html

Osteopathic Manipulative Treatment: A Primary Care Approach - Editorials - American ...

Feb 15, 2019 - Osteopathic manipulative treatment is a valuable modality that has the potential to decrease cost and improve pain/function in patients.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0215/p214.html

Migraine Headache Prophylaxis - American Family Physician

Jan 1, 2019 - Migraines impose significant health and financial burdens. Approximately 38% of patients with episodic migraines would benefit from preventive therapy, but less than 13% take prophylactic medications. Preventive medication therapy reduces migraine frequency, severity, and ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0101/p17.html

Identifying Patients with Headache Who Are at Risk of Subarachnoid Hemorrhage - ...

Aug 15, 2018 - When is urgent imaging warranted in patients presenting with sudden, severe, nontraumatic headache and normal findings on a neurologic examination?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/0815/p256.html

Acute Migraine Headache: Treatment Strategies - American Family Physician

Feb 15, 2018 - Migraine is a primary headache disorder characterized by recurrent attacks. Acetaminophen, nonsteroidal anti-inflammatory drugs, triptans, antiemetics, ergot alkaloids, and combination analgesics have evidence supporting their effectiveness in the treatment of migraine. Acetaminophen ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0215/p243.html

Acupuncture for Migraine Prevention - Cochrane for Clinicians - American Family Physician

Jul 1, 2017 - There is moderate-quality evidence that whole-body acupuncture is effective for migraine prevention. Compared with usual care, acupuncture is more effective at reducing headache frequency by at least 50% (number needed to treat [NNT] = 4).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0701/p23.html

Topiramate and Amitriptyline Not Effective for Migraine in Children - POEMs - American ...

May 15, 2017 - Topiramate, amitriptyline, and placebo all led to a similar, substantial improvement in migraine frequency and disability. How to harness this strong placebo effect for our patients is an important, but unanswered, question.

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0515/od2.html

AAN Updates Guidelines on the Uses of Botulinum Neurotoxin - Practice Guidelines - ...

Feb 1, 2017 - In 2008, the American Academy of Neurology (AAN) published guidelines on the use of botulinum neurotoxin. This summary highlights updates on four indications: blepharospasm, cervical dystonia, spasticity in adults, and headache.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2017/0201/p198.html

Giant Cell Arteritis: Biopsy After Corticosteroid Initiation - FPIN's Clinical ...

Jan 15, 2017 - Corticosteroid therapy in patients with suspected giant cell arteritis should not degrade the accuracy of temporal artery biopsy if the biopsy is performed within four weeks of corticosteroid initiation. Temporal artery biopsy can be performed up to four weeks after starting high-dose ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2017/0115/p116.html

Valproate for Adult Migraine Prophylaxis - Medicine by the Numbers - American Family ...

Nov 1, 2016 - Evidence supports current guideline recommendations on the use of valproate medications to prevent migraine.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2016/1101/od1.html

Acupuncture for Frequent Tension-Type Headaches - Medicine by the Numbers - American ...

Aug 1, 2016 - Studies show an NNT of 3 to have at least a 50% reduction of headache frequency compared with routine care. Want to know more?

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2016/0801/od1.html

Ibuprofen for Treatment of Episodic Tension-Type Headaches - Medicine by the Numbers - ...

May 1, 2016 - Studies show that 1 in 14 patients were parin-free at two hours and none experienced adverse events. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2016/0501/od1.html

Topiramate for the Prophylaxis of Episodic Migraine in Adults - Cochrane for Clinicians...

Jul 1, 2014 - Topiramate in a dosage of 100 mg per day is effective for decreasing the frequency of headaches in adults with episodic migraine.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0701/p24.html

Gabapentin for the Prophylaxis of Episodic Migraine in Adults - Cochrane for Clinicians...

May 1, 2014 - Gabapentin does not decrease the frequency of migraine headaches and is not recommended for prophylactic therapy.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0501/p714.html

Acute Migraine Treatment in Emergency Settings - Implementing AHRQ Effective Health ...

May 1, 2014 - What are the comparative benefits and adverse effects of parenteral treatments for adults who present to the emergency department with migraine headaches?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2014/0501/p742.html

Chronic Daily Headache: Diagnosis and Management - American Family Physician

Apr 15, 2014 - Chronic daily headache is defined as the presence of a headache on 15 days or more per month for at least three months. The most common types of chronic daily headache are chronic migraines and chronic tension-type headaches. If a red flag for a secondary cause of headache is present, ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0415/p642.html

Aspirin With or Without Antiemetic for Acute Migraine Headaches in Adults - Cochrane ...

Feb 1, 2014 - Aspirin, with or without an antiemetic, is an effective treatment for acute migraine headache. Adding the antiemetic metoclopramide (Reglan) significantly reduces migraine-related nausea and vomiting compared with aspirin alone.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0201/p176.html

Cluster Headache - American Family Physician

Jul 15, 2013 - Cluster headache causes severe unilateral temporal or periorbital pain, lasting 15 to 180 minutes and accompanied by autonomic symptoms in the nose, eyes, and face. Headaches often recur at the same time each day during the cluster period, which can last for weeks to months. Some ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0715/p122.html

Approach to Acute Headache in Adults - American Family Physician

May 15, 2013 - Approximately one-half of the adult population worldwide is affected by a headache disorder. The International Headache Society classification and diagnostic criteria can help physicians differentiate primary headaches (e.g., tension, migraine, cluster) from secondary headaches (e.g., ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0515/p682.html

Hard-to-Diagnose Headache: Practical Tips for Diagnosis and Treatment - Editorials - ...

May 15, 2013 - w/ Hainer

American Family Physician : Editorials

https://www.aafp.org/afp/2013/0515/p672.html

AAN/AHS Update Recommendations for Migraine Prevention in Adults - Practice Guidelines ...

Apr 15, 2013 - Studies suggest that more than one-third of persons with migraine need preventive therapy; however, only 3 to 13 percent use it. The American Academy of Neurology (AAN) and American Headache Society (AHS) recently reviewed studies published since 2000 to determine which therapies reduce...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0415/p584.html

Treatment of Acute Migraine Headache - American Family Physician

Feb 1, 2011 - Migraine headache is a common and potentially debilitating disorder often treated by family physicians. Before diagnosing migraine, serious intracranial pathology must be ruled out. Treating acute migraine is challenging because of substantial rates of nonresponse to medications and ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0201/p271.html

Acupuncture for Migraine Headaches - FPIN's Clinical Inquiries - American Family Physician

Apr 15, 2010 - Acupuncture reduces the frequency of migraine headaches when used as an adjunct to, or in place of, medical management.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2010/0415/p1036.html

Effectiveness of Acupuncture for Migraine Prophylaxis - Cochrane for Clinicians - ...

Jan 1, 2010 - Acupuncture appears to be effective for prophylaxis of migraine headaches, and may be slightly better than pharmacotherapy. Sham acupuncture is just as effective as real acupuncture.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0101/p29.html

Migraine Headache in Children - Clinical Evidence Handbook - American Family Physician

Dec 15, 2009 - What are the effects of treatments for acute attacks and prophylaxis of migraine headache in children?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2009/1215/p1445.html

Mind-Body Therapies for Headache - American Family Physician

Nov 15, 2007 - Headache is one of the most common and enigmatic problems encountered by family physicians. Headache is not a singular entity, and different pathologic mechanisms are involved in distinct types of headache. Most types of headache involve dysfunction of peripheral or central nociceptive ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1115/p1518.html

Headache (Chronic Tension-Type) - Clinical Evidence Handbook - American Family Physician

Jul 1, 2007 - What are the effects of drug and nondrug treatments for chronic tension-type headache?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2007/0701/p114.html

Diagnosis of Migraine Headache - Point-of-Care Guides - American Family Physician

Dec 15, 2006 - Headache is a common reason for primary care office visits and is a complaint in more than 1 percent of patient visits. The prevalence of migraine headache in the general population is approximately 6 percent in men and 15 percent in women, peaking at 40 years of age and then declining.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2006/1215/p2087.html

Medications for Migraine Prophylaxis - American Family Physician

Jan 1, 2006 - Sufficient evidence and consensus exist to recommend propranolol, timolol, amitriptyline, divalproex, sodium valproate, and topiramate as first-line agents for migraine prevention. There is fair evidence of effectiveness with gabapentin and naproxen sodium. Botulinum toxin also has ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0101/p72.html

Topiramate (Topamax) for Migraine Prevention - STEPS - American Family Physician

Oct 15, 2005 - Topiramate is more effective than placebo for migraine prevention. Its effectiveness appears to be similar to that of other antiepileptic drugs and beta blockers. Because of the high cost of topiramate and the relative frequency of adverse effects, other approaches to migraine ...

American Family Physician : STEPS

https://www.aafp.org/afp/2005/1015/p1563.html

Anticonvulsant Medications for Migraine Prevention - Cochrane for Clinicians - American...

May 1, 2005 - Good evidence supports the use of anticonvulsants as a class with overall reduction in number of headaches per month and overall increase in patients achieving 50 percent reduction of headache frequency. Of the medications within this heterogeneous group, valproic acid and divalproex ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0501/p1699.html

Evidence-Based Guidelines for Neuroimaging in Patients with Nonacute Headache - ...

Mar 15, 2005 - New guidelines for diagnostic testing in patients with nonacute headache have been released by the U.S. Headache Consortium and endorsed by the American Academy of Family Physicians (AAFP), the American Academy of Neurology (AAN), the American Headache Society (AHS), the American ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0315/p1219.html

Practice Guidelines - Mar 1, 2005 - American Family Physician

Mar 1, 2005 - Advertisement << Previous article Next article >> Mar 1, 2005 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2005 Mar 1;71(5):1019-1020. Treatment of Migraine Headache in Children and Adolescents The American Academy of Neurology Quality Standards...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0301/p1019.html

Management of Cluster Headache - American Family Physician

Feb 15, 2005 - Cluster headache, an excruciating, unilateral headache usually accompanied by conjunctival injection and lacrimation, can occur episodically or chronically, and can be difficult to treat. Existing effective treatments may be underused because of underdiagnosis of the syndrome. Oxygen ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0215/p717.html

The Patient with Daily Headaches - American Family Physician

Dec 15, 2004 - The term 'chronic daily headache' (CDH) describes a variety of headache types, of which chronic migraine is the most common. Daily headaches often are disabling and may be challenging to diagnose and treat. Medication overuse, or drug rebound headache, is the most treatable cause of ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1215/p2299.html

Chronic Daily Headache - Editorials - American Family Physician

Dec 15, 2004 - Advertisement << Previous article Next article >> Dec 15, 2004 Issue Editorials Chronic Daily Headache ROBERT SMITH, M.D.,University of Cincinnati College of Medicine, Cincinnati, Ohio Am Fam Physician. 2004 Dec 15;70(12):2272-2274. Related Article Chronic daily headache (CDH) is a...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/1215/p2272.html

Headache (Chronic Tension Type) - Clinical Evidence Handbook - American Family Physician

Sep 1, 2003 - What are the effects of treatments?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2003/0901/p929.html

AAFP/ACP-ASIM Release Guidelines on the Management and Prevention of Migraines - ...

Mar 15, 2003 - Guidelines for primary care physicians on the pharmacologic management of acute migraine attacks and the prevention of migraines are available from the American Academy of Family Physicians (AAFP) and the American College of Physicians–American Society of Internal Medicine (ACP-ASIM).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2003/0315/p1392.html

The Management of the Acute Migraine Headache - American Family Physician

Dec 1, 2002 - As many as 30 million Americans have migraine headaches. The impact on patients and their families can be tremendous, and treatment of migraines can present diagnostic and therapeutic challenges for family physicians. Abortive treatment options include nonspecific and migraine-specific ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1201/p2123.html

Migraine Headache, Evidence-Based Guidelines, and the AAFP - Editorials - American ...

Dec 1, 2002 - Advertisement << Previous article Next article >> Dec 1, 2002 Issue Editorials Migraine Headache, Evidence-Based Guidelines, and the AAFP ERIC M. WALL, M.D., M.P.H. Portland, Oregon Am Fam Physician. 2002 Dec 1;66(11):2050. Related Article The article by Aukerman and colleagues1...

American Family Physician : Editorials

https://www.aafp.org/afp/2002/1201/p2050.html

Tension-Type Headache - American Family Physician

Sep 1, 2002 - Tension-type headache typically causes pain that radiates in a band-like fashion bilaterally from the forehead to the occiput. Pain often radiates to the neck muscles and is described as tightness, pressure, or dull ache. Migraine-type features (unilateral, throbbing pain, nausea, ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0901/p797.html

Tension-Type Headache: A Challenge for Family Physicians - Editorials - American Family...

Sep 1, 2002 - Advertisement << Previous article Next article >> Sep 1, 2002 Issue Editorials Tension-Type Headache: A Challenge for Family Physicians ANNE D. WALLING, M.D. University of Kansas School of Medicine-Wichita Wichita, Kansas. Am Fam Physician. 2002 Sep 1;66(5):728-734. Related Article...

American Family Physician : Editorials

https://www.aafp.org/afp/2002/0901/p728.html

Migraine Headache - Clinical Evidence Handbook - American Family Physician

May 1, 2002 - What are the effects of drug treatments for acute migraine headache?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2002/0501/p1871.html

Headaches in Children and Adolescents - American Family Physician

Feb 15, 2002 - Headaches are common during childhood and become more common and increase in frequency during adolescence. The rational, cost-effective evaluation of children with headache begins with a careful history. The first step is to identify the temporal pattern of the headache--acute, ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0215/p625.html

Reducing Headache Disability in Children and Adolescents - Editorials - American Family...

Feb 15, 2002 - Advertisement << Previous article Next article >> Feb 15, 2002 Issue Editorials Reducing Headache Disability in Children and Adolescents DAWN A. MARCUS, M.D., University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania Am Fam Physician. 2002 Feb 15;65(4):554-558. Related...

American Family Physician : Editorials

https://www.aafp.org/afp/2002/0215/p554.html

Evaluation of Acute Headaches in Adults - American Family Physician

Feb 15, 2001 - Classifying headaches as primary (migraine, tension-type or cluster) or secondary can facilitate evaluation and management A detailed headache history helps to distinguish among the primary headache disorders.

American Family Physician : Article

https://www.aafp.org/afp/2001/0215/p685.html

Guidelines on Migraine: Part 5. Recommendations for Specific Prophylactic Drugs - ...

Dec 1, 2000 - The U.S. Headache Consortium guidelines for the treatment of migraine summarize data from clinical studies of various drugs used in preventive therapy of migraine.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2000/1201/p2535.html

Guidelines on Migraine: Part 4. General Principles of Preventive Therapy - Practice ...

Nov 15, 2000 - The U.S. Headache Consortium guidelines for preventive therapy of migraine identify three goals of preventive therapy: (1) a reduction in the frequency, severity and duration of attacks; (2) an improvement in the patient's responsiveness to treatment of acute attacks; and (3) an ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2000/1115/p2359.html

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