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Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 6/2015

01-06-2015 | Letter to the Editor

Trends in the Management of Headache

Author: Glen D. Solomon, M.D., F.A.C.P.

Published in: Journal of General Internal Medicine | Issue 6/2015

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Excerpt

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 frequency. …
Literature
1.
Mafi JN, Edwards ST, Pedersen NP, davis RB, McCarthy EP, Landon BE. Trends in the Ambulatory Management of Headache: Analysis of NAMCS and NHAMCS Data 1999–2010. J Gen Intern Med. doi:10.​1007/​s11606-014-3107-3.
2.
Silberstien SD. Practice parameter: Evidence-based guidelines for migraine headache (an evidence-based review): Report of the Quality Standards subcommittee of the American Academy of Neurology. Neurology. 2000;55(6):754–762.CrossRef
3.
Snow V, Weiss K, Wall EM. Guidelines for the treatment and prevention of migraine headaches. Ann Intern Med. 2002;137(10):840–852.CrossRefPubMed
4.
5.
Rossi P, Faroni JV, Nappi G. Short-term effectiveness of simple advice as a withdrawal strategy in simple and complicated medication overuse headache. Eur J Neurol. 2011;18:396–401.CrossRefPubMed
Metadata
Title
Trends in the Management of Headache
Author
Glen D. Solomon, M.D., F.A.C.P.
Publication date
01-06-2015
Publisher
Springer US
Published in
Journal of General Internal Medicine / Issue 6/2015
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-015-3224-7

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