1 / 33

Contact Information

Contact Information. Denis G. Patterson, DO Nevada Advanced Pain Specialists www.nvadvancedpain.com patterson@nvadvancedpain.com. Education and Training. DO Michigan State University College of Osteopathic Medicine (1998 – 2002) Pain Fellowship Emory University (2006 – 2007) Residency

bberger
Download Presentation

Contact Information

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Contact Information Denis G. Patterson, DO Nevada Advanced Pain Specialists www.nvadvancedpain.com patterson@nvadvancedpain.com

  2. Education and Training • DO • Michigan State University College of Osteopathic Medicine (1998 – 2002) • Pain Fellowship • Emory University (2006 – 2007) • Residency • Mayo Clinic (2003 – 2006)

  3. Certifications • Board Certified, Pain Medicine (2007) • Board Certified, Physical Medicine and Rehabilitation (2007)

  4. Chronic Daily Migraines/Headaches ECHO Project January 20, 2019

  5. Definition • Chronic daily migraines/headaches must occur > 15 days a month, for at least 3 months

  6. Classification • Chronic daily migraines/headaches are classified by how long they last – more than four hours or less than 4 hours

  7. Classification • Chronic migraine • Chronic tension – type headache • New daily persistent headache • Hemicrania continua

  8. Chronic Migraine

  9. Chronic Migraine • These headaches evolve from episodic migraine without aura

  10. Chronic Migraine • Must have two of the follow characteristics: 1) Affect only one side of the your head 2) Cause a pulsating, throbbing sensation 3) Cause moderate to severe pain 4) Are aggravated by routine physical activity

  11. Chronic Migraine • And they cause at least one of the following: 1) Nausea, vomiting or both 2) Sensitivity to light and sound

  12. Chronic Tension-Type Headache

  13. Chronic Tension-Type Headache • These headaches evolve from episodic tension-type headaches

  14. Chronic Tension-Type Headache • Must have two of the follow characteristics: 1) Hurt on both sides of the your head 2) Cause mild to moderate pain 3) Cause pain that feels pressing or tightening 4) Are NOT aggravated by routine physical activity

  15. Chronic Tension-Type Headache • They cause no more than one of the following: 1) Nausea (mild) 2) Sensitivity to light and sound

  16. New Daily Persistent Headache

  17. New Daily Persistent Headache • These headaches become constant within a few days of the moment you have your first headache

  18. New Daily Persistent Headache • Must have two of the follow characteristics: 1) Hurt on both sides of the your head 2) Cause mild to moderate pain 3) Cause pain that feels pressing or tightening 4) Are NOT aggravated by routine physical activity

  19. New Daily Persistent Headache • They cause no more than one of the following: 1) Nausea (mild) 2) Sensitivity to light and sound

  20. Hemicrania Continua

  21. Hemicrania Continua • These headaches cause pain on only one side of your head and doesn’t shift sides

  22. Hemicrania Continua • They also: • Are daily and continuous with no pain-free periods • Cause moderate pain but with spikes of severe pain • Respond to the prescription pain reliever indomethacin • May sometimes become severe with development of migraine-like symptoms

  23. Hemicrania Continua • And they cause at least one of the following: 1) Tearing or redness of the eye on the affected side 2) Nasal congestion or runny nose 3) Drooping of the eyelid or constriction of the pupil

  24. Cause • True (primary) chronic daily headaches don’t have an identifiable cause

  25. Risk Factors • Anxiety • Depression • Sleep disturbance • Obesity • Snorning • Overuse of caffeine • Overuse of pain medications • Regular use of physical postures that put strain on the your head or neck

  26. Tests and Diagnosis • Diagnosis of exclusion

  27. Treatment • Antidepressants • Beta Blockers • Anti-seizure medications • NSAIDs • Botulinum Toxin

  28. Questions

  29. Discussion

More Related