Advanced Headache Pearls by Larry Robbins M.D.

* DEFINITION OF PAIN
“Official Definition” vs. “Pain is what the patient says it is, and it’s as
bad as the patient says it is.

*  MEDICATIONS : MINIMIZE

Balance between headaches and medication. We do NOT want to overmedicate

*  “IT TAKES A VILLAGE”

Get other villagers involved:

PT/chiro/accupuncture/psychotherapy/massage/trainers, etc.  Don’t go it alone.

*  VITAMINS

D3 is crucial. Multivitamins/antioxidants = “very iffy.” Less is more.

*  LOW DOSES

Headache patients are somatic. Titrate slowly. Stick with these medications at least 6 weeks.

*  ACCEPTANCE

Lack of acceptance leads to: search for cures, increased inner angst. “Lack of acceptance by proxy” in kids. Acceptance does NOT = resignation.

*  SELF-EFFICACY: ACTIVE VS. PASSIVE COPING

PT/Exercise/Work/Volunteer/Yoga/Pilates/Biofeedback vs. “I just want to take painkillers…”

 

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