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Current Pain and Headache Reports

Divya R Shah, Sonam Dilwali, Deborah I Friedman
PURPOSE OF REVIEW: This review evaluates and explains our current understanding of a rare subtype of migraine, typical aura without headache, also known as migraine aura without headache or acephalgic migraine. RECENT FINDINGS: Typical aura without headache is a known entity within the spectrum of migraine. Its pathophysiology is suggested to be similar to classic migraines, with cortical spreading depression leading to aura formation but without an associated headache...
September 17, 2018: Current Pain and Headache Reports
Sarah Nelson, Rachael Coakley
PURPOSE OF REVIEW: In the context of new efforts to formulate more comprehensive diagnostic and treatment processes for chronic pain conditions, this review aims to provide an overview of some of the most salient developments in the diagnosis and clinical treatment of pediatric chronic pain and to delineate the current and future role of clinical pediatric psychologists in these efforts. RECENT FINDINGS: The acceptance and promotion of the multidisciplinary approach to pediatric pain management has had an especially significant impact on the field of pediatric psychology...
September 11, 2018: Current Pain and Headache Reports
Johna K Register-Mihalik, Christina B Vander Vegt, Michael Cools, Kevin Carnerio
PURPOSE OF REVIEW: The purpose of this review is to (1) describe factors both pre- and post-injury that are associated with post-concussion headache, (2) describe the influence of post-concussion headache on recovery following concussion, and (3) provide potential post-concussion treatment options that may reduce the burden of headache, as well as other symptoms to facilitate recovery. RECENT FINDINGS: Various factors may be associated with post-concussion headache presentation...
September 10, 2018: Current Pain and Headache Reports
Amir Elhassan, Ahmed Ahmed, Hamdy Awad, Michelle Humeidan, Viet Nguyen, Elyse M Cornett, Richard D Urman, Alan David Kaye
PURPOSE OF REVIEW: Enhanced recovery pathways are a well-defined perioperative health care program utilizing evidence-based interventions in a protocol-like manner designed to standardize techniques including drug selection and dosing to improve results and to reduce overall costs including facilitating earlier discharge from hospitals after surgery. RECENT FINDINGS: A PubMed and World Wide Web search was performed with the following key words: enhanced recovery, surgical enhanced recovery, recovery pathways, and enhanced recovery pathways surgery...
August 31, 2018: Current Pain and Headache Reports
Ali Pourmand, Gregory Jasani, Courtney Shay, Maryann Mazer-Amirshahi
PURPOSE OF REVIEW: The purpose of the study is to evaluate and analyze the role of both opioid and non-opioid analgesics in the emergency department (ED). RECENT FINDINGS: Studies have shown that the implementation of opioid-prescribing policies in the ED has the potential to reduce the opioid addiction burden. Clinical studies point to inconsistencies in providers' approach to pain treatment. In this review, we discuss specific aspects of opioid utilization and explore alternative non-opioid approaches to pain management...
August 27, 2018: Current Pain and Headache Reports
Alaa Abd-Elsayed, Christi Ann Albert, Matt Fischer, Brooke Anderson
PURPOSE OF REVIEW: Testing the efficacy of academic detailing in improving the practice of prescribing naloxone for patients on high-dose opioids. RECENT FINDINGS: Academic detailing has been identified as an effective method for improving health care practices through focused community education. We found that academic detailing is an effective method in improving health care providers' knowledge about the importance of prescribing naloxone for patients on high-dose opioids...
August 27, 2018: Current Pain and Headache Reports
Licia Grazzi, Eleonora Grignani, Domenico D'Amico, Emanuela Sansone, Alberto Raggi
PURPOSE OF REVIEW: The aim is twofold. First, to give an insight on the role exerted by different classes of drugs in favouring migraine chronification. Second, to explore the relationship between type and amount of overused medications and history of previous withdrawal treatment and of frequent relapses. RECENT FINDINGS: All drug classes were found to favour migraine chronification. No data are available for the association with relapses into CM-MOH. Our clinical study shows that patients who underwent previous withdrawal treatments were more likely to be overusers of multiple drug classes and overuse higher amounts of symptomatic medications, particularly, indomethacin, eletriptan and tramadol...
August 27, 2018: Current Pain and Headache Reports
Amar Anand, Thomas J Pfiffner, Laszlo Mechtler
PURPOSE OF REVIEW: The purpose of this review is to give a better understanding of the pathogenesis of cystic formations of the mobile spine (CYFMOS) and the correlating imaging findings. This would help with medical decision-making, given the plethora of conservative, interventional, and surgical treatment options. RECENT FINDINGS: There has been a general understanding that CYFMOS are associated with degenerative spine changes. More recent articles however have suggested that identifying detailed imaging characteristics can assist in determining outcomes when CYFMOS are treated with interventional percutaneous methods or surgical decompression with or without concomitant fusion...
August 25, 2018: Current Pain and Headache Reports
Bryan Lutman, Jamie Bloom, Brandon Nussenblatt, Victor Romo
PURPOSE OF REVIEW: This article discusses the etiology and management of post-craniotomy headache and pain. A review of available as well as investigatory treatment modalities is offered, followed by suggestions for optimal management of post-craniotomy headache. RECENT FINDINGS: There is a dearth of evidence-based practice regarding the differential diagnosis, natural history, and management of post-craniotomy headache. The etiology of post-craniotomy headache is typically multifactorial, with patients' medical history, type of craniotomy, and perioperative management all playing a role...
August 14, 2018: Current Pain and Headache Reports
Aliza Kumpinsky, Stephanie J Nahas
PURPOSE OF REVIEW: The purpose of this review is to summarize the most up-to-date literature on bath-related headache, a rare disorder. RECENT FINDINGS: Initially described in middle-aged Asian women, it is now reported in a wider demographic. More information is available about the pathophysiology of bath-related headache, including its classification as a subtype of reversible cerebral vasoconstriction syndrome (RCVS). Nimodipine can be effective in patients both with and without vasospasm...
August 2, 2018: Current Pain and Headache Reports
Dara Bree, Dan Levy
PURPOSE OF REVIEW: In recent years, the awareness of the detrimental impact of concussion and mild traumatic brain injuries (mTBI) is becoming more apparent. Concussive head trauma results in a constellation of cognitive and somatic symptoms of which post-traumatic headache is the most common. Our understanding of post-traumatic headache is limited by the paucity of well validated, characterized, and clinically relevant animal models with strong predictive validity. In this review, we aim to summarize and discuss current animal models of concussion/mTBI and related data that start to shed light on the pathophysiology of post-traumatic headache...
August 2, 2018: Current Pain and Headache Reports
Anker Stubberud, Mattias Linde
PURPOSE OF REVIEW: This article reviews the recent research and development of electronic health (eHealth) and, in particular, mobile health (mHealth) strategies to deliver behavioral treatment for migraine. Prospects for future development and research of mobile health in migraine are suggested. RECENT FINDINGS: Advances in digital technology and mobile technology have led to an era where electronic and mobile approaches are applied to several aspects of healthcare...
July 31, 2018: Current Pain and Headache Reports
Claire E J Ceriani, Stephanie J Nahas
PURPOSE OF REVIEW: To explain our current understanding of exploding head syndrome (EHS), an unusual and underreported sensory parasomnia. RECENT FINDINGS: Based on findings from recent studies of EHS, the prevalence is higher than previously suggested by the literature, which historically has consisted mostly of case reports. The typical presentation also has been better illustrated by recent case series, and diagnostic criteria have been defined. Its pathophysiology is still unclear...
July 30, 2018: Current Pain and Headache Reports
Jill C Rau, Gina M Dumkrieger, Catherine D Chong, Todd J Schwedt
PURPOSE OF REVIEW: Headache is a frequent and debilitating symptom after mild traumatic brain injury, yet little is known about its pathophysiology and most effective treatments. The goal of this review is to summarize findings from imaging studies used during the clinical evaluation and research investigation of post-traumatic headache (PTH). RECENT FINDINGS: There are no published recommendations or guidelines for when to acquire imaging studies of the head or neck in patients with PTH...
July 30, 2018: Current Pain and Headache Reports
Lauren Rosenberg, Nicole Butler, Elizabeth K Seng
PURPOSE OF REVIEW: Episodic migraine is common. Everyday behavioral patterns are associated with migraine attacks and disability. This paper reviews health behaviors that can be targeted in people with episodic migraine to enhance migraine-related outcomes. RECENT FINDINGS: Stressful events and perceived stress have demonstrated associations with migraine attack onset among people with episodic migraine. Consistency in daily patterns (eating, sleeping, exercise, and hydration status) is also associated with migraine activity...
July 30, 2018: Current Pain and Headache Reports
Dana P Turner, Adriana D Lebowitz, Ivana Chtay, Timothy T Houle
PURPOSE OF REVIEW: This review synthesizes the utility of measuring migraine triggers for the purpose of forecasting future headache attacks. The nature of forecasting models, headache triggers as inputs to such models, and how these trigger exposures can be measured for forecasting are reviewed. A critical evaluation of the existing forecasting models in the context of their potential application for preemptive treatment is considered. RECENT FINDINGS: A substantial pool of candidate trigger factors could be considered in the creation of forecasting models...
July 16, 2018: Current Pain and Headache Reports
Kate W Grimsrud, Rashmi B Halker Singh
PURPOSE OF REVIEW: The purpose of this review is to evaluate and describe recent and emerging treatment options for episodic migraine. RECENT FINDINGS: Recent advances have been made in better understanding the pathophysiology of migraine, which has led to further investigation of potential new pharmacologic and non-pharmacologic treatment options. A number of new medications are emerging for the acute and preventive treatment of migraine, including CGRP monoclonal antibodies, CGRP receptor antagonists, serotonin 5-HT1F agonists, and PACAP receptor monoclonal antibodies...
July 16, 2018: Current Pain and Headache Reports
Michael S Bobola, Lucas Chen, Chikodinaka K Ezeokeke, Katy Kuznetsova, Annamarie C Lahti, Weicheng Lou, Aleksey N Myroniv, Nels W Schimek, Madison L Selby, Pierre D Mourad
Ultrasound plays a significant role in the diagnosis and treatment of pain, with significant literature reaching back many years, especially with regard to diagnostic ultrasound and its use for guiding needle-based delivery of drugs. Advances in ultrasound over at least the last decade have opened up new areas of inquiry and potential clinical efficacy in the context of pain diagnosis and treatment. Here we offer an overview of the recent literature associated with ultrasound and pain in order to highlight some promising frontiers at the intersection of these two subjects...
July 10, 2018: Current Pain and Headache Reports
Daniel H Wiznia, Theodore Zaki, Michael P Leslie, Thomas M Halaszynski
PURPOSE OF REVIEW: This review discusses both obvious and hidden barriers in trauma patient access to pain management specialists and provides some suggestions focusing on outcome optimization in the perioperative period. RECENT FINDINGS: Orthopedic trauma surgeons strive to provide patients the best possible perioperative pain management, while balancing against potential risks of opioid abuse and addiction. Surgeons often find they are ill-prepared to effectively manage postoperative pain in patients returning several months following trauma surgery, many times still dependent on opioids for pain control...
July 10, 2018: Current Pain and Headache Reports
Samantha L Irwin, Amy A Gelfand
PURPOSE OF REVIEW: The goal of this review is to outline the prevalence and significance of occipital headaches in children and how they relate to neuroimaging findings. We seek to evaluate the concern that occipital headaches in children are indicative of secondary headache pathology by reviewing the yield of neuroimaging in pediatric patients with occipital headache location. RECENT FINDINGS: Occipital headaches are a common presentation of primary headache disorders in children, seen in 7-16% of children presenting for evaluation of headache and in up to 20% of children diagnosed with migraine in the emergency department...
July 10, 2018: Current Pain and Headache Reports
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