title: Providing Care for Patients with Chronic Migraine: Diagnosis, Treatment, and Management.
abstract: Chronic migraine, a subtype of migraine defined as ≥ 15 headache days per month for ≥ 3 months, in which ≥ 8 days per month meet criteria for migraine with or without aura or respond to migraine-specific treatment, is a disabling, underdiagnosed, and undertreated disorder associated with significant disability, poor health-related quality of life, and high economic burden. The keys to caring for chronic migraine patients include: (1) making a proper diagnosis; (2) identifying and eliminating exacerbating factors; (3) assessing for medication overuse (patients with chronic headache often overuse acute medications); and (4) continued management. Communication between patient and physician about treatment goals is important. The patient management guidelines presented in this article should help physicians improve treatment success and proactively address common comorbidities among their patients with chronic migraine.
authors.affiliation: Jefferson Headache Center, Philadelphia, Pennsylvania, U.S.A.
authors.forename: Carrie
authors.initials: C
authors.lastname: Dougherty
authors.affiliation: Jefferson Headache Center, Philadelphia, Pennsylvania, U.S.A.
authors.forename: Stephen D
authors.initials: SD
authors.lastname: Silberstein
mesh_terms: D059350:Chronic Pain / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D008881:Migraine Disorders / Q000175:diagnosis* / Q000628:therapy*; D059408:Pain Management / Q000379:methods*; D005791:Patient Care / Q000379:methods; D011788:Quality of Life; D016896:Treatment Outcome
keywords: chronic migraine; chronic pain; comorbidities; diagnosis; onabotulinumtoxina; prophylaxis; review