Best practices for patients with chronic migraine: burden, diagnosis, and management in primary care.
Headache and migraine are common medical complaints among patients visiting primary care physicians (PCPs). A number of these patients may have chronic migraine, which is more difficult to diagnose and manage than many other headache disorders. Identification of those at risk, correct diagnosis, and establishment of a comprehensive management plan for patients with chronic migraine will require a joint effort between the PCP and the headache specialist. Together, the PCP and headache specialist will need to assess the patient for modifiable exacerbating factors and comorbidities while managing prophylactic and as-needed therapies. Herein, we provide a review of chronic migraine for the PCP and describe tools for improving patient care.
Department of Neurology, Mayo Clinic, Phoenix, AZ. Electronic address: Starling.Amaal@mayo.edu.
Amaal J
AJ
Starling
Department of Neurology, Mayo Clinic, Phoenix, AZ.
David W
DW
Dodick
D002908:Chronic Disease; D015928:Cognitive Behavioral Therapy; D019468:Disease Management; D004358:Drug Therapy / Q000379:methods; D015444:Exercise; D006801:Humans; D008881:Migraine Disorders / Q000175:diagnosis* / Q000628:therapy*; D011320:Primary Health Care; D011788:Quality of Life