Chronic pain rehabilitation in chronic headache disorders

被引：8

作者：

Bruce, Barbara K. ^{[1
]}

Townsend, Cynthia O. ^{[1
]}

Hooten, W. Michael ^{[1
]}

Rome, Jeffrey D. ^{[1
]}

Moon, Justin S. ^{[1
]}

Swanson, Jerry W. ^{[1
]}

机构：

[1] Mayo Clin, Dept Psychiat & Psychol, Pain Rehabil Ctr, Rochester, MN 55905 USA

来源：

CURRENT NEUROLOGY AND NEUROSCIENCE REPORTS | 2008年 / 8卷 / 02期

关键词：

D O I：

10.1007/s11910-008-0016-z

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

This article reviews the treatment goals and efficacy of comprehensive pain rehabilitation programs for the treatment of chronic headache. Substantial data demonstrate improved outcomes from rehabilitative treatment for chronic noncancer pain. We present a discussion of the most relevant recent publications on pain rehabilitation in chronic headache disorders. This article describes pain rehabilitation, reviews outcome data for chronic pain patients treated in this setting, and describes the unique applicability of this treatment approach for patients with chronic headache. Particular attention is directed to the rationale for and the results of the withdrawal, in a pain rehabilitation setting, of opioids and simple analgesics, ergots, and triptans that contribute to medication overuse headaches. Additionally, a case example is reviewed that illustrates the structure and function of a pain rehabilitation program in the treatment of a patient with intractable headache.

引用

页码：94 / 99

页数：6

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