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Efficacy of an Individualized Outpatient Program in the Treatment of Chronic Post‐Traumatic Headache
Author(s) -
Medina Jose L.
Publication year - 1992
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/j.1526-4610.1992.hed3204180.x
Subject(s) - medicine , headaches , physical therapy , biofeedback , anesthesia , surgery
SYNOPSIS Twenty patients disabled for work because of chronic post‐traumatic headaches were treated: 13 men, and seven women.Their ages ranged between 26 and 69 years (mean = 40.3). Their accidents occurred three months to eight years prior to theinitial visit (mean = 1.5 yrs.). Thirteen patients had concurrent spinal injuries. They were assigned to an individualized program with emphasis on doctor‐patient relationship. All patients received medications, biofeedback, and educational sessions. Thirteen patients with concurrent spinal injuriesreceived additionally therapeutic exercises and transcutaneous nerve stimulation. Five patients needed neuromuscularre‐education, and three, stress management. All sessions were individualized. Patients attended the Center one to three times a week for three to 12 weeks (average = 9 weeks). The number oftreatment days ranged from six to 37 (average = 18.8 days). The average cost of the program for patients with headachealone was $3849.00; and for those with additional spinal injuries, $7030.00. All patients improved: markedly, 14; moderately, four; end slightly, two patients. The improvement occurred within sevento 150 days (average = 48.7 days). Seventeen out of the 20 patients, (85%) returned to work within 21ndash;224 days (average = 111days). An individualized outpatient program is very successful in the treatment of post‐traumatic headache.