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Modifiable Risk Factors for Migraine Progression (or for Chronic Daily Headaches)—Clinical Lessons
Author(s) -
Bigal Marcelo E.,
Lipton Richard B.
Publication year - 2006
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.1526-4610.2006.00566.x
Subject(s) - migraine , headaches , medicine , psychological intervention , depression (economics) , physical therapy , psychiatry , chronic migraine , economics , macroeconomics
Herein we summarize clinical issues gleaned from a full peer‐reviewed article on modifiable risk factors for migraine. Since migraine is progressive in some but not in most individuals, identifying patients at risk for progression is crucial. Key interventions include: (1) Decrease headache frequency with behavioral and pharmacologic interventions; (2) Monitor the body mass index and encourage maintenance of normal weight; (3) Avoid medication overuse; (4) Avoid caffeine overuse; (5) Investigate and treat sleep problems and snoring; (6) Screen and treat depression and other psychiatric comorbidities. These recommendations have not been demonstrated to improve outcomes in longitudinal studies.