Headache Medicine: 2021

Abstract

According to the Centers for Disease Control and Prevention:

14% of adults suffer from migraine or severe headache
14% of adults suffer from neck pain
5% of adults suffer from face pain

Up to 20% of patients don't respond to, or cannot tolerate, medications to treat these conditions.

Learning Objectives

As a result of participating in this activity, learners will be able/better able to:

Employ new strategies to manage and treat patients with chronic cluster headaches
Manage and treat patients with migraine headaches

Outline

Refractory headaches
Neurostimulation techniques
- Stimulation of the sphenopalatine ganglion
- Occipital nerve stimulation
- Transcutaneous Supraorbital Neurostimulation (tSNS)
- Non-invasive Vagal Neurostimulation (nVNS)
- Transcranial Magnetic Stimulation
- Remote Electric Neurostimulation
OnabotulinumtoxinA for the treatment of intractable chronic migraine
Involvement of the calcitonin gene-related peptide (CGRP) pathway

Desirable Physician Attributes

Patient Care [ACGME/ABMS] Provide care that is compassionate, appropriate and effective for the treatment of health problems and the promotion of health
Medical Knowledge [ACGME/ABMS] about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social-behavioral) sciences and the application of this knowledge to patient care
Employ Evidenced-based Practice [IOM] Integrate best research with clinical expertise and patient values for optimum care, and participate in learning and research activities to the extent feasible

Accreditation & Designation

Release date: This activity was released 8/27/2021.

Termination date: The content of this activity was eligible for CME Credit until 8/26/2024.

Neurovations Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Neurovations Education designates this other activity (blended learning) for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity includes discussions of unlabeled or investigational uses of commercial and/or developmental products.

This activity includes discussions and explorations of new and evolving topics. Such inclusion includes adequate justifications of statements based upon current science, evidence and clinical reasoning.

Disclosure of Financial Relationships & Measures to Resolve of Conflicts of Interest

[Presenter] Samer Narouze discloses the following financial relationships within the past 24 months: Consulting: Vertex Pharma [Past relationship]

No other person with control of, or responsibility for, the planning, delivery, or evaluation of accredited continuing education has, or has had within the past 24 months, financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

All relevant financial relationships have been mitigated. Materials were reviewed in advance of the activity by person(s) that do not have conflicts of interest related to the content. In some cases, content may have been modified as part of the review and mitigation process. All clinical recommendations are evidence-based and free of commercial bias (e.g., peer-reviewed literature, adhering to evidence-based practice guidelines).

Additional Reading

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