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Laube JG, Salles Araujo T, Taw LB. Integrative East-West Medicine Intervention for Chronic Daily Headache: A Case Report and Care Perspective. Glob Adv Health Med 2020; 9:2164956120905817. [PMID: 32110474 PMCID: PMC7019391 DOI: 10.1177/2164956120905817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2019] [Accepted: 01/20/2020] [Indexed: 11/15/2022] Open
Abstract
Chronic daily headache is a group of headache syndromes including most commonly chronic migraine and chronic tension-type headache, which often overlap, are complicated by medication overuse and are disabling, costly, and variable responsive to western pharmacotherapeutic interventions. There is growing research and awareness of integrative health approaches and therapies to address patients with chronic headache, yet limited examples of how to deliver this approach. This article reviews a commonly seen challenging case of a patient with overlapping chronic migraine and chronic tension-type headache complicated by medication overuse managed with an integrative east-west medicine intervention. This included person-centered biopsychosocial history taking, traditional Chinese medicine informed acupuncture, trigger point injections, and contributing factors modifications. A narrative review of the literature is presented to demonstrate an evidence-informed rationale for incorporating nonpharmacologic approaches to effectively help reduce the symptom burden of this patient population.
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Affiliation(s)
- Justin G Laube
- UCLA Center for East-West Medicine, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California.,Division of General Internal Medicine and Health Service Research, Department of Medicine, University of California, Los Angeles, Los Angeles, California
| | - Thais Salles Araujo
- UCLA Center for East-West Medicine, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California
| | - Lawrence B Taw
- UCLA Center for East-West Medicine, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California.,Division of General Internal Medicine and Health Service Research, Department of Medicine, University of California, Los Angeles, Los Angeles, California
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Yuan XY, Yu SB, Liu C, Xu Q, Zheng N, Zhang JF, Chi YY, Wang XG, Lin XT, Sui HJ. Correlation between chronic headaches and the rectus capitis posterior minor muscle: A comparative analysis of cross-sectional trail. Cephalalgia 2016; 37:1051-1056. [PMID: 27534669 DOI: 10.1177/0333102416664775] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objective We aimed to investigate the morphological changes and potential correlation between chronic headaches and the rectus capitis posterior minor muscle (RCPmi). Methods Comparison of RCPmi between patients with chronic headaches and healthy adult volunteers were collected using magnetic resonance imaging (MRI) and Mimics software. Results Among the 235 MRI images analyzed, the data between the two groups were considered statistically significant. The number of males was larger than that of females ( p < 0.001) and the headache group showed greater hypertrophy than the control group in both males ( p < 0.001) and females ( p = 0.001). Conclusions Chronic headaches were correlated with the RCPmi. Patients with chronic headaches suffered from more obvious hypertrophy than that of the control group. Additionally, it was supposed that RCPmi hypertrophy may be one pathogenesis of the chronic headaches.
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Affiliation(s)
- Xiao-Ying Yuan
- 1 Department of Anatomy, College of Basic Medicine, Dalian Medical University, Dalian, P. R. China
| | - Sheng-Bo Yu
- 1 Department of Anatomy, College of Basic Medicine, Dalian Medical University, Dalian, P. R. China
| | - Cong Liu
- 1 Department of Anatomy, College of Basic Medicine, Dalian Medical University, Dalian, P. R. China.,2 Department of Radiology, The 403 Affiliated Hospital of Chinese PLA General Hospital, Dalian, P. R. China
| | - Qiang Xu
- 2 Department of Radiology, The 403 Affiliated Hospital of Chinese PLA General Hospital, Dalian, P. R. China
| | - Nan Zheng
- 1 Department of Anatomy, College of Basic Medicine, Dalian Medical University, Dalian, P. R. China
| | - Jian-Fei Zhang
- 1 Department of Anatomy, College of Basic Medicine, Dalian Medical University, Dalian, P. R. China
| | - Yan-Yan Chi
- 1 Department of Anatomy, College of Basic Medicine, Dalian Medical University, Dalian, P. R. China
| | - Xu-Gang Wang
- 3 Department of Neurology, The Second Affiliated Hospital of Dalian Medical University, Dalian, P. R. China
| | - Xiang-Tao Lin
- 4 Shangdong Medical Imaging Research Institute, School of Medicine, Shandong University, Jinan, P. R. China
| | - Hong-Jin Sui
- 1 Department of Anatomy, College of Basic Medicine, Dalian Medical University, Dalian, P. R. China
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Tschiffely A, Ahlers S, Norris J. Examining the relationship between blast-induced mild traumatic brain injury and posttraumatic stress-related traits. J Neurosci Res 2015; 93:1769-77. [DOI: 10.1002/jnr.23641] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2015] [Revised: 08/12/2015] [Accepted: 08/12/2015] [Indexed: 01/04/2023]
Affiliation(s)
- A.E. Tschiffely
- Department of Neurotrauma; Operational and Undersea Medicine Directorate, Naval Medical Research Center; Silver Spring Maryland
- Henry M. Jackson Foundation; Bethesda Maryland
| | - S.T. Ahlers
- Department of Neurotrauma; Operational and Undersea Medicine Directorate, Naval Medical Research Center; Silver Spring Maryland
| | - J.N. Norris
- Department of Neurotrauma; Operational and Undersea Medicine Directorate, Naval Medical Research Center; Silver Spring Maryland
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