Integrated multidisciplinary care of headache disorders: A narrative review

We present a narrative review reporting current literature and personal experience.

Results and conclusion
Based on current knowledge, multidisciplinary treatment programs appear to be reasonable and efficient in headache disorders. Sufficient controlled studies regarding the need for individual parts of the integrative care approach are missing as yet. Recommendations are therefore at least partly based on personal experiences. It seems to be unambiguous that patients should be referred to a specialized headache center offering such a program instead of being sent sequentially to various medical specialists. The extent and kind of required therapy (e.g. personal consultation versus group sessions) is not known yet. All patients should learn relaxation training, although it is unclear yet which training is the best for which patient. Physiotherapy with guidance on more activity and individual exercises should be used in all patients. Some patients might benefit from cognitive behavioral therapy. However, therapies often depend more on country-specific health care systems than on clinical needs or scientific data.

Source: Cephalalgia - October 23, 2016 Category: Neurology Authors: Gaul, C., Liesering-Latta, E., Schäfer, B., Fritsche, G., Holle, D. Tags: Review Articles Source Type: research