Chronic pain rehabilitation in chronic headache disorders

Barbara K. Bruce, Cynthia O. Townsend, W. Michael Hooten, Jeffrey D. Rome, Justin S. Moon, Jerry W. Swanson

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations

Abstract

This article reviews the treatment goals and efficacy of comprehensive pain rehabilitation programs for the treatment of chronic headache. Substantial data demonstrate improved outcomes from rehabilitative treatment for chronic noncancer pain. We present a discussion of the most relevant recent publications on pain rehabilitation in chronic headache disorders. This article describes pain rehabilitation, reviews outcome data for chronic pain patients treated in this setting, and describes the unique applicability of this treatment approach for patients with chronic headache. Particular attention is directed to the rationale for and the results of the withdrawal, in a pain rehabilitation setting, of opioids and simple analgesics, ergots, and triptans that contribute to medication overuse headaches. Additionally, a case example is reviewed that illustrates the structure and function of a pain rehabilitation program in the treatment of a patient with intractable headache.

Original languageEnglish (US)
Pages (from-to)67-72
Number of pages6
JournalCurrent pain and headache reports
Volume13
Issue number1
DOIs
StatePublished - Feb 5 2009

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine

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