Post-Traumatic Headache

Lucas, Sylvia

doi:10.1016/b978-0-12-800901-7.00013-6

Cited by 2 publications

(2 citation statements)

References 98 publications

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“…In athletes, the prevalence of PTH has been reported to be as high as 93% after sports-related concussion and it is thought that this is the most common PCS symptom [1,2]. Most of the reports agree in regarding the prevalence of PTH in sports-related concussion [44][45][46]. Moreover, even amateur athletics activities were reported to produce TBIs (in almost 20% of the adults) [13].…”

Section: Prevalence Of Post-traumatic Headachesmentioning

confidence: 99%

Post-Traumatic Headache: A Review of Prevalence, Clinical Features, Risk Factors, and Treatment Strategies

Mavroudis

Ciobîcă

Luca

et al. 2023

JCM

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Post-traumatic headache (PTH) is a common and debilitating consequence of mild traumatic brain injury (mTBI) that can occur over one year after the head impact event. Thus, better understanding of the underlying pathophysiology and risk factors could facilitate early identification and management of PTH. There are several factors that could influence the reporting of PTH prevalence, including the definition of concussion and PTH. The main risk factors for PTHs include a history of migraines or headaches, female gender, younger age, greater severity of the head injury, and co-occurring psychological symptoms, such as anxiety and depression. PTH clinical profiles vary based on onset, duration, and severity: tension-type headache, migraine headaches, cervicogenic headache, occipital neuralgia, and new daily persistent headache. Pharmacological treatments often consist of analgesics and non-steroidal anti-inflammatory drugs, tricyclic antidepressants, or antiepileptic medication. Cognitive behavioral therapy, relaxation techniques, biofeedback, and physical therapy could also be used for PTH treatment. Our work highlighted the need for more rigorous studies to better describe the importance of identifying risk factors and patient-centered treatments and to evaluate the effectiveness of the existing treatment options. Clinicians should consider a multidisciplinary approach to managing PTH, including pharmacotherapy, cognitive behavioral therapy, and lifestyle changes.

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Section: Prevalence Of Post-traumatic Headachesmentioning

confidence: 99%

Post-Traumatic Headache: A Review of Prevalence, Clinical Features, Risk Factors, and Treatment Strategies

Mavroudis

Ciobîcă

Luca

et al. 2023

JCM

View full text Add to dashboard Cite

show abstract

“…Given their properties, non-steroidal anti-inflammatory agents (NSAIDs) may reduce the potential inflammation and pain associated with PTH. However, persistent use can potentially lead to medication overuse headache (MOH), acute renal failure or gastrointestinal complications such as acute gastritis and gastric ulcers [ 16 ]. Acetaminophen avoids some of these adverse effects, but its potential hepatotoxicity and lack of anti-inflammatory action may be ineffective in PTH management.…”

Section: Introductionmentioning

confidence: 99%

Update on Non-Pharmacological Interventions for Treatment of Post-Traumatic Headache

2022

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Post-traumatic headache (PTH) is the most common sequelae of traumatic brain injury (TBI). Its phenotypic variability, absence of formal evidence-based guidelines for treatment and underdiagnosis have made its management a challenge for clinicians. As a result, treatment of PTH has been mostly empiric. Although analgesics are the most popular drug of choice for PTH, they can present with several adverse effects and fail to address other psychosocial comorbidities associated with TBI. Non-pharmacological interventions thereby offer an intriguing alternative that can provide patients with PTH sustainable and effective care. This review article aims to: (1) provide an update on and describe different non-pharmacological interventions present in the recent literature; (2) provide clinical guidance to providers struggling with the management of patients with PTH; (3) emphasize the need for more high-quality trials examining the effectiveness of non-pharmacological treatments in patients with PTH. This review discusses 21 unique non-pharmacological treatments used for the management of PTH. Current knowledge of non-pharmacological interventions for the treatment of PTH is based on smaller scale studies, highlighting the need for larger randomized controlled trials to help establish formal evidence-based guidelines.

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Post-Traumatic Headache

Cited by 2 publications

References 98 publications

Post-Traumatic Headache: A Review of Prevalence, Clinical Features, Risk Factors, and Treatment Strategies

Post-Traumatic Headache: A Review of Prevalence, Clinical Features, Risk Factors, and Treatment Strategies

Update on Non-Pharmacological Interventions for Treatment of Post-Traumatic Headache

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