By Gary W. Jay

As headache and facial ache are of the most typical clinical proceedings, it truly is crucial that clinicians are good built to address those concerns. Clinician’s consultant to power Headache and Facial Pain is designed for all clinicians facing those syndromes in day-by-day practice—whether within the outpatient, emergency, or ambulatory atmosphere.


  • Presents the recommendation of 12 specialists with massive adventure in headache and facial discomfort management
  • Contains evidence-based chapters derived from prior successes and screw ups and together with transparent, concise statistical outcomes
  • Reviews either conventional and substitute interdisciplinary and interventional soreness administration cures to assist practitioners opt for the simplest therapy or mixture of remedies for his or her sufferers
  • Offers broad-based assurance of all kinds of complications and facial discomfort syndromes from facial neuralgias to post-traumatic headache
  • Includes extra chapters on opioid utilization and criminal facets of therapy support to organize practitioners for a number of attainable scenarios

Devoted solely to coping with power headache and facial discomfort, this ebook is an important source for clinicians.

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Extra info for Clinician's Guide to Chronic Headache and Facial Pain

Example text

This prolonged increased tone may cause hypoxia via compression of small blood vessels, which in turns leads to the retention of pain triggering metabolites, such as bradykinin, lactic Tension-Type Headache 23 acid, serotonin, and prostaglandins (58,59). These metabolites directly stimulate CNS nociception, and further potentiate the already increased pericranial muscle tonicity thereby indirectly stimulating further CNS nociception (59–61). ” This depletion in peripheral sympathetic neurotransmitters further perpetuates the cycle of muscle strain and nociceptor stimulation (62–64).

St. Louis: Mosby, 1996:461–465. 64. Jay GW. Sympathetic aspects of myofacial pain. Pain Digest 1995; 5:192–194. 65. Ostergaard S, Russell MB, Bendtsen L, et al. Increased familial risk of chronic tensiontype headache. BMJ 1997; 314:1092–1093. 66. Goadsby T, Silberstein S, Dodick D. Chronic Daily Headache for Clinicians. Hamilton: BC Decker Inc, 2005:57–64. ¨ CGH, Jacobs LD. Ketoprofen, paracetamol and placebo in the treatment of 67. Dahlof episodic tension-type headache. Cephalalgia 1996; 16:117–123.

They further propose that head trauma activates the trigeminal nerve endings in the face, scalp, dura, or cortex and, via a reflex, causes vasodilatation and cerebral hyperemia. The most important aspect to keep in mind is that the “type” of PTHA must be accurately diagnosed so that appropriate treatment can be prescribed. 34 Jay Typically, PTHA is noted after acceleration/deceleration injuries (“whiplash”) in up to 90% of patients who experience an MTBI (28). These headaches can be determined to be posttraumatic tension type, migraine, cluster or, possibly, cervicogenic headache.

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