Headaches and Migraines - The Pain Care for Primary Care Course

Explore the comprehensive management of headaches and migraines in this 46-minute lecture by Wendy Wright, FNP, designed for primary care physicians, PAs, and NPs. Delve into crucial topics such as differentiating between primary and secondary headaches, recognizing red flags, understanding migraine triggers, and exploring the migraine process. Learn about diagnostic criteria for episodic migraine without aura and various treatment approaches, including non-pharmacologic options, stratified care vs. step care, and Level A and B recommendations for effective management. Gain insights into cluster headaches, long-term oral options for headache treatment, and strategies for handling status migrainosus. Enhance your ability to diagnose, assess, and treat patients presenting with headache and migraine-related symptoms, ultimately improving your competence and confidence in pain management within primary care settings.

Intro
Headache Diagnosis: Primary Versus Secondary Headache Evaluate for Signs or Symptoms of Secondary Headache
Headache Diagnosis: History
Secondary Headache: SNOOP
Red Flags for Secondary Headache
Waiting Room Study: Results Compared with General Population
Undiagnosed Migraine Sufferers Often Report Receiving a Diagnosis of Tension Headache
Stress is the Most Frequently Reported Trigger of Migraine
The Migraine Process: Activation of the Trigeminal Nucleus Caudalis (TNC)
Episodic Migraine Without Aura: Diagnostic Criteria
Additional Non-Pharmacologic Options
Stratified Care vs Step Care Headache Response
Too Much of a Good Thing....
Level A Recommendations: Effective
Level B Recommendations
What About Cluster Headaches?
Long Term Headache: Oral Options
Status Migrainosus (Status Migraine)