and Alternative Medicine Approaches to Migraine补充和替代医学途径偏头痛（PPT87）课件.ppt

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and Alternative Medicine Approaches to Migraine补充和替代医学途径偏头痛（PPT87）课件.ppt

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and Alternative Medicine Approaches to Migraine补充和替代医学途径偏头痛（PPT87）课件

CAM You can Use: Preventing Headaches Kathi J Kemper, MD, MPH General Pediatrics, Integrative Medicine 2nd Opinion Clinic (Monday mornings) kkemper@ 716-9640 Disclaimer I have no conflicts of interest to report regarding this presentation; I published a CME article on this topic with MedScape for which my institution received payment The presentation includes no description of any proprietary items for screening, diagnosis, or treatments Objectives By the end of this session, participants will be able to Counsel patients on dietary modifications to prevent headaches Discuss the scientific evidence about the effectiveness of stress management practices in preventing headaches Find evidence-based resources about the effectiveness of acupuncture in preventing headaches (See AAP Section for Complementary and Integrative Medicine; join the listserv) NOT focused on diagnosis or medications Headache Common! (in teens, 4 HA in past month by 6% males; 14% females) (Linet. JAMA, 1989) 90% Migraine or Tension-Type Headache 10% other : sinusitis, eye, trauma, ice cream, cervicogenic, myofascial pain, TMJ, hemorrhage, infection, pseudotumor, vasculitis, tumor, CAM Use for Tension-Type HA 40% used CAM 60% did not tell MD (how many MD’s asked?) Types of CAM Chiropractic 21% Acupuncture 17% Massage 17% Rossi et al. Headache 46:622-631, 2006 CAM at UNC for Headache Biofeedback (thermal, muscular, heart rate variability, autonomic) Hypnotherapy Osteopathy Acupuncture Mindfulness Meditation Herbal and supplement counseling Prevention options Prevention/health promotion lifestyle Avoid triggers! Nutrition and supplements Exercise/sleep Environment Stress management Lifestyle – AVOID TRIGGERS Non-modifiable: genetics, gender, weather Semi-modifiable: air pollution (including tobacco smoke, CO, SO2, NO2), menses Modifiable - Lack of sleep - Missing meals Allergens Foods – tyramine containing, nuts, cheese, smoked fish, artificial sweeteners, nitrate preservatives, MSG, caffei