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1、CAMYoucanUse: PreventingHeadachesKathiJKemper,MD,MPHGeneralPediatrics,IntegrativeMedicine2ndOpinionClinic(Mondaymornings)kkemper@wfubmc.edu716-9640DisclaimerIhavenoconflictsofinteresttoreportregardingthispresentation;IpublishedaCMEarticleonthistopicwith
2、MedScapeforwhichmyinstitutionreceivedpaymentThepresentationincludesnodescriptionofanyproprietaryitemsforscreening,diagnosis,ortreatmentsObjectivesBytheendofthissession,participantswillbeabletoCounselpatientsondietarymodificationstopreventheadachesDiscus
3、sthescientificevidenceabouttheeffectivenessofstressmanagementpracticesinpreventingheadachesFindevidence-basedresourcesabouttheeffectivenessofacupunctureinpreventingheadaches(SeeAAPSectionforComplementaryandIntegrativeMedicine;jointhelistserv)NOTfocusedo
4、ndiagnosisormedicationsHeadacheCommon!(inteens,>4HAinpastmonthby6%males;14%females)(Linet.JAMA,1989)90%MigraineorTension-TypeHeadache10%other:sinusitis,eye,trauma,icecream,cervicogenic,myofascialpain,TMJ,hemorrhage,infection,pseudotumor,vasculitis,tumor
5、,CAMUseforTension-TypeHA40%usedCAM60%didnottellMD(howmanyMD’sasked?)TypesofCAMChiropractic21%Acupuncture17%Massage17%Rossietal.Headache46:622-631,2006*CAM–ComplementaryorAlternativeMedicine,somewhatoutdatedanduselesstermCAMatUNCforHeadacheBiofeedback(th
6、ermal,muscular,heartratevariability,autonomic)HypnotherapyOsteopathyAcupunctureMindfulnessMeditationHerbalandsupplementcounselingPreventionoptionsPatient-CenteredCareLIFESTYLEBiochemicalBiomechanicalBioenergeticPrevention/healthpromotionlifestyleAvoidtr
7、iggers!NutritionandsupplementsExercise/sleepEnvironmentStressmanagementLifestyle–AVOIDTRIGGERSNon-modifiable:genetics,gender,weatherSemi-modifiable:airpollution(includingtobaccosmoke,CO,SO2,NO2),mensesModifiable-Lackofsleep-MissingmealsAllergensFoods–ty
8、raminecontaining,nuts,cheese,smokedfish,artificialsweeteners,nitratepreservatives,MSG,caffeinewithdrawalStress–physical,psychological!!KEEPAHEADACHEDIARY!!Diet:AvoidFoodAllergensClinicaltrialof43patientsAllergyskintesting69%respo
