Article

Chronic daily headaches (CDHs) are common, disabling,
and difficult to treat. We
report a case of a patient with a complex medical history experiencing
multifactorial CDH referred for and eventually enrolled in an interdisciplinary
chronic pain program. Focusing on enhancing the patient's function while
minimizing the use of medications and invasive procedures, this comprehensive
rehabilitation intervention consists of diverse treatment approaches, including
cognitive-behavioral therapy, physical and occupational therapy, and medical
interventions. Despite the patient's challenges with implementation of strategies
learned in the program, positive results were seen, including decreased
symptomatology, decreased opioid use, and attainment of employment. Although
time-intensive, interdisciplinary chronic pain programs may result in a greater
likelihood for sustained functional improvements and prevention of disability for
patients with CDH, even in the most complex.
LEVEL OF EVIDENCE: IV.
CI - Copyright (c) 2018 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS