Update of Inpatient Treatment for Refractory Chronic Daily Headache

Tzu Hsien Lai, Shuu Jiun Wang*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations

Abstract

Chronic daily headache (CDH) is a group of headache disorders, in which headaches occur daily or near-daily (>15 days per month) and last for more than 3 months. Important CDH subtypes include chronic migraine, chronic tension-type headache, hemicrania continua, and new daily persistent headache. Other headaches with shorter durations (<4 h/day) are usually not included in CDH. Common comorbidities of CDH are medication overuse headache and various psychiatric disorders, such as depression and anxiety. Indications of inpatient treatment for CDH patients include poor responses to outpatient management, need for detoxification for overuse of specific medications (particularly opioids and barbiturates), and severe psychiatric comorbidities. Inpatient treatment usually involves stopping acute pain, preventing future attacks, and detoxifying medication overuse if present. Multidisciplinary integrated care that includes medical staff from different disciplines (e.g., psychiatry, clinical psychology, and physical therapy) has been recommended. The outcomes of inpatient treatment are satisfactory in terms of decreasing headache intensity or frequency, withdrawal from medication overuse, reducing disability, and improving life quality, although long-term relapse is not uncommon. In conclusion, inpatient treatment may be useful for select patients with refractory CDH and should be incorporated in a holistic headache care program.

Original languageEnglish
Article number5
Pages (from-to)1-8
Number of pages8
JournalCurrent Pain and Headache Reports
Volume20
Issue number1
DOIs
StatePublished - 1 Jan 2016

Keywords

  • Chronic daily headache
  • Chronic migraine
  • Inpatient
  • Medication overuse

Fingerprint

Dive into the research topics of 'Update of Inpatient Treatment for Refractory Chronic Daily Headache'. Together they form a unique fingerprint.

Cite this