cefaleaThe diagnosis and treatment of headaches is sometimes a medical procedure particularly difficult and complex. The head pain, or headaches, can be regarded as the result of the interaction of signals that are generated in the brain, blood vessels and nerve endings that surround the vessels.
During an attack of headache, (such as migraine or cluster headaches) the pain can run along the vessels, or along the muscles and joints (as in the case of tension-type
  "No mas!" Acrylic on canvas, 50x50, 2012 by Paola Ghedini    headache).
                                                                  The activation of specific terminations intracranial produces messages that the brain interprets as headache. Migraine can be defined as a familial disorder characterized by recurrent attacks of headache widely variable in their frequency, duration, intensity.
The pain, usually unilateral, intensity moderate or severe, a pulsating character, is associated with autonomic disturbances such as nausea and vomiting, intolerance to light, noise and odors.
If there is a need for futher diagnostic or detoxification symptomatic of Headache Medicine works in collaboration with the Fondazione Istituto Neurologico C. Mondino of Pavia.

How to fill in the headache diary
Drawing up a diary of headaches may help specialists significantly in rebuilding frequency, duration and intensity of headache, any symptoms associated with it and the consumption of analgesics. Headache diaries and calendars are important to recognize both the events that trigger attacks (food, menstrual cycle, travel, stress, etc) possible facilitating factors (climate, seasons, mood depression, mental and physical overload, etc.) .
Also helps to evaluate through specific questionnaires: disability from headache and therapeutic response

download the PDF diary of headache

download the headache digital diary (Apple e Android)
Book an appointment specifically for headache
The history of headaches, family history and an evaluation of any co-existing diseases are an important moment in the evaluation of headache. An examination of the patient appropriately ("History and Biography") occupies most of the time the specialist's visit

Make a note of the treatments (pharmacological and non) previously run
The assessment of intercurrent diseases and previously medications helps specialists in the choice of treatment options; Also the list of drugs that are not effective results is to aid in decision-making

Which topics to discuss with the specialist?
Discuss the impact of headache
Assess the quality of life toward work, family life and social relations

Examine the possibilities of treatment
As there are different routes of drug assumptions and numerous types of treatment it is necessary to identify those that may have greater chances of success

Agree a therapeutic strategy
Agree on a treatment that works. The most common questions to ask when you agree on a treatment strategy are as follows:
  • how to take your medicine
  • how long to continue therapy
  • what are the possible side effects
  • when it will begin to operate the drug
  • what to do if the headache does not pass
  • inquire if the drug is "mutable"
  • what are the signs that indicate when the headache is not well controlled (eg. frequency of attacks, use of analgesics, etc.)
Schedule follow-up visits
Periodic checks are important to change / adapt dosage of drugs and treatment.

What to do after the visit?
Keep under control the headache is an important aspect in the individual management of the disease. To increase the chances of success of the treatment protocol agreed with the specialist, you have to carefully consider some simple factors, but important: take the medicine according to the doctor's prescription. Taking a higher dose of medication does not necessarily mean a better outcome; indeed, it may 'lead to an increase in the frequency of headaches.
Anticipate events. Patients with headaches should always have the medication on hand.

Fill out a diary of headaches
Monitoring helps the specialist to customize treatment needed and to have information on what is useful and what, instead, is harmful.

Monitor the lifestyle
Nutrition, exercise, rest and stress management are important elements to increase the effectiveness of treatment.

Patients with headache should contact their specialist intervenes when any change, for example:
change the frequency, type and intensity of headache
intolerance to treatments
onset or recurrence of diseases such as anxiety, dyspepsia, depression, asthma
changes in pregnancy or from the use of hormones
other changes affecting the health status
For better compliance, unless they are needed more information about treatment and / or assessments prescribed it is possible to contact the doctor who carried out the survey (phone or email). If you require a detox from excessive use of drugs in a specialized environment provides all the explanations on the specific treatment and hospitalization

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