– A Common Sense Guide for Clinicians
Book Review
Discussing Migraine with Your Patients
– A Common Sense Guide for Clinicians
By Dawn A . Marcus , MD and Duren Michael Ready , MD Springer , 2017
Discussing Migraine With Your Patients , an outstanding new book , was written primarily for clinicians . However , this handy book is very easily understandable for the lay public . The book includes a treasure of clinical pearls and wise advice .
The grey boxes throughout the book neatly summarize key points . All of the common types of headache are addressed . For example , the section on how to explain “ tension ” headache to patients is insightful . The basic message is to “ medicalize ” the condition , while not presenting tension headache as a psychiatric problem . There is a clear and practical exploration of the confusing topic on medication overuse headache . When to be concerned about more serious problems , such as a brain tumor , is tackled . Cluster and sinus headaches are also covered .
The genetics of migraine is examined in a clear and under- ������������������������������������������������������������powers the patient with strategies other than simply relying on medications . Chronic central sensitization ( the nervous system is very “ excited ”) and allodynia ( heightened sensitivity , mostly to touch ) are important topics that apply to chronic migraine . The authors explore these topics with clear and understandable language . A good discourse is included on what is occurring in the brain during chronic pain .
The association of migraine with cardiovascular conditions ( heart attack or stroke ), as well as with other pain disorders ���������������������������������������������������������������ily and friend relationships is part of the discussion . Anxiety and depression are increased among those patients with frequent migraines and the authors examine these important conditions .
Acceptance of a chronic condition is crucial , and there is a well-written section on the importance of acceptance . The
8 HeadWise ® | Volume 6 , Issue 3 • 2017
170767 _ LOT A _ NHF Feb 2017 Vol . 6 Issue 3 . indd 8 2 / 15 / 17 12:48 AM