Management of Headache Following Concussion/Mild TBI: Guidance for Primary Care Management in Deployed and Non-Deployed Settings

April 14, 2016; 1-2:30 p.m. (ET)

Overview

More than 339,000 service members sustained a traumatic brain injury (TBI) between 2000 and 2015 with approximately 82 percent of these classified as mild TBI, also known as concussion (Defense and Veterans Brain Injury Center, 2016). Headache is the most common symptom reported following a concussion (Lucas, Hoffman, Bell, & Dikmen, 2014). In a study of Operation Enduring Freedom/Operation Iraqi Freedom veterans, 74 percent reported post-traumatic headaches (PTH) occurring within 30 days of sustaining a concussion (Theeler, Flynn, & Erickson, 2010).

The presentation will review the newly released clinical recommendation which offers guidance for the primary care management of PTH in deployed and non-deployed settings. The speakers will address the characteristics of four of the most common types of PTH and review non-pharmacologic and pharmacologic treatment recommendations for each type. In addition, they will address when specialty referral may be indicated. Practical resources, including the clinical recommendation, provider training slides, companion clinical tool and patient education materials, will be available for download.

At the conclusion of this webinar, participants will be able to:

  • Articulate risk factors associated with PTH
  • Describe and distinguish among the common types of PTH
  • Employ the clinical recommendation to assess, diagnosis and treat each type of PTH

Presenters

Donald W. Marion, M.D.
Senior Clinical Consultant Clinical Affairs Division Contract support to Defense and Veterans Brain Injury Center (DVBIC) Silver Spring, Maryland
Ronald Riechers, II, M.D.
Assistant Professor, Department of Neurology Case Western Reserve University School of Medicine Medical Director, Polytrauma Program Louis Stokes Cleveland Veterans Administration Medical Center Cleveland, Ohio

Moderator

Gary McKinney, M.S., CBIS
Chief, Office of Clinical Practice and Clinical Recommendations Clinical Affairs Division DVBIC Silver Spring, Maryland

References

Defense and Veterans Brain Injury Center. (2016). DoD Numbers for Traumatic Brain Injury
Worldwide - Totals. Retrieved from DoD Worldwide Numbers for TBI on DVBIC

Lucas, S., Hoffman, J., Bell, K. & Dikmen, S. (2014). A prospective study of prevalence and characterization of headache following mild traumatic brain injury. Cephalalgia,34(2), 93–102.

Theeler, B. J., Flynn, F. G. & Erickson, J. C. (2010). Headaches after concussion in U.S. soldiers returning from Iraq or Afghanistan. Headache: The Journal of Head and Face Pain, 50(8), 1262-1272.

Continuing Education

Continuing education credit is available from Professional Education Services Group (PESG). You must register by 3 p.m. (ET) April 14, 2016, to qualify for the receipt of continuing education credit.

The awarding of continuing education credit is limited in scope to health care providers who actively provide psychological health and traumatic brain injury care to U.S. active-duty service members, reservists, National Guardsmen, military veterans and their families.

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