Introduction to Interventional Procedures; Timing and Patient Selection
Patients with headache generally respond to medical treatments but the management can be challenging. Interventional treatments can be considered in: (1) refractory headaches with a poor response to pharmacologic management; (2) patients who develop side effects from the pharmacological regimen; (3) patients with significant comorbidities where the use of pharmacological treatment is not feasible; (4) patients with medication overuse headache, in order to stop analgesic overuse; (5) patients in the pregnancy or lactation period; (6) patients with headaches that need to be aborted; (6) cases that need bridge therapy; and (8) short-term prophylaxis of status migrainosus. Interventional procedures should be performed by specialized pain management physicians in experienced centers with emergency medical care.
KeywordsRefractory headache Chronic headache disorder Intervention Nerve block Migraine status Bridge therapy Neuromodulation
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