Interdisciplinary treatment of post-concussion and post-traumatic headaches

Introduction Chronic headaches following concussion are debilitating and difficult to treat. Commonly employed initial therapeutic modalities include pharmacologic, physical, and psychological interventions. Despite these efforts, a subset of patients with chronic pain remains. Peripheral nerve surg...

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Bibliographic Details
Published in:Microsurgery 2015-11, Vol.35 (8), p.603-607
Main Authors: Ducic, Ivica, Sinkin, Jeremy C., Crutchfield, Kevin E.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Brain Concussion - complications
Child
Chronic Pain - diagnosis
Chronic Pain - etiology
Chronic Pain - surgery
Female
Follow-Up Studies
Humans
Interdisciplinary Communication
Male
Middle Aged
Neurosurgery
Neurosurgical Procedures - methods
Pain Measurement
Peripheral Nerves - surgery
Post-Traumatic Headache - diagnosis
Post-Traumatic Headache - etiology
Post-Traumatic Headache - surgery
Retrospective Studies
Sports Medicine
Treatment Outcome
Young Adult
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Summary:Introduction Chronic headaches following concussion are debilitating and difficult to treat. Commonly employed initial therapeutic modalities include pharmacologic, physical, and psychological interventions. Despite these efforts, a subset of patients with chronic pain remains. Peripheral nerve surgery has never before been reported as an effective treatment for the management of post‐concussion headaches. In this study, we report on our early outcomes following peripheral nerve surgery for this novel indication. Methods A retrospective review of 28 consecutive patients with post‐concussion headaches who underwent occipital nerve surgery was performed. Preoperative and postoperative headache pain was evaluated on visual analog scale (VAS) in 24 patients with at least 6 months follow‐up. Results The average VAS headache pain reduced from 6.4 preoperatively, to 1.4 (P 
ISSN:0738-1085
1098-2752
DOI:10.1002/micr.22503