Efficacy of an Individualized Outpatient Program in the Treatment of Chronic Post-Traumatic Headache


  • Jose L. Medina M.D., F.A.C.P.

    1. The NeuroCenter, S.C., 5015 N. Paulina Street, Suite 325, Chicago, IL 60640, and
    2. The Chicago Medical School, North Chicago, IL
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Twenty patients disabled for work because of chronic post-traumatic headaches were treated: 13 men, and seven women.Their ages ranged between 26 and 69 years (mean = 40.3). Their accidents occurred three months to eight years prior to theinitial visit (mean = 1.5 yrs.). Thirteen patients had concurrent spinal injuries.

They were assigned to an individualized program with emphasis on doctor-patient relationship.

All patients received medications, biofeedback, and educational sessions. Thirteen patients with concurrent spinal injuriesreceived additionally therapeutic exercises and transcutaneous nerve stimulation. Five patients needed neuromuscularre-education, and three, stress management. All sessions were individualized.

Patients attended the Center one to three times a week for three to 12 weeks (average = 9 weeks). The number oftreatment days ranged from six to 37 (average = 18.8 days). The average cost of the program for patients with headachealone was $3849.00; and for those with additional spinal injuries, $7030.00.

All patients improved: markedly, 14; moderately, four; end slightly, two patients. The improvement occurred within sevento 150 days (average = 48.7 days). Seventeen out of the 20 patients, (85%) returned to work within 21ndash;224 days (average = 111days).

An individualized outpatient program is very successful in the treatment of post-traumatic headache.