Discover and read the best of Twitter Threads about #headache

Most recents (8)

2006! #Psychologists "predicted" #anxiety & "catastrophizing" would "predict the presence & intensity of persistent #headache, as well as other non-pain physical symptoms of headache." HA+nonpain=#migraine. If headache has non-pain symptoms, it's #migraine webmd.com/migraines-head…
✔️ FACT "Researchers believe that #migraine is the result of fundamental neurological abnormalities caused by genetic mutations at work in the brain." New models help scientists study "the biological cascade, genetic components & mechanisms of migraine." ninds.nih.gov/Disorders/All-…
Participants in the 2006 study got 1 #anxiety or #castrophizing point per #migraine symptom: light/sound sensitivity; nausea; visual disturbance; speech difficulty; 1-sided weakness, numbness, tingling.

✔️ These are all standard migraine symptoms (& just the START of the fun).
Read 12 tweets
Brain imaging confirms what your grandmother told you: overworrying makes you feel worse. Treating #anxiety can often ease the burden of #ChronicPain.

Thread: comparing tests that screen for anxiety with & without physical symptoms threadreaderapp.com/thread/1270853…
The Hospital Anxiety & Depression Scale (HADS) doesn't include specific physical symptoms. HADS assesses #anxiety by asking how often a person feels tense, restless, worried, vaguely frightened, or panicked. svri.org/sites/default/…
By contrast, 40% of the items on the 4 Dimensional Symptoms Questionnaire ask about specific physical symptoms, every 1 of which can be indicate #migraine. semanticscholar.org/paper/The-Four…
Read 19 tweets
THE PROMISED NEUROLOGY FELLOWSHIP THREAD: I’ve taken it upon myself to hype up neurology despite being under the tutelage of medicine for the next year. Neurology gets left behind when students resolve never to live in a world where ‘dysdiadochokinesia’ is used unironically.
Disclaimer: This thread is NOT comprehensive. Neurologists practice in vast spectrums that cannot be conveyed here. This is simply meant to inform prospective applicants about the options within the field of neurology, and hopefully, to entice them to explore something(s) new.
1/ #movementdisorders (MD)- starting out this thread with a backslap to naysayers who still make the tired claim that “there’s no instant gratification in neurology.” WRONG!
Read 48 tweets
@CContrarus @hope411adcock @painadvocateAR @tal7291 @fightpaindaily @speakingabtpain @jillyannjiggs @JoeFalzone8 @JSG_54 @LadyAg72 @brent_kellogg @dr4liberty @Irishbrat1966 @ThomasKlineMD @DanLairdMD @D321Debbie @Angelsgal02 @esteckler2 I've been housebound w/ continuous #migraine for 15 yrs, direct @headsUPmigraine, & disagree profoundly w/ overpsychologizing pain.

#Psychologists are wrong to diagnose "catastrophizing" w/ this test w/o telling patients that doctors may use results to taper/deny #opioids.
@CContrarus @hope411adcock @painadvocateAR @tal7291 @fightpaindaily @speakingabtpain @jillyannjiggs @JoeFalzone8 @JSG_54 @LadyAg72 @brent_kellogg @dr4liberty @Irishbrat1966 @ThomasKlineMD @DanLairdMD @D321Debbie @Angelsgal02 @esteckler2 @headsUPmigraine Thread below: @headsUPmigraine's response to "catastrophizing" survey & diagnosis, as well as its "possible predictive value for #opioid prescription" (sec 4: Discussion, Sharifzadeh, Darnall, et al., 2017). ncbi.nlm.nih.gov/pmc/articles/P…
People should be informed if a questionnaire they're given to diagnose a #psychological disorder might potentially be used by a physician to deny them treatment for a physical disease.
Read 18 tweets
1/ THREAD: #COVID19 in Children

The recent deaths of children in the #USA and #UK have been particularly concerning to me.

Previously, children were getting infected, but their disease course was mild or completely asymptomatic.
2/ See studies:
A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster
thelancet.com/journals/lance…

Acute aero-ischemia in the child at the time of #COVID19 (#Italy)
ejpd.com/images/acroisc…
3/ The "#covid toes" have been an interesting sign of #SARSCoV2 infection

Read 13 tweets
#Migraine patients were excluded from Eli Lilly's trial of #Emgality 300 in which 71.4% of people got +50% reduction in #headache days. Only 28% of people taking 120 mg hit this benchmark. Trial exclusion means FDA did NOT approve 2.5x more effective 300 for CM. @LillyPad thread
Trial exclusions determine FDA "labeled" usage. Insurers routinely cover off-label use of inexpensive meds & deny off-label use of expensive meds. Eli Lilly priced #Emgality high: $6,900/year. investor.lilly.com/news-releases/…
Both #cluster & #migraine are profoundly disabling diseases w/ overlapping symptoms. #Emgality treats both. People fully disabled by 1 are no more/less disabled than people fully disabled by the other, so why did Lilly assume #cluster required nearly 3x more med?
Read 11 tweets
Happy Saturday! Ready for some #headache management tips from #AIHS19 / @aihsHeadache ?

1/
First, from @123Migraine: Medication overuse headache.
5% of the population has a chronic daily headache - HALF of these are due to MOH; 8 million people!

Criteria:
15+ days per month of a headache medication if over-the-counter, 10+ if Rx or combo
>3 months of regular use

2/
Medication overuse #headache:

Treatment is removing the overused drug!

Sometimes this requires inpatient treatment and tweaking of the current regimen. Butalbital/#fiorcet withdrawal can be dangerous. Sometimes it gets worse before it gets better. Help with coping skills!

3/
Read 25 tweets
If you have an interest in #AI, #HealthTech or #PatientSafety - then please read this evidence based thread which tells the story of @DrMurphy11 & an #eHealth #AI #Chatbot.

Read on, or see single tweet summary here👇0/44
is not a 'nerd'; he's a pretty typical NHS consultant with an interest in #PatientSafety.

On 6th Jan 2017 a tweet about an #eHealth #AI #Chatbot in #NHS trials caught his attention, so he thought he'd take a look. 1/44

Evidence here 👇
Dr Murphy downloaded the @babylonhealth App & tried the #Chatbot with a few simple clinical presentations. It quickly became apparent that the #Chatbot had flaws, raising the question if the App had been validated as a triage tool?

As evidenced by👇 2/44
Read 45 tweets

Related hashtags

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3.00/month or $30.00/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!