A study in the November issue of Headache concluded that migraineurs believe that having their physicians explain what physician what causes their headaches is extremely important. They also believe it is essential that they have the pathophysiology and triggers explained to them in lay terms by their physicians. The study found that “The physician can provide explanations verbally, through handouts, or by referral to internet sites.” A new website http://www.ihateheadaches.org fills the bill perfectly explaining both standard neurological explanations and on alternative treatment with neuromuscular dentistry which has been shown to be remarkably effective for many patients with chronic daily headaches, tension-type headaches and migraines. The study also concluded that if patients has a better understanding of what causes migraine it would likely improve treatment compliance and also lead to increased patient satisfaction.
Patient Testimonial: https://www.youtube.com/watch?v=IOJTPQEGr1w
The PubMed abstract of this article is included below for your convenience.
Headache. 2009 Nov-Dec;49(10):1536-40.
Expert opinion: what causes migraine: which physician explanation do patients prefer and understand?
Evans RW, Evans RE.
Department of Psychology, Rice University, Houston, TX 77005, USA.
BACKGROUND: Although “What causes migraine,” is one of the most common questions migraineurs ask their physicians, little is known about what response physicians provide, whether migraineurs believe it is important that they be provided information, or which explanation is most informative. METHODS: Seven migraine specialists were personally contacted and a convenience sample of 23 neurologists were surveyed at a meeting to obtain a range of explanations. Four explanations were selected and edited. One hundred consecutive patients seen in a general neurology practice participated in the study. RESULTS: The mean response on a 5-point Likert scale to the statement, “It is important to provide patients an explanation of what causes migraine,” of 15 neurologists surveyed at a meeting was 4.3 (5 = strongly agree). One hundred consecutive patients participated in the study with a mean age of 39.1 years and 87 females. The mean response to the question, “How important is it for a physician to provide you with an explanation of what causes migraine?” was 4.7 on a 5-point Likert scale (5 = very important). The explanation preferred by most (56) of the subjects was the longest (245 words) with the fewest (4) choosing the briefest (25 words). CONCLUSIONS: This study suggests that neurologists and migraineurs believe that it is very important for a physician to provide them with an explanation of what causes migraine. An explanation that may be most informative may contain information in lay terms about the pathophysiology and the many triggers. The physician can provide explanations verbally, through handouts, or by referral to internet sites. Better patient understanding of what causes migraine may improve treatment adherence and patient satisfaction.