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A Pain Specialist's Approach to the Headache Patient
by Seymour Diamond, 161 pp, ISBN 0-8236-3930-4, Madison, Conn, International Universities Press Inc, 1993.
Roger K. Cady, MD, Reviewer
Shealy Institute for Comprehensive Health Care Springfield, Mo
Arch Fam Med. 1994;3(11):1011.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Headache sufferers seek treatment from family physicians more than from any other specialist. Unfortunately, studies suggest that a majority of individuals with disabling headache remain undiagnosed and undertreated. A Pain Specialist's Approach to the Headache Patient by Diamond is clearly an answer for practicing physicians seeking assistance in treating headache patients. Written in a concise, relevant manner, the book is a helpful resource of pharmacologic and nonpharmacologic treatment options.
The book begins with an excellent distillation of historical information relevant to diagnosing headache, stressing that history is the cornerstone of headache diagnosis. Diamond provides a history-taking questionnaire that could be used by physicians or office staff. Of special importance is his emphasis on sincere physician-patient relationships.
Chapters are devoted to migraine, cluster, and tension-type headache. Nuances of headache management and therapeutics are discussed in detail. The tables of medications and dosage schedules are clear and helpful. Chapters on coexisting migraine
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