Comparing Naproxen to Sumatriptan for Emergency Headache Patients
MigraineTension-type Headache1 more2/3 of patients discharged from an emergency department after treatment for an acute headache will still be bothered by headache within 24 hours of emergency department (ED) treatment. The goal of this study is to compare two medications, naproxen and sumatriptan, to determine which is better for the treatment of recurrent headache within 24 hours of emergency department discharge.
A Research Study to Examine the Difference Between Local Anesthetics Alone and Local Anesthetics...
MigraineSubjects are scheduled to undergo a Greater Occipital Nerve Block (GONB) as treatment for your chronic daily headache (CDH). GONB has been used for many years in the treatment of headaches. The nerve block is done by injecting a liquid drug through the skin of the back of the head to the area of the greater occipital nerve. The nerve runs superficially in this area, therefore the drugs are injected just under the skin. The injected drugs block electrical transmission through the nerve, resulting in reduced head pain. There are treatment options for patients receiving a GONB, however, some clinicians use local anesthetics (lidocaine and /or bupivicaine) alone, and some use local anesthetics with local steroid injection. The purpose of this study is to evaluate whether or not there is an observed difference between these two treatment approaches for GONB. We expect to enroll 60 patients into this research study at Thomas Jefferson University only.
Propofol Injection for Daily Headache
Chronic HeadacheAnalgesic Rebound Headache3 moreHypothesis A single subanesthetic dose of propofol will result in improved pain and quality of life for the next 30 days in persons with chronic daily headache (CDH) Specific objectives To measure the effect of a single infusion of propofol at 40 mcg / kg / minute over 60 mins on headache-related quality of life (measured by the Headache Disability Index) and on headache severity (measured by the Headache Index) in subjects with chronic daily headache over 30 days45-47
Occipital Nerve Stimulation to Treat Chronic Headaches
Headache DisordersThe purpose of this study is to evaluate the safety and efficacy of a implantable device, called the bion(R), in the treatment of chronic headache. The bion microstimulator is placed underneath the skin next to the greater occipital nerve. The bion microstimulator then stimulates the nerve by generating small amounts of electrical current.
The Effect of Botulinum Toxin A on Headache Attributed to TMD
Secondary Headache DisorderThis study will evaluate the effect of of botulinum toxin on the treatment of Headache Attributed to TMD.
Intervention for Sleep and Pain in Youth
Headache DisordersMigraine Disorders1 moreThis study tests the feasibility, acceptability, and preliminary efficacy of a seven-session cognitive-behavioral therapy intervention to treat sleep and pain problems in youth ages 11-17 with co-morbid headache and insomnia.
Biobehavioral Physical Therapy Strategies Based on Therapeutic Exercise Applied to Chronic Migraine...
Chronic MigraineChronic HeadacheThe purpose of this study is to know wich combination of treatments are the most effective in patients with chronic migraine. The study design is a simple blind randomized controlled trial (outcomes assessor). The study population: Men and women aged from 18 to 70 years old with chronic migraine for at least 12 weeks. Interventions: A combination of techniques during 6 weeks (6 sessions; 1 per week)
Acupuncture for the Treatment of Chronic Daily Headaches
Headache DisordersThe purpose of this study is to determine whether acupuncture can reduce pain in long-term headache sufferers.
Bion for Occipital Nerve Stimulation
Chronic HeadachesThis is a prospective, single-centre, cross-over study designed to evaluate the safety and efficacy of using the bion, an implantable medical device, for the treatment of chronic headaches. The clinical study is proposed to determine the anticipated adverse event rate and treatment outcomes at the conclusion of the study. Each trial subject will serve as his/her own control.
Sustained Natural Apophyseal Glide and Deep Friction Massage in Patients With Cervicogenic Headache...
Headache DisordersThe aim of this randomized controlled trial is to compare the effects of sustained natural apophyseal glide and deep friction massage in patients with cervicogenic headache for reducing pain, enhancing cervical range of motion and improving sleep quality.