American Headache Society

Session : AHS1215
Pre-course 1 - Migraine Co-morbidities in Women: Identification and Management
Special Interest Section Symposia
Conference : 2012 Scottsdale Headache Symposium
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Presented by the Womens Issues Special Interest Section

Migraine Co-morbidities in the Female Migraineur - Introduction SYLVIA LUCAS, MD, PHD

- Hypermobility Syndrome Vincent T. Martin , MD, FAHS At the conclusion of the presentation, attendees should be better able to: Diagnose joint hypermobility syndrome and recognize its clinical manifestations Recognize and manage the headache disorders associated with joint hypermobility syndrome Understand the treatment approach to patients with joint hypermobility syndrome Physician core competencies addressed in this presentation: Patient Care, Medical Knowledge

- Abuse and Post-traumatic Stress Disorder (PTSD) Jennifer S. Kriegler , MD At the conclusion of the presentation, attendees should be better able to: Know the prevalence of physical and emotional abuse in our society Learn the negative impact abuse has on the physical and emotional health of women Understand the relationship between abuse, subsequent PTSD, and headache Physician core competencies addressed in this presentation: Patient Care, Medical Knowledge

- Risk of Post-traumatic Headache in the Female Athlete Heidi Blume , MD, MPH At the conclusion of the presentation, attendees should be better able to: Understand the symptoms and prevalence of concussion and post-concussion headache in female athletes Evaluate and discuss sex related differences in the risk of concussion and post-concussion headache Evaluate an athlete with post-concussion headaches Physician core competencies addressed in this presentation: Patient Care, Medical Knowledge, Interpersonal and Communication Skills, Professionalism

- Cerebrovascular Disease and Stroke Amaal Starling , MD At the conclusion of the presentation, attendees should be better able to: Describe the prevalence and risk of ischemic stroke, white matter hyperintensities, and asymptomatic infarct-like lesions in women with migraine with and without aura Discuss the influence of exogenous estrogen and other risk factors on stroke risk in women with migraine with and without aura Describe the pragmatic clinical implications involved regarding stroke risk when making treatment decisions and recommendations in women with migraine with and without aura Physician core competencies addressed in this presentation: Patient Care, Medical Knowledge

- Pregnancy Related Risks in Migraineurs: Pregnancy-induced Hypertension and Pre-eclampsia Sheena K. Aurora , MD, FAHS At the conclusion of the presentation, attendees should be better able to: Identify migraine and associated risk of stroke Describe hormonal associations of migraine Determine migraine in pregnancy Evaluate migraine and risk of pre-eclampsia Recognize hypertension in pregnant migraineurs Differentiate obesity and migraine in pregnancy Physician core competencies addressed in this presentation: Patient Care, Medical Knowledge

Session : AHS1216
Pre-course 2 - The Role of TMD, Cervical Pain, and Orofacial Pain as a Trigger for Migraine
Special Interest Section Symposia
Conference : 2012 Scottsdale Headache Symposium
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Presented by the Temporomandibular Disorders, Cervical Spine and Orofacial Pain Special Interest Section

- Overview Joseph R. Cohen, DDS

- Basic Pain Mechanisms and How They Can Trigger Migraine Steven B. Graff-Radford , DDS, FAHS At the conclusion of this presentation, attendees should be better able to: Describe the neurobiology and neurophysiology of input into the (central) nervous system from trigeminal nociceptors related to the mid and lower face that cause increased central sensitization in the trigeminal nucleus caudalis and kindle protracted and difficult to manage migraine attacks Identify the benefit of incorporating treatment regimens that include decreasing nociceptive input from mid and lower face structures that complicate the treatment of migraine and the participant will be able to explain to the patient how the painful jaw and neck muscles can aggravate the headache disorder, requiring focused treatment of those structures to ameliorate the headache Differentiate the interrelationship between orofacial pain mechanisms and headache, including migraine, and how addressing the contribution that orofacial structures make to headache can positively impact the response to medications used in headache management, including decreasing or even eliminating medications that would be needed under normal or usual circumstances Physician core competencies addressed in this presentation: Patient Care, Medical Knowledge, Interpersonal and Communications Skills, Practice-based Learning and Improvement

- How Cervical Spine Pain Can Activate These Pain Mechanisms and How to Treat Them in Order to Help Prevent Migraine Steven B. Graff-Radford, DDS, FAHS At the conclusion of this presentation, attendees should be better able to: Compare the relationship between the cervical pain and headache Evaluate the role neural blockade may play in managing headache Select a treatment other than medication for headache management Physician core competencies addressed in this presentation: Patient Care and Medical Knowledge

- How TMD Pain Can Activate These Pain Mechanisms and How to Treat Them in Order to Help Prevent Migraine Joseph R. Cohen, DDS At the conclusion of the presentation, attendees should be better able to: Recognize a patient who has a Temporomandibular Disorder Be familiar with common treatments for TMD Be familiar with the mechanisms of how TMD pain can be a trigger of migraine, and how this knowledge can improve their treatment of migraine and non migraine headache patients, and how to know who to refer to for treatment of their TMD Physician core competencies addressed in this presentation: Patient Care, Medical Knowledge, Practice-based Learning and Improvement

- Team Approach to Treatment of Facial Neuralgias Eli Eliav , DMD, PhD At the conclusion of the presentation, attendees should be better able to: Understand the basic and clinical science related to neuropathic orofacial pain conditions Be more familiar with the various neuropathic orofacial pain conditions and related differential diagnosis and to understand the role of the various disciplines in the diagnosis of neuropathic orofacial pain conditions Be more familiar with the treatment options for neuropathic orofacial pain conditions Physician core competencies addressed in this presentation: Patient Care, Medical Knowledge

Session : AHS1217
John R. Graham Lecture Award
Conference : 2012 Scottsdale Headache Symposium
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Introduction Elizabeth W. Loder, MD, MPH, FAHS R. Allan Purdy , MD, FAHS

- Changing Paradigms in Headache Medicine David W. Dodick, MD, FAHS

Session : AHS1218
Plenary I - Migraine Diagnosis and Natural History
Conference : 2012 Scottsdale Headache Symposium
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MODERATOR: Jonathan P. Gladstone , MD

-ICHD3 Classification Elizabeth W. Loder, MD, MPH, FAHS Rebecca Burch , MD At the conclusion of the presentation, attendees should be better able to: Describe the history of headache classification and the first two iterations of the International Classification of Headache Disorders (ICHD) Discuss shortcomings in ICHD-II, and provide specific case examples that demonstrate these deficiencies Identify likely areas of change in ICHD III Physician core competencies addressed in this presentation: Patient Care, Medical Knowledge

Pathophysiology of Migraine Andrew C. Charles , MD At the conclusion of the presentation, attendees should be better able to: Identify fundamental mechanisms underlying migraine and cluster headache Recognize basic mechanisms that are targets for current migraine and cluster headache therapies Identify basic mechanisms that are targets for future migraine and cluster headache therapies Physician core competencies addressed in this presentation: Patient Care, Medical Knowledge

- Episodic Migraine to Chronic Migraine Kathleen B. Digre, MD, FAHS Todd J. Schwedt , MD, FAHS At the conclusion of the presentation, attendees should be better able to: Identify risk factors for transformation from episodic migraine to chronic migraine Describe proposed pathophysiologic mechanisms for migraine transformation Give examples of factors enhancing the likelihood for reversion from chronic migraine to episodic migraine Physician core competencies addressed in this presentation: Patient Care, Medical Knowledge, Practice-based Learning and Improvement, Systems-based Practice

Session : AHS1219
Plenary 2 - Treatment
Conference : 2012 Scottsdale Headache Symposium
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Moderator : Kathleen B. Digre, MD, FAHS

- Preventive Cases David W. Dodick, MD, FAHS Stephen D. Silberstein , MD, FAHS At the conclusion of the presentation, attendees should be better able to: Describe the timing and goals of migraine prevention Identify the principles of preventive therapy and the strategies to optimize patient compliance Implement an evidence-based preventive treatment program for patients with episodic and chronic migraine Physician core competencies addressed in this presentation: Patient Care, Medical Knowledge, Practice-based learning and improvement, Interpersonal and Communication Skills, Professionalism

- Acute Cases Peter J. Goadsby , MD, PhD, FAHS R. Allan Purdy , MD, FAHS At the conclusion of the presentation, attendees should be better able to: Learn by observing a co-discussant model, a balanced approach to therapy and management of acute migraine Learn the treatment choices physicians and patients make all the time in how they management migraine Conceptualize the how the management of low frequency migraine relates to high frequency migraine Physician core competencies addressed in this presentation: Patient Care, Medical Knowledge, Practice-based Learning and Improvement, Professionalism, Interpersonal and Communication Skills

- TACS and Other Primary Headaches Lawrence C. Newman, MD, FAHS Stewart J. Tepper, MD, FAHS At the conclusion of the presentation, attendees should be better able to: Distinguish diagnostic characteristics of TACs and other primary headaches disorders Treat TACs and other primary headache disorders Evaluate the pitfalls in diagnosis of TACS and other primary headaches and work up appropriately for secondary causes. Physician core competencies addressed in this presentation: Patient Care, Medical Knowledge

Secondary Cases Moderator: Steven B. Graff-Radford , DDS, FAHS

- Sinusitis and High Cerebrospinal Fluid (CSF) Deborah I. Friedman, MD, MPH, FAHS

- Low Cerebrospinal Fluid (CSF) Sheena K. Aurora , MD, FAHS At the conclusion of the presentation, attendees should be better able to: Be familiar with delineating causes of secondary headache disorders Be more aware of low and high CSF headache conditions Better informed with treatment options for secondary headache disorders Physician core competencies addressed in this presentation: Patient Care, Medical Knowledge

Session : AHS1220
Optional Lunch Symposium - Wait, Wait Don't Tell Me
Conference : 2012 Scottsdale Headache Symposium
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Moderator : Lawrence C. Newman, MD, FAHS

Panel : Sylvia Lucas, MD, PhD Joel R. Saper, MD Thomas N. Ward, MD, FAHS

Session : AHS1221
Session 1 - Procedure Workshop
(Injections: Nerve Blocks, OnabotulinumtoxinA, Trigger Points)
Conference : 2012 Scottsdale Headache Symposium
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Moderator : Sheena K. Aurora , MD, FAHS

- Didactic Lecture Sheena K. Aurora , MD, FAHS

- Hands-on Training Sheena K. Aurora , MD, FAHS Andrew Blumenfeld , MD Ira M. Turner, MD Stephanie J. Nahas, MD, FAHS William B. Young, MD, FAHS At the conclusion of the presentation, attendees should be better able to: Familiarize participants with procedures for headache disorder Teach the protocols for onabotulinumtoxinA injections Review the anatomy of the head and neck nerves Review techniques of occipital and supraorbital nerve blocks Physician Core competencies addressed in this presentation: Patient Care, Medical Knowledge

Session : AHS1222
Session 2 - Business, Behavior, and Blogs
Conference : 2012 Scottsdale Headache Symposium
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Moderator : Joel R. Saper, MD

- Business Models for Academic and Community Headache Medicine Centers Neil Parikh, MD, MBA At the conclusion of the presentation, attendees should be better able to: Understand and apply tools to improve the management of their practice. This includes methods to increase revenue and decrease expenses while maintaining high quality of care for patients Understand and navigate current and pending health care reform and its effect on their practices. This includes the impact of the Affordable Care Act (Obama Care) Be more aware of the trends in private practice including the growing trend of practices being absorbed by health systems and Independent Physician Associations and negotiation tactics under such scenarios. Physician core competencies addressed in this presentation: Systems-based practice

- How to Use Psychologist and Biofeedback Dawn C. Buse , PhD At the conclusion of the presentation, attendees should be better able to: Identify which behavioral treatments possess evidence for migraine prevention and understand which interventions should be incorporated by physicians and which require a referral to a mental health care provider or behavioral specialist Incorporate behavioral strategies into clinical practice to enhance outcomes including strategies to improve communication and enhance motivation Identify patients appropriate for referral to mental healthcare specialists by assessing headache-related disability, reduced quality of life and psychiatric comorbidities Physician core competencies addressed in this presentation: Patient Care, Medical Knowledge, Practice-based Learning and Improvement, System-based Practice, Professionalism, Interpersonal and Communication Skills

- How to Integrate Social Media Robert A. Nicholson , PhD Bert B. Vargas , MD, FAHS At the conclusion of the presentation, attendees should be better able to: Recognize the impact of social media on healthcare delivery and modern medical practice Identify potential risks and benefits of incorporating a social media presence into their medical practice Utilize social media to address headache-related issues with other like-minded professionals Incorporate the American Headache Societys social media presence into ones repertoire for garnering migraine and other headache information Physician core competencies addressed in this presentation: Patient Care, Systems-based Practice, Professionalism, Interpersonal and Communication Skills

Session : AHS1223
Session 3 - Complementary and Alternative Medicine
Conference : 2012 Scottsdale Headache Symposium
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Moderator : Richard B. Lipton , MD, FAHS

- Mind/Body Treatment Rebecca Wells, MD, MPH At the conclusion of the presentation, attendees should be better able to: Define and distinguish mind/body and behavioral treatments Discuss the research evidence for these types of therapies Describe the role of mind/body and behavioral treatments in the management of headaches Physician core competencies addressed in this presentation: Patient Care, Medical Knowledge, Practice-based Learning and Improvement, Interpersonal and Communication Skills, Systems-based Practice

- Evidence Review Robert P. Cowan , MD, FAHS At the conclusion of the presentation, attendees should be better able to: Identify differences among medical systems, alternative medicine, complementary medicine, and other terms used to distinguish approaches to health care Evaluate treatment modalities in complementary and alternative medicine, based on evidence in the peer-reviewed literature Understand how non-traditional approaches might be effectively integrated into clinical practice in headache medicine Physician core competencies addressed in this presentation: Patient Care, Medical Knowledge, Systems-based Practice

- Ayurvedic Trupti Gokani, MD At the conclusion of the presentation, attendees should be better able to: Understand the basis of the Ayurvedic approach to headaches. The three mind-body states and their relation to pain, mood disorders, and digestion After understanding these imbalanced states, to apply lifestyle, dietary and herbal recommendations for the patients Be able to integrate traditional medications and injectables with Eastern based approaches and learn the skills needed to practice both successfully Physician core competencies addressed in this presentation: Medical Knowledge, Interpersonal and Communication Skills, Systems-based Practice

Session : AHS1224
Plenary 3 - Chronic Migraine
Conference : 2012 Scottsdale Headache Symposium
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Moderator : Michael A. Moskowitz , MD, FAHS

- Pathophysiology Peter J. Goadsby , MD, PhD, FAHS At the conclusion of the presentation, attendees should be better able to: Consider views about chronic migraine pathophysiology in a biological framework Understand the involvement of the brain in chronic migraine Explain to patients the basis for their chronic migraine Physician core competencies addressed in this presentation: Medical Knowledge

- Treatment and Protocols Stewart J. Tepper, MD, FAHS Thomas N. Ward, MD, FAHS At the conclusion of the presentation, attendees should be better able to: Diagnose Chronic Migraine and Medication Overuse Headache Triage the level of treatment for Chronic Migraine and Medication Overuse Headache Understand the common chronifiers of migraine Treat patients with chronic migraine as outpatients Treat chronic migraine with medication overuse as inpatients Physician core competencies addressed in this presentation: Patient Care, Medical Knowledge, Practice-based Learning and Improvement, Systems-based Practice

- Chronic Migraine: Psychological Considerations and Behavioral Strategies Dawn C. Buse , PhD At the conclusion of the presentation, attendees should be better able to: Identify barriers to good clinical outcomes among persons with CM including psychiatric co-morbidities and medication overuse Know the behavioral strategies most likely to improve clinical outcomes in CM and apply those which can be delivered by healthcare specialists Identify individuals with chronic migraine who are in need of referral to a mental health care provider/ behavioral specialist and know how to make a referral Physician core competencies addressed in this presentation: Patient Care, Medical Knowledge, Practice-based Learning and Improvement, Interpersonal and Communication Skills, Professionalism, Systems-based Practice