{"id":159,"date":"2013-11-25T02:13:11","date_gmt":"2013-11-25T02:13:11","guid":{"rendered":"http:\/\/stg-blogs.bmj.com\/bmjebmspotlight\/?p=159"},"modified":"2017-08-21T13:11:23","modified_gmt":"2017-08-21T13:11:23","slug":"primary-care-corner-with-geoffrey-modest-md-choosing-wisely-re-headache","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/bmjebmspotlight\/2013\/11\/25\/primary-care-corner-with-geoffrey-modest-md-choosing-wisely-re-headache\/","title":{"rendered":"Primary Care Corner with Geoffrey Modest MD: Choosing wisely re headache&#8230;"},"content":{"rendered":"<p>here is the latest of the choosing wisely suggestions (these are 5 suggestions by different specialties, with an eye to decrease unnecessary testing). \u00a0see\u00a0URL\u00a0<a href=\"http:\/\/www.choosingwisely.org\/wp-content\/uploads\/2013\/11\/AHS-5things-List_112013.pdf\">http:\/\/www.choosingwisely.org\/wp-content\/uploads\/2013\/11\/AHS-5things-List_112013.pdf<\/a>.<\/p>\n<p>1.Don\u2019t perform neuroimaging studies in patients with stable headaches\u00a0that meet criteria for migraine. (no increase in intracranial disease in pts with migraine)<\/p>\n<p>2.Don\u2019t perform computed tomography (CT) imaging for headache when\u00a0magnetic resonance imaging (MRI) is available, except in emergency settings (MRI more sens in picking up neoplasms, vasc dz, posterior fossa and cervicomedullary lesions, and high or low intracranial pressure disorders. and less radiation to boot&#8230;<\/p>\n<p>3.Don\u2019t recommend surgical deactivation of migraine trigger points outside of a clinical trial.<\/p>\n<p>4.Don\u2019t prescribe opioid or butalbital-containing medications as first-line treatment for recurrent headache disorders. they suggest that these meds increase likelihood that the headache disorder will become chronic, increase sensitivity to pain.<\/p>\n<p>5.Don\u2019t recommend prolonged or frequent use of over-the-counter (OTC) pain medications for headache. issue is causing medication overuse headaches<\/p>\n<p>geoff<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Choosing wisely&#8211;headaches  [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/stg-blogs.bmj.com\/bmjebmspotlight\/2013\/11\/25\/primary-care-corner-with-geoffrey-modest-md-choosing-wisely-re-headache\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":148,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[14283],"tags":[],"class_list":["post-159","post","type-post","status-publish","format-standard","hentry","category-archive"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/bmjebmspotlight\/wp-json\/wp\/v2\/posts\/159","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/bmjebmspotlight\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/bmjebmspotlight\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmjebmspotlight\/wp-json\/wp\/v2\/users\/148"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmjebmspotlight\/wp-json\/wp\/v2\/comments?post=159"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/bmjebmspotlight\/wp-json\/wp\/v2\/posts\/159\/revisions"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/bmjebmspotlight\/wp-json\/wp\/v2\/media?parent=159"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmjebmspotlight\/wp-json\/wp\/v2\/categories?post=159"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmjebmspotlight\/wp-json\/wp\/v2\/tags?post=159"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}