Category: Orthopedics
Keywords: Concussion, headache (PubMed Search)
Posted: 6/11/2016 by Brian Corwell, MD
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Medication-overuse headache (MOH) is one of the most common chronic headache disorders
Worldwide prevalence of 1 2%
Characterized by chronic headache and overuse of different headache medications
Withdrawal of the overused medication is the treatment of choice
A 2014 study looked at adolescent patients treated in a headache clinic with chronic post traumatic headaches (concussion headaches)
77 had chronic post-traumatic headache of 3-12 months' duration
54 of 77 (70.1%) met criteria for probable medication-overuse headache.
After the OTC medicine was stopped 68.5% had resolution or improvement !!
Excessive use of analgesics postconcussion may contribute to chronic post-traumatic headaches in some adolescents.
Sometimes the advise of "just keep taking the motrin and it'll get better" isnt the answer
Heyer et al., 2014 Pediatric Neurology