Migraine in the Emergency Department

Who

Dr. Sam Kelokates is a physical therapist on a mission to help 10,000 people with migraine and other headache disorders. Dr. Kelokates owns his own practice treating patients with migraine and headache disorders for Kelos Physical Therapy.

“Many with migraine seek care in the ED after suffering for days before coming in. Many feel disheartened and gaslit due to the poor understanding of migraine management in that setting.

Episode Takeaways

  • What is migraine?
  • Tips for providing supportive care in the ED as a PT.
  • Differentiation of headache.
  • How and when to refer.

“If nothing else, just be kind to them.”

Connect with Sam

Twitter

Instagram

Youtube

Resources

  • Pathophysiology of Migraine: A Disorder of Sensory Processing – PMC
  • Differential Diagnosis screening Red and orange flags for secondary headaches in clinical practice – PMC.
  • The diagnostic accuracy of headache measurement instruments: A systematic review and meta-analysis focusing on headaches associated with musculoskeletal symptoms – PMC
  • Subjective & Objective Examination what to ask, how to examine, and what scales to use. Recommendations of the Spanish society of neurology’s headache study group | Neurología (English Edition)
  • The art of history-taking in a headache patient – PMC
  • Which Examination Tests Detect Differences in Cervical Musculoskeletal Impairments in People With Migraine? A Systematic Review and Meta-Analysis | Physical Therapy | Oxford Academic
  • Cervical musculoskeletal impairments in migraine – PMC
  • Outcome measures for assessing the effectiveness of non-pharmacological interventions in frequent episodic or chronic migraine: a Delphi study | BMJ Open
  • Clinical Reasoning Behind Non-Pharmacological Interventions for the Management of Headaches: A Narrative Literature Review – PMC
  • Exercise and Manual Therapy for the Treatment of Primary Headache: An Umbrella and Mapping
  • Efficacy of interventions used by physiotherapists for patients with headache and migraine -systematic review and meta-analysis
  • Assessing the feasibility of mobilisation of C0–C3 cervical segments to reduce headache in migraineurs
  • Effectiveness of transcutaneous electrical nerve stimulation for the treatment of migraine: a meta-analysis of randomized controlled trials – PMC
  • SEEDS for success: Lifestyle management in migraine | Cleveland Clinic Journal of Medicine
  • What is the efficacy of aerobic exercise versus strength training in the treatment of migraine? A systematic review and network meta-analysis of clinical trials | The Journal of Headache an
  • Migraine Medications – StatPearls – NCBI Bookshelf