Post-Traumatic Headache: Knowledge Update
Post-traumatic headache or PTHA is an often perplexing and common clinical condition seen in persons after brain injury, as well as whiplash injury. This course will provide insights into the myriad causes of headache following these types of injuries and the importance defining the responsible pain generators to optimize treatment efficacy. Headache classification, etiology and pathophysiologic proposed mechanisms will be reviewed, as well as examination clinical caveats on how to take a headache history and perform an adequate physical examination of the patient with PTHA. Treatment options for the various subtypes of PTHA will be examined. Data regarding natural history, prognostic factors and outcome will be delineated. The importance of patient education in the context of PTHA treatment will also be emphasized.
Faculty: Nathan D. Zasler, MD, and Sara Etheredge, PT, DPT
This 30 minute CME activity is designed for all clinicians who treat chronic pain.
Upon completion of this activity, participants should be better able to:
Identify the major etiological factors associated with PTHA following traumatic brain injury as well as cervical whiplash injury
Understand the pathophysiological mechanisms posited to be the cause of post-traumatic headache pain
Review the key points of inquiry in the context of taking a thorough PTHA history
Delineate the basic examination both neurological and otherwise of the patient presenting with headache following trauma
Appreciate the complexity of treatment options for PTHA as related to the various headaches subtypes
Learn about the natural history and prognosis of PTHA
Comprehend the importance of patient education in the context of holistic PTHA management
Nathan Zasler, MD, is CEO and Medical Director for Concussion Care Centre of Virginia, Ltd., as well as CEO and Medical Director for Tree of Life Services, Inc. Dr. Zasler is board certified in physical medicine and rehabilitation and fellowship trained in brain injury. He is an affiliate professor at the VCU Department of Physical Medicine and Rehabilitation, Richmond, Virginia, and an adjunct associate professor for the Department of Physical Medicine and Rehabilitation at the University of Virginia, Charlottesville. He also serves on the UVA Brain Injury and Sports Concussion Institute Professional Advisory Board. He is a fellow of the American Academy of Disability Evaluating Physicians and a diplomate of the American Academy of Pain Management. Dr. Zasler has published and lectured extensively on TBI-related neuromedical issues including PTHA and is internationally recognized for his work in brain injury medicine. He currently serves as the Vice-chairperson of the International Brain Injury Association (IBIA). He is active in local, national, and international organizations dealing with acquired brain injury and neurodisability, serving in numerous consultant and board member roles. He has edited six textbooks. He serves on numerous journal editorial boards and is co-editor of two peer-reviewed international scientific journals, Brain Injury and Neurorehabilitation. He was the recipient of the Sheldon Berrol Clinical Service award from BIAA and has again been repeatedly recognized by “Best Doctors”. Dr. Zasler is an advocate, educator, clinical researcher, inventor, entrepreneur, and busy practicing clinician who is involved with community-based neurorehabilitation, chronic pain management, and international health care consultation, both clinical and medicolegal.
Sara Etheredge, PT, DPT, CKTP, CCI, CMTPT, graduated from the University of Mary Washington with a bachelor of science degree in biology in 2006. In 2009, she earned her doctor of physical therapy degree from Virginia Commonwealth University. Since graduating, she has undergone further training and has become a Certified Kinesiotape Practitioner and a Certified Myofascial Trigger Point Therapist. She has spent the last two years specializing in treating patients with post-traumatic headaches of all etiologies including cervicogenic.
Staff and Content Validation Reviewer Disclosures
The staff involved with this activity and any content validation reviewers of this activity have reported no relevant financial relationships with commercial interests.
Planning Committee/Faculty Disclosure
Dr. Zasler reports that he is the CEO/Medical Director of Concusion Care Centre of Virginia, Ltd. and Tree of Life Services, Inc.
Sarah Etheredge repots that she has nothing to disclose.
Debra Nelson-Hogan, Director of Education for the Academy of Integrative Pain Management, reports that she has nothing to disclose.
Cathleen Coneghen, Assistant Director of Education for the Academy of Integrative Pain Management, reports that she has nothing to disclose.
The information provided at this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a health care provider relative to diagnostic and treatment options of a specific patient’s medical condition.
For questions regarding CME for this activity, you may reach the department of education at the Academy of Integrative Pain Management at firstname.lastname@example.org.
For successful completion of this activity, please complete a pre-test; review the article information, and complete a post-test and evaluation following the activity. You will then be prompted to print your certificate. This activity should take approximately 30 minutes to complete.
This program is accredited for physicians, nurses, and psychologists. All other clinicians can submit the certificate of attendance upon completion of the program to their licensing boards for consideration of credit.
The American Academy of Pain Management is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The American Academy of Pain Management designates this educational activity for a maximum of 0.5 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
The American Academy of Pain Management is approved by the California Board of Registered Nursing, Provider Number CEP 15881 for 0.5 contact hour.
The American Academy of Pain Management is approved by the American Psychological Association to sponsor continuing education for psychologists. The American Academy of Pain Management maintains responsibility for this program and its content.
The Academy designates this activity for a maximum of 0.5 CE credit.
- 0.50 AMA PRA Category 1 Credit(s)™
- 0.50 APA
- 0.50 Document of Attendance
- 0.50 Nursing Credit