HeadWise HeadWise: Volume 2, Issue - Page 16

invisible wounds By Kelly Rehan Resources for Rural Veterans THE NATIONAL HEADACHE FOUNDATION www.headaches.org/warveterans/index.html The NHF’s War Veterans Health Resource Initiative consists of an online guide with the top resources available to help military men and women cope with neurological trauma, as well as the latest information about governmental assistance programs. RURAL ASSISTANCE CENTER www.raconline.org/topics/veterans The Rural Assistance Center is an all-purpose resource for rural veterans and features a useful and easy-to-navigate FAQ section. VETERANS HEALTH ADMINISTRATION OFFICE OF RURAL HEALTH www.ruralhealth.va.gov This site provides information and support to rural veterans. It also includes an extensive resource page so veterans can connect to more information. WOUNDED WARRIOR PROJECT www.woundedwarriorproject.org The Wounded Warrior Project provides unique, direct programs and services to meet the needs of injured service members. Treatment Options for Rural Veterans R ETURNING SOLDIERS AND VETERANS often experience significant mental and physical ailments, including chronic headache and post-traumatic headache. Because these conditions require a professional diagnosis and treatment plan, veterans—regardless of where they live—need to see a headache specialist or neurologist. A medical evaluation will also help rule out more serious conditions that could be exacerbating pain. “There is no substitute for a thorough medical evaluation as a starting point,” says Anne Calhoun, MD, CAPT/MC/USNR-Ret, partner and co-founder of the Carolina Headache Institute in Chapel Hill, N.C. That’s easier said than done for the 6.1 million veterans who live in rural areas of the United States. Medical care for veterans is directed by the Veterans Health Administration (VHA), which runs 152 medical centers and roughly 1,400 community-based outpatient clinics, community living centers and Veteran Centers. But in rural areas, defined by the U.S. Census Bureau as areas with fewer than 1,000 people per square mile, the distance from the nearest VHA health facility can make it tough to gain access to VHA medical professionals. As a result, populations in rural areas tend to have poorer health than their urban counterparts. Veterans with headache can look to over-the-counter treatments and rural clinics for relief in rural areas. MEDICATION, AWAY FROM THE PHARMACY Some combination products that add caffeine to a mixture of acetaminophen and aspirin (e.g., Excedrin®) may also help—but remember that too much can exacerbate the problem, Dr. Calhoun says. “These drugs are a double-edged sword: Overuse of them, defined as treatment more than two days per week, can actually lead to increased frequency of headaches and development of a condition called medication overuse headache,” Dr. Calhoun says. “Once medication overuse headache ́х͡ѡѥ́ՍɔɕͥхЁѼɕѵлtȸ ոͼѕ́ѡЁ͔ݥѡɅ݅ɥȁ́Յݽ͕ѥٕȁѥq5䁉Ё٥́ѡЁ͔ٕͥѡչѕȁѥх́ɔѡɽ׊eɔɕѥɔѡݥݕӊéѼ͔ѡ͔̳tȸ ո̸ͅq]ѡɕՕ䁽͍́ѕ́ȁѡѥٕ́ѡ̰́݅ӊéѥѼ͕ɽͥt) MM%9 I()ȁٕѕɅ́ݡeЁٔ́Ѽɵ䰁ٕȵѡչѕȁѥ́ȁѡ͔ݡѼɕЁȁݼɅ́ȁѕͥ́Ѡȸ ո̸ͅѥٕٔȵѡչѕȁѥ́ՑѕɽѤѽ䁑՝̀9M%̤Ս́ɽ٥ 5ɥ ȁɽᕸٗ ݡɔݥ䁅مɽ䁅Ʌѽɕ̸()QɍЁٕѕɅ́ݡٔɅɕ́ɔЁȁͅمхݡЁ́Ѽ͕ɽͥȁѡȁ̸ ЁY!ѥ́ɔݽɭѼѡ́幅ѹɥ()ݥѠչ䁝ɽ̰Ս չ䁡Ѡ́х́ѡЁٕȁɔ٥ѕ5Y!́չ䵉͕ѥЁ́ѡЁٕȁɔɔɕєɕ́YѕɅ͕́٥ɝѥ̀Ս́ѡɥ1ѡЁٕѕɅ́ѼѠѥ́Q́ЁمɅ̰́٥ͥЁܹ̹ɜٕ݅ѕɅ̽ɕͽɍ̼ɅͥхѵQY!́ͼѥЁɽɅAɽЁI ́Iٕ ͕ȁѼ!ѕѼЁɅٕѕɅ́ݥѠѠɔ͕ȁѼAЁɽɅ́ݥɕѡɸ5ɵ٥YAɅа-хɥ쁅 ̰5иYѕɅ́ѕɕѕѥѥхЁѡȁɔɑѽȁЁѡȁYѕȁѼѕɵѡ䁅ɔх́ѥ́ɔمЁܹɅѠلؽɍๅѡ՝ɅٕѕɅ́䁹Ёٔ䁅́Ѽݽɱɕݹ̰ѡȁѥ́ɔم 䁱ɹɔЁѡ͕́٥́ɕѡY!ѕ͕ͥȤٕͥѡչѕȁѥ́ɥ䁅屔́Ѽɕ́ɥ̰ɥéɽ́ɽٔѡȁՅ䁽ѕȁ䁱ѕȁ͍ɝ!()%ԁɔͽȁȁݥѠȁ̰٥ͥЁܹ̹ɜٕ݅ѕɅ̸)ܹ̹ɜ9ѥ!չѥ((((0