HeadWise HeadWise: Volume 4, Issue 4 - Page 33

Roger Cady MD & J. Kent Dexter MD Kathleen Farmer, PsyD and non-pharmacological interventions, and follow-up. The patient will also meet with a psychologist to determine the limbic contribution to the disability of headaches and development of a behavioral plan with the use of biofeedback and cognitive restructuring and follow-up. A typical day at the Center is busy with new patient and follow-up visits. The schedule is highlighted by collaboration among the health care professionals and patients in order to implement the best treatment strategy for a patient. The Center does not specialize in any particular headache condition or treatment. At the Center, the treatment philosophy is patient-centered, comprehensive, individualized care for the patient experiencing headache. They strive to assist patients to become successful managers of their headache disorders with compassion, education, and collaboration. Patients are guided to become collaborators with the health care professionals in order to make effective therapeutic and lifestyle decisions. Patients are provided with a “care-kit” of a variety of effective treatment tools. The Center does not offer inpatient care but provides a comprehensive, intensive outpatient program for patients with intractable headaches. For those patients who have been successful through collaboration in their treatment, their photos are placed on the Wall of Champions. A widerange of acute treatment options are available as well as a full-range of alternative therapies. Thermal biofeedback is central. Other important therapies include massage, nutritional interventions, acupuncture, nerve blocks, and transcutaneous stimulation. During the next few years, they would like to expand the complimentary services provided at the Center. When asked about why they elected to practice Headache Medicine, Doctors Cady, Farmer, and Dexter noted that historically, most primary headaches (migraine, tension-type, and cluster) have been minimized as legitimate Wall of Champions medical diseases. Headache patients have often been misdiagnosed and inadequately treated. These health care professionals have devoted over 25 years to the care and management of headache patients, conducting extensive research on pharmacological and non-pharmacological headache therapies, and have been pioneers in patientcentered headache management. They chose to go into headache medicine because they realized that headache is a manageable disease and that with appropriate care, patients can get their lives back. They concurred that headache is, without a doubt, one of the most rewarding medical conditions to treat. When asked what they enjoy most about working in Headache Medicine, Doctors Cady, Farmer, and Dexter concurred that it is the patients. It is rewarding to see how patients can change their lives when provided with education and quality treatment. They each enjoy conducting research and being able to explore the new frontiers of headache medicine. And, it is rewarding to be part of their patients’ success. Do they have any general advice for the patient experiencing headache? They suggested that the patient record, in a diary, headache days, treatment, and the effects of treatment. The diaries should be shared with their health care provider at the initial visit and at follow-up visits. Patients should seek to learn about their headaches, and become involved in the management of the disorder. HW FOR MORE INFORMATION ON THE CLINIC, PLEASE VISIT: www.headaches.org www.headachecare.com Headache Care Center 3805 South Kansas Expressway Springfield, Missouri 65807 (417) 890-7888 | National Headache Foundation 33