Migraine Management Clinic Schedule

Aka: Migraine Management Clinic Schedule

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II. Evaluation

  1. Migraine Treatment Optimization Questionnaire 4 (mTOQ-4)
    1. https://www.mdcalc.com/calc/10496/migraine-treatment-optimization-questionnaire-mtoq-4

III. Protocol: Visit 1 - Initial Evaluation

  1. Primary Goal
    1. Rule-out Organic Headache (Secondary Headache)
  2. Secondary Goals
    1. Eliminate Rebound Migraine habits (e.g. Analgesic use >10 days/month)
    2. Avoid Migraine Headache Triggers
    3. Patient Education Handouts regarding Headache

IV. Protocol: Visit 2 - See 2-4 weeks after initial visit

  1. Primary Goal
    1. Establish Migraine Abortive Management
  2. Secondary Goals
    1. Review Migraine Headache Pathophysiology
    2. Review Headache Self-Help Measure

V. Protocol: Visit 3 - See every 1-3 months until stable

  1. Primary Goal
    1. Consider Migraine Prophylaxis
  2. Secondary Goal
    1. Adjust Migraine Abortive Management

VI. Protocol: Visit 4 - See 2-4 times per year

  1. Primary Goal
    1. Turn Migraine Headache control over to patient
    2. Review Headache Self-Help Measure
  2. Secondary Goals
    1. Adjust Migraine Abortive Management
    2. Adjust Migraine Prophylaxis

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