Integrated multidisciplinary care of headache disorders: A narrative review:

BackgroundRecent evidence shows that multidisciplinary treatment is effective in chronic pain syndromes, especially in headache disorders.AimThe aim of this review is to summarize current knowledge on integrative care concepts in headache patients regarding the optimal and necessary treatment parts, optimal duration and setting.MethodsWe present a narrative review reporting current literature and personal experience.Results and conclusionBased on current knowledge, multidisciplinary treatment programs appear to be reasonable and efficient in headache disorders. Sufficient controlled studies regarding the need for individual parts of the integrative care approach are missing as yet. Recommendations are therefore at least partly based on personal experiences. It seems to be unambiguous that patients should be referred to a specialized headache center offering such a program instead of being sent sequentially to various medical specialists. The extent and kind of required therapy (e.g. personal consultation ...