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Contents

 CHAPTER ONE

1. Introduction

2. What is migraine?

2.1 Defining migraine

2.2 Types of migraine

3. Headaches that are not migraine

3.1 Tension-type headache

3.2 Chronic daily headache and medication overuse headache

3.3 Cluster headache and other trigeminal autonomic cephalalgias

4. Other non-migraine headaches

4.1 Stabs, jolts, exertional and other sudden onset or severe headaches

4.2 Monosodium glutamate, carbon monoxide, caffeine and other stuff

5. Recognising possibly more serious headaches

6. Who gets migraine and other headaches?

6.1 Heredity and gender

6.2 Other factors behind headaches

7. How can I help myself?

7.1 Understanding your migraine threshold

7.2 Understanding your food – glycaemic index and what it means

7.3 Understanding risk factors

7.4 Over-the-counter options for treatment

8. Complementary therapies

8.1 Acupuncture and acupressure

8.2 Osteopathy and chiropractic

8.3 Homoeopathy

8.4 Alexander Technique

8.5 Massage therapies

8.6 Hypnosis

8.7 Yoga and meditation

8.8 Biofeedback

8.9 Feverfew

8.10 Minerals, vitamins and supplements

8.11 Reiki

9. Who can help me?

9.1 The community pharmacist

9.2 The general practitioner (GP)

9.3 The practice nurse

9.4 The health visitor

9.5 The community midwife

9.6 Who can offer specialist advice?

10. What do the doctor and specialist nurse need to know and why?

10.1 What the doctor needs to know and why

10.2 What the specialist headache nurse needs to know and why

11. Acute treatment

11.1 Acute treatments for migraine

11. 2 Acute treatments for cluster headache and paroxysmal hemicrania

11.3 Acute treatments for tension-type headache

12.1 Preventative treatment

12.2 Preventative drug treatment for migraine

12.3 Preventative drug treatment for cluster headache

12.4 Preventative drug treatment for tension-type headache

13 Tackling medication overuse headache

13.1Stopping the painkillers – the first step back to episodic headache

13.2 Coping without painkillers

13.3 Stopping taking triptans

13.4 Coping without triptans

14 Children and headaches

14.1 Diagnosing headache in children

14.2 Non-drug-treatment approaches

14.3 Acute drug treatments

14.4 Preventative treatment

15 Women, hormones and headaches

15.1 Menstrual migraine and menstrually associated migraine

15.2 Pregnancy

15.3 Contraception

15.4 During and after the menopause, and HRT

16. Research and the future

16. 1Research: the whys and wherefores

16.2 Botulinum toxin and headache: does it help?

16.3 Injection of the greater occipital nerve

16. 4 What about 'holes in the heart'? PFO and migraine

CHAPTER TWO

1. Glossary of terms

2. References

3. Useful websites

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