Refractory Migraine: Alternatives to Cursing God and Dying (When What You’re Doing is Not Working)
You enter a room and your new patient tells you, “I’ve done everything!” Understandably, a patient may feel that way but it’s not true. They may have tried a lot but not everything. Well, when you’ve done everything, there is only one thing left to do, curse God and die. Marcus Aurelius said, “Everything that happens, happens for a reason.” This is crucial because if you don’t know how you “happened,” how are you going to know what to do? This presentation prepares providers to know how refractory migraine “happens” and how to treat it with aggressive pharmacological, behavioral, and interventional modalities.
Faculty: Duren Michael Ready, MD, FAHS, ADAAPM
This 1-hour CME activity is designed for all clinicians who treat chronic pain.
Upon completion of this activity, participants should be better able to:
- Explain what office-based procedures are likely to benefit headache patients.
- Discuss and engage appropriate behavioral interventions for headaches.
- Discuss supplemental interventions for patients who have failed to respond to common treatments.
- Discuss uncommon pharmacological interventions that may be beneficial for patients who have failed to respond to common treatments.
Duren Michael Ready, MD, FAHS, ADAAPM, is a graduate of the Texas Tech College of Medicine. He completed his family medicine residency at the Brazos Family Medicine Residency. He is the director of the Headache Care Center in Springfield, MO. He is board certified in family medicine, certified in headache medicine by the United Council of Neurologic Subspecialities, a fellow in the American Headache Society, and an advanced diplomate in the American Academy of Pain Management. Dr. Ready was also the recipient of the 2014 National Headache Foundation Lectureship Award.
Staff and Content Validation Reviewer Disclosures
The staff involved with this activity and any content validation reviewers of this activity have reported no relevant financial relationships with commercial interests.
Planning Committee/Faculty Disclosure
Dr. Ready reports that he receives speaker bureau fees from Avanir.
Debra Nelson-Hogan, Director of Education for the Academy of Integrative Pain Management, reports that she has nothing to disclose.
Cathleen Coneghen, Assistant Director of Education for the Academy of Integrative Pain Management, reports that she has nothing to disclose.
The information provided at this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a health care provider relative to diagnostic and treatment options of a specific patient’s medical condition.
For questions regarding CME for this activity, you may reach the department of education at the Academy of Integrative Pain Management at email@example.com.
For successful completion of this activity, please complete a pre-test; utilize the audio recordings synched with the presentation slides to review the content, providing answers to your questions as necessary; and complete a post-test and evaluation following the activity. You will then be prompted to print your certificate. This activity should take approximately 60 minutes to complete.
This program is accredited for physicians, nurses, pharmacists, and psychologists. All other clinicians can submit the certificate of attendance upon completion of the program to their licensing boards for consideration of credit.
The Academy of Integrative Pain Management is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The Academy of Integrative Pain Management designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Amedco is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
This enduring course is co-provided by Amedco and the Academy of Integrative Pain Management. Maximum of 1 contact hour(s).
The Academy of Integrative Pain Management is approved by the American Psychological Association to sponsor continuing education for psychologists. The American Academy of Pain Management maintains responsibility for this program and its content.
The Academy designates this activity for a maximum of 1 CE credit.
Amedco is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Amedco designates this enduring activity for a maximum of 1 contact hour(s). Full attendance is required. No partial contact hours will be awarded for partial attedance.
- 1.00 ACPE
- 1.00 AMA PRA Category 1 Credit(s)™
- 1.00 ANCC
- 1.00 APA
- 1.00 Document of Attendance