Research: PRYSEP-PHILLIPS and colle

Listed in Issue 40


PRYSEP-PHILLIPS and colleagues, Division of Neurology, Health Sciences Centre, St Johns NF. sought to provide guidelines to physicians and allied health care professionals regarding the nonpharmacologic clinical management of migraine.



The authors considered the full range and quality of nonpharmacologic management of migraine, seeking improvement in their management. The creation of the guidelines followed a needs assessment by members of the Canadian Headache Society. This used a statement of objectives, literature reviews and other resources, comparison of alternative clinical pathways. Evaluation and revision of the guidelines took place at a consensus conference at Ottawa in Oct 1995; following this, there was redrafting and insertion of data with key variables and data from other studies, including data with recommendations and reassessment by all conference participants.


The conclusions drawn were that augmentation of the use of nonpharmacologic therapies for the acute and prophylactic management of migraine could lead to substantial benefits in both human and economic terms.


Both avoidance of migraine trigger factors and the use of nonpharmacologic therapies have a part to play in overall migraine management. The guidelines, which are being field tested, were based upon consensus of Canadian experts in neurology, emergency medicine, psychiatry, psychology and family medicine and consumers. There were no previous guidelines.


Pryse-Phillips WE et cl. Guidelines for the nonpharmacologic management of migraine in clinical practice. Canadian Headache Society. CMAG 159(1): 47-54 Jul 14 1998.

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