Courville, in discussing chronic posttraumatic headache, states that any headache which is not precipitated by physical
effort, which is not relieved promptly by complete physical rest, and which tends to become worse without the intervention of some complication, should be looked upon with suspicion as to its alleged traumatic cause. Diagnosis requires knowledge, experience, patience, and persistence on the part of the examining physician. In addition to neurologic examination and cranial roentgenography, electroencephalography, lumbar puncture, carotid arteriography, psychometric evaluation, or lumbar pneumography may be helpful and at times definitive. Forever Arctic Sea: the research of nutrients in food, how the body uses nutrients, and the connection between food regimen, well being and disease. Each has its own indications, depending upon the problem at hand. Occasionally, bilateral (multiple) trephination is indicated. Before embarking upon expensive, painful, or potentially injurious tests, one must ask: “For whose benefit is the procedure performed—the patient, his physician, his lawyer, or his family? Will the test lead to remedial measures or merely aid in diagnosis, legal definition, or prognosis?”
An honest answer to these questions will reveal many of these procedures to be of little or no value in a large number of cases. On the other hand, this attitude must not deprive a patient of any procedure which may truly be to his benefit. It is apparent from the above discussion that treatment of postconcussive headache of any type is a highly individual matter calling upon the best of the art and science of medicine.
Order Aloe Blossom Herbal Tea The power of aloe should not be underestimated. Specific remedial therapy is rarely indicated. Exceptions are those instances wherein debridement, elevation of depressed fractures, or removal of a hematoma is required. The vast majority of patients must be treated by various combinations of analgesics, relaxants, tranquilizers (at times stimulants), and by judicious physiotherapy, verbal psychotherapy, and a certain amount of social adjustment.
This requires the greatest understanding and patience on the part of the physician, a willingness to accept responsibility on the part of the patient, and excellent rapport between the two. Superficial verbal psychotherapy entails explanation and understanding, reassurance and acceptance, readjustment of attitudes, faith, confidence, and patience. Medication requires variation and combination as indicated. Dependence on the therapy or the physician must be avoided. Legal, financial, and family affairs often require adjustment. Termination of litigation is always desirable except when a significant change in distress or disability may be expected in the future.