Skip to main content
Erschienen in: Current Pain and Headache Reports 6/2012

01.12.2012 | Tension-Type Headache (KA Henry, Section Editor)

Complementary and Alternative Approaches to the Treatment of Tension-Type Headache

verfasst von: Christina Sun-Edelstein, Alexander Mauskop

Erschienen in: Current Pain and Headache Reports | Ausgabe 6/2012

Einloggen, um Zugang zu erhalten

Abstract

While pharmacotherapy with nonsteroidal anti-inflammatories (NSAIDs) and tricyclic antidepressants comprises the traditional treatment of tension-type headaches (TTH), the use of other therapeutic approaches in combination with medications can increase the success of treatment. Patients with comorbid mood disorders and frequent headaches may particularly benefit from some nonpharmacologic approaches. This review focuses on complementary and alternative approaches to tension-type headache treatment, including psychological therapies, acupuncture, and physical treatments. The current evidence indicates that EMG biofeedback (BFB) is effective in the treatment of TTH, and cognitive behavioral therapy and relaxation training may also be beneficial. Physical therapy and acupuncture may be considered in patients with frequent TTH, but the scientific basis is limited.
Literatur
1.
Zurück zum Zitat Langemark M, Olesen J, Poulsen DL, Beck P. Clinical characterization of patients with chronic tension headache. Headache. 1988;28:590–6.PubMedCrossRef Langemark M, Olesen J, Poulsen DL, Beck P. Clinical characterization of patients with chronic tension headache. Headache. 1988;28:590–6.PubMedCrossRef
2.
Zurück zum Zitat Hammill JM, Cook TM, Rosecrance JC. Effectiveness of a physical therapy regimen in the treatment of tension-type headache. Headache. 1996;36:149–53.PubMedCrossRef Hammill JM, Cook TM, Rosecrance JC. Effectiveness of a physical therapy regimen in the treatment of tension-type headache. Headache. 1996;36:149–53.PubMedCrossRef
3.
Zurück zum Zitat Nash JM. Psychologic and behavioral management of tension-type headache: treatment procedures. Curr Pain Headache Rep. 2003;7:475–81.PubMedCrossRef Nash JM. Psychologic and behavioral management of tension-type headache: treatment procedures. Curr Pain Headache Rep. 2003;7:475–81.PubMedCrossRef
4.
Zurück zum Zitat •• Bendtsen L, Evers S, Linde M, Mitsikostas DD, Sandrini G, Schoenen J. EFNS guideline on the treatment of tension-type headache – Report of an EFNS task force. Eur J Neurol. 2010;17:1318–25. An excellent review of evidence of alternative treatments for TTH.PubMed •• Bendtsen L, Evers S, Linde M, Mitsikostas DD, Sandrini G, Schoenen J. EFNS guideline on the treatment of tension-type headache – Report of an EFNS task force. Eur J Neurol. 2010;17:1318–25. An excellent review of evidence of alternative treatments for TTH.PubMed
5.
Zurück zum Zitat Mosley TH, Grotheus CA, Meeks WM. Treatment of tension headache in the elderly: a controlled evaluation of relaxation training and relaxation combined with cognitive-behavior therapy. J Clin Geropsychol. 1995;1:175–88. Mosley TH, Grotheus CA, Meeks WM. Treatment of tension headache in the elderly: a controlled evaluation of relaxation training and relaxation combined with cognitive-behavior therapy. J Clin Geropsychol. 1995;1:175–88.
6.
Zurück zum Zitat Nicholson NL, Blanchard EB. A controlled evaluation of behavioral treatment of chronic headache in the elderly. Behav Ther. 1993;24:67–76.CrossRef Nicholson NL, Blanchard EB. A controlled evaluation of behavioral treatment of chronic headache in the elderly. Behav Ther. 1993;24:67–76.CrossRef
7.
Zurück zum Zitat Andrasik F, Grazzi L, Usai S, Bussone G. Pharmacological treatment compared to behavioural treatment for juvenile tension-type headache: results at two-year follow-up. Neurol Sci. 2007;28 Suppl 2:S235–8.PubMedCrossRef Andrasik F, Grazzi L, Usai S, Bussone G. Pharmacological treatment compared to behavioural treatment for juvenile tension-type headache: results at two-year follow-up. Neurol Sci. 2007;28 Suppl 2:S235–8.PubMedCrossRef
8.
Zurück zum Zitat Trautmann E, Lackschewitz H, Kroner-Herwig B. Psychological treatment of recurrent headache in children and adolescents–a meta-analysis. Cephalalgia. 2006;26:1411–26.PubMedCrossRef Trautmann E, Lackschewitz H, Kroner-Herwig B. Psychological treatment of recurrent headache in children and adolescents–a meta-analysis. Cephalalgia. 2006;26:1411–26.PubMedCrossRef
9.
Zurück zum Zitat •• Holroyd KA, Martin PR, Nash JM. Psychological treatments for tension-type headache. In: Olesen J, Tfelt-Hansen P, Welch KMA, editors. The headaches. 3rd ed. Lippincott, Williams & Wilkins: Philadelphia; 2006. p. 711–9. A very good comprehensive review of psychological treatments in TTH. •• Holroyd KA, Martin PR, Nash JM. Psychological treatments for tension-type headache. In: Olesen J, Tfelt-Hansen P, Welch KMA, editors. The headaches. 3rd ed. Lippincott, Williams & Wilkins: Philadelphia; 2006. p. 711–9. A very good comprehensive review of psychological treatments in TTH.
10.
Zurück zum Zitat Nestoriuc Y, Rief W, Martin A. Meta-analysis of biofeedback for tension-type headache: efficacy, specificity, and treatment moderators. J Consult Clin Psychol. 2008;76:379–96.PubMedCrossRef Nestoriuc Y, Rief W, Martin A. Meta-analysis of biofeedback for tension-type headache: efficacy, specificity, and treatment moderators. J Consult Clin Psychol. 2008;76:379–96.PubMedCrossRef
11.
Zurück zum Zitat • Nestoriuc Y, Martin A, Rief W, Andrasik F. Biofeedback treatment for headache disorders: a comprehensive efficacy review. Appl Psychophysiol Biofeedback. 2008;33:125–40. Good review of evidence for BFB.PubMedCrossRef • Nestoriuc Y, Martin A, Rief W, Andrasik F. Biofeedback treatment for headache disorders: a comprehensive efficacy review. Appl Psychophysiol Biofeedback. 2008;33:125–40. Good review of evidence for BFB.PubMedCrossRef
12.
Zurück zum Zitat LaVaque TJ, Hammond DC, Trudeau D, et al. Template for developing guidelines for the evaluation of the clinical efficacy of psychophysiological interventions. Efficacy task force. Appl Psycho-physiol Biofeedback. 2002;27:273–81.CrossRef LaVaque TJ, Hammond DC, Trudeau D, et al. Template for developing guidelines for the evaluation of the clinical efficacy of psychophysiological interventions. Efficacy task force. Appl Psycho-physiol Biofeedback. 2002;27:273–81.CrossRef
13.
Zurück zum Zitat Jensen R, Roth JM. Physiotherapy of tension-type headaches. In: Olesen J, Tfelt-Hansen P, Welch KMA, editors. The headaches. 3rd ed. Philadelphia: Lippincott, Williams & Wilkins; 2006. p. 721–5. Jensen R, Roth JM. Physiotherapy of tension-type headaches. In: Olesen J, Tfelt-Hansen P, Welch KMA, editors. The headaches. 3rd ed. Philadelphia: Lippincott, Williams & Wilkins; 2006. p. 721–5.
14.
Zurück zum Zitat Schultz J, Luthe W. Autogenic training: a psychophysiologic approach in psychotherapy. New York: Grune & Stratton; 1959. Schultz J, Luthe W. Autogenic training: a psychophysiologic approach in psychotherapy. New York: Grune & Stratton; 1959.
15.
Zurück zum Zitat Verhagen AP, Damen L, Berger MY, Passchier J, Koes BW. Behavioral treatments of chronic tension-type headache in adults: are they beneficial? CNS Neurosci Ther. 2009;15:183–205.PubMedCrossRef Verhagen AP, Damen L, Berger MY, Passchier J, Koes BW. Behavioral treatments of chronic tension-type headache in adults: are they beneficial? CNS Neurosci Ther. 2009;15:183–205.PubMedCrossRef
16.
Zurück zum Zitat Wallasch TM, Angeli A, Kropp P. Outcomes of a headache-specific cross-sectional multidisciplinary treatment program. Headache. 2012;52:1094–105.PubMedCrossRef Wallasch TM, Angeli A, Kropp P. Outcomes of a headache-specific cross-sectional multidisciplinary treatment program. Headache. 2012;52:1094–105.PubMedCrossRef
17.
Zurück zum Zitat Beck AT. Cognitive therapy and the emotional disorders. New York: International Universities Press; 1976. Beck AT. Cognitive therapy and the emotional disorders. New York: International Universities Press; 1976.
18.
Zurück zum Zitat Meichenbaum DA. Cognitive behavior modification: an integrative approach. New York: Plenum; 1977. Meichenbaum DA. Cognitive behavior modification: an integrative approach. New York: Plenum; 1977.
19.
Zurück zum Zitat Bogaards MC, ter Kuile MM. Treatment of recurrent tension headache: a meta-analytic review. Clin J Pain. 1994;10:174–90.PubMedCrossRef Bogaards MC, ter Kuile MM. Treatment of recurrent tension headache: a meta-analytic review. Clin J Pain. 1994;10:174–90.PubMedCrossRef
20.
Zurück zum Zitat McCrory D, Penzien D, Hasselblad V, Gray R. Behavioral and physical treatments for tension-type and cervicogenic headache. Des Moines: Foundation for Chiropractic Education and Research; 2001. McCrory D, Penzien D, Hasselblad V, Gray R. Behavioral and physical treatments for tension-type and cervicogenic headache. Des Moines: Foundation for Chiropractic Education and Research; 2001.
21.
Zurück zum Zitat Holroyd KA. Assessment and psychologic management of recurrent headache disorders. J Consult Clin Psychol. 2002;70:656–77.PubMedCrossRef Holroyd KA. Assessment and psychologic management of recurrent headache disorders. J Consult Clin Psychol. 2002;70:656–77.PubMedCrossRef
22.
Zurück zum Zitat Bruhn P, Olesen J, Melgaard B. Controlled trial of EMG feedback in muscle contraction headache. Ann Neurol. 1979;6:34–6.PubMedCrossRef Bruhn P, Olesen J, Melgaard B. Controlled trial of EMG feedback in muscle contraction headache. Ann Neurol. 1979;6:34–6.PubMedCrossRef
23.
Zurück zum Zitat Holroyd KA, Nash JM, Pingel JD, et al. A comparison of pharmacological (amitriptyline HCl) and nonpharmacological (cognitive behavioral) therapies for chronic tension headaches. J Consult Clin Psychol. 1991;59:387–93.PubMedCrossRef Holroyd KA, Nash JM, Pingel JD, et al. A comparison of pharmacological (amitriptyline HCl) and nonpharmacological (cognitive behavioral) therapies for chronic tension headaches. J Consult Clin Psychol. 1991;59:387–93.PubMedCrossRef
24.
Zurück zum Zitat Holroyd KA, O’Donnell FJ, Stensland M, et al. Management of chronic tension-type headache with tricyclic antidepressant medication, stress-management therapy, and their combination: a randomized controlled trial. JAMA. 2001;285:2208–15.PubMedCrossRef Holroyd KA, O’Donnell FJ, Stensland M, et al. Management of chronic tension-type headache with tricyclic antidepressant medication, stress-management therapy, and their combination: a randomized controlled trial. JAMA. 2001;285:2208–15.PubMedCrossRef
25.
Zurück zum Zitat Holroyd KA, Lipchik GL, Penzien DB. Behavioral management of recurrent headache disorders: Empirical basis for clinical practice. In: Dobson KS, Craig KD, editors. Best practice: Developing and promoting empirically supported interventions. Newbury Park: Sage; 1998. p. 193–212. Holroyd KA, Lipchik GL, Penzien DB. Behavioral management of recurrent headache disorders: Empirical basis for clinical practice. In: Dobson KS, Craig KD, editors. Best practice: Developing and promoting empirically supported interventions. Newbury Park: Sage; 1998. p. 193–212.
26.
Zurück zum Zitat Melchart D, Streng A, Hoppe A, et al. Acupuncture in patients with tension-type headache: randomized controlled trial. BMJ. 2005;331:376–82.PubMedCrossRef Melchart D, Streng A, Hoppe A, et al. Acupuncture in patients with tension-type headache: randomized controlled trial. BMJ. 2005;331:376–82.PubMedCrossRef
27.
Zurück zum Zitat • Linde K, Allais G, Brinkhaus B, Manheimer E, Vickers A, White AR. Acupuncture for tension-type headache. Cochrane Database Syst Rev. 2009;1:CD007587. Good review of acupuncture evidence.PubMed • Linde K, Allais G, Brinkhaus B, Manheimer E, Vickers A, White AR. Acupuncture for tension-type headache. Cochrane Database Syst Rev. 2009;1:CD007587. Good review of acupuncture evidence.PubMed
28.
Zurück zum Zitat Bendtsen L, Jensen R, Olesen J. Qualitatively altered nociception in chronic myofascial pain. Pain. 1996;65:259–64.PubMedCrossRef Bendtsen L, Jensen R, Olesen J. Qualitatively altered nociception in chronic myofascial pain. Pain. 1996;65:259–64.PubMedCrossRef
29.
Zurück zum Zitat Jensen R, Olesen J. Tension-type headache: an update on mechanisms and treatment. Curr Opin Neurol. 2000;13:285–89.PubMedCrossRef Jensen R, Olesen J. Tension-type headache: an update on mechanisms and treatment. Curr Opin Neurol. 2000;13:285–89.PubMedCrossRef
30.
Zurück zum Zitat Jensen R, Rasmussen BK, Pedersen B, et al. Muscle tenderness and pressure pain thresholds in headache. A population study. Pain. 1993;52:193–9.PubMedCrossRef Jensen R, Rasmussen BK, Pedersen B, et al. Muscle tenderness and pressure pain thresholds in headache. A population study. Pain. 1993;52:193–9.PubMedCrossRef
31.
Zurück zum Zitat Jensen R, Rasussen BK, Olesen J. Myofascial tenderness and pressure-pain thresholds. In: Olesen J, Schoenen J, editors. Tension-type headache: Classification, mechanisms, and treatment. New York: Raven Press; 1993. p. 209–13. Jensen R, Rasussen BK, Olesen J. Myofascial tenderness and pressure-pain thresholds. In: Olesen J, Schoenen J, editors. Tension-type headache: Classification, mechanisms, and treatment. New York: Raven Press; 1993. p. 209–13.
33.
Zurück zum Zitat Jensen R. Pathogenic importance of muscular disorders in tension-type headache. Funct Neurol. 1994;9:175–82.PubMed Jensen R. Pathogenic importance of muscular disorders in tension-type headache. Funct Neurol. 1994;9:175–82.PubMed
34.
Zurück zum Zitat Bendtsen L, Ashina M. Sensitization of myofascial pain pathoways in tension-type headache. In: Olesen J, Tfelt-Hansen P, Welch KMA, editors. The headaches. 2nd ed. Philadelphia: Lippincott, Williams & Wilkins; 1999. p. 573–7. Bendtsen L, Ashina M. Sensitization of myofascial pain pathoways in tension-type headache. In: Olesen J, Tfelt-Hansen P, Welch KMA, editors. The headaches. 2nd ed. Philadelphia: Lippincott, Williams & Wilkins; 1999. p. 573–7.
35.
Zurück zum Zitat Bendtsen L. Sensitizaton: its role in primary headaches. Curr Opin Invest Drugs. 2002;3:449–53. Bendtsen L. Sensitizaton: its role in primary headaches. Curr Opin Invest Drugs. 2002;3:449–53.
36.
Zurück zum Zitat Carlsson J, Fahlcrantz A, Augustinsson LE. Muscle tenderness in tension headache treated with acupuncture or physiotherapy. Cephalalgia. 1990;10:131–41.PubMedCrossRef Carlsson J, Fahlcrantz A, Augustinsson LE. Muscle tenderness in tension headache treated with acupuncture or physiotherapy. Cephalalgia. 1990;10:131–41.PubMedCrossRef
37.
Zurück zum Zitat Vernon HT. The effectiveness of chiropractic manipulation in the treatment of headache: an exploration of the literature. J Manipulative Physiol Ther. 1995;18:611–7.PubMed Vernon HT. The effectiveness of chiropractic manipulation in the treatment of headache: an exploration of the literature. J Manipulative Physiol Ther. 1995;18:611–7.PubMed
38.
Zurück zum Zitat Bronfort G, Assendelft WJ, Evans R, et al. Efficacy of spinal manipulation for chronic headache: a systemic review. J Manipulative Physiol Ther. 2001;24:457–66.PubMed Bronfort G, Assendelft WJ, Evans R, et al. Efficacy of spinal manipulation for chronic headache: a systemic review. J Manipulative Physiol Ther. 2001;24:457–66.PubMed
39.
Zurück zum Zitat Astin JA, Ernst E. The effectiveness of spinal manipulation for the treatment of headache disorders: a systematic review of randomized clinical trials. Cephalalgia. 2002;22:617–23.PubMedCrossRef Astin JA, Ernst E. The effectiveness of spinal manipulation for the treatment of headache disorders: a systematic review of randomized clinical trials. Cephalalgia. 2002;22:617–23.PubMedCrossRef
40.
Zurück zum Zitat Bryans R, Descarreaux M, Duranleau M, Marcoux H, Potter B, Ruegg R, Shaw L, Watkin R, White E. Evidence-based guidelines for the chiropractic treatment of adults with headache. J Manipulative Physiol Ther. 2011;34:274–89.PubMedCrossRef Bryans R, Descarreaux M, Duranleau M, Marcoux H, Potter B, Ruegg R, Shaw L, Watkin R, White E. Evidence-based guidelines for the chiropractic treatment of adults with headache. J Manipulative Physiol Ther. 2011;34:274–89.PubMedCrossRef
41.
Zurück zum Zitat Fenandez-de-Las-Penas C, Alonso-Blanco CL, Miangolarra JC, Barriga FJ, Pareja JA. Are manual therapies effective in reducing pain from tension-type headache? A systematic review. Clin J Pain. 2006;22:278–85.CrossRef Fenandez-de-Las-Penas C, Alonso-Blanco CL, Miangolarra JC, Barriga FJ, Pareja JA. Are manual therapies effective in reducing pain from tension-type headache? A systematic review. Clin J Pain. 2006;22:278–85.CrossRef
42.
Zurück zum Zitat Lenssinck ML, Damen L, Verhagen AP, et al. The effectiveness of physiotherapy and manipulation in patients with tension-type headache: a systematic review. Pain. 2004;112:381–8.PubMedCrossRef Lenssinck ML, Damen L, Verhagen AP, et al. The effectiveness of physiotherapy and manipulation in patients with tension-type headache: a systematic review. Pain. 2004;112:381–8.PubMedCrossRef
43.
Zurück zum Zitat Torelli P, Jensen R, Olesen J. Physiotherapy for tension-type headache: a controlled study. Cephalalgia. 2004;24:29–36.PubMedCrossRef Torelli P, Jensen R, Olesen J. Physiotherapy for tension-type headache: a controlled study. Cephalalgia. 2004;24:29–36.PubMedCrossRef
44.
Zurück zum Zitat Niere K. Can subjective characteristics of benign headache predict manipulative physiotherapy treatment outcome? Austr J Physiother. 1998;44:87–93. Niere K. Can subjective characteristics of benign headache predict manipulative physiotherapy treatment outcome? Austr J Physiother. 1998;44:87–93.
45.
46.
Zurück zum Zitat Van Ettekoven H, Lucas C. Efficacy of physiotherapy including a cranio-cervical training programme for tension-type headache: a randomized clinical trial. Cephalalgia. 2006;26:983–91.PubMedCrossRef Van Ettekoven H, Lucas C. Efficacy of physiotherapy including a cranio-cervical training programme for tension-type headache: a randomized clinical trial. Cephalalgia. 2006;26:983–91.PubMedCrossRef
47.
Zurück zum Zitat Söderberg E, Carlsson J, Stener-Victorin E. Chronic tension-type headache treated with acupuncture, physical training and relaxation training: between group differences. Cephalalgia. 2006;26:1320–9.PubMedCrossRef Söderberg E, Carlsson J, Stener-Victorin E. Chronic tension-type headache treated with acupuncture, physical training and relaxation training: between group differences. Cephalalgia. 2006;26:1320–9.PubMedCrossRef
49.
Zurück zum Zitat Michalsen A, Grossman P, Acil A, et al. Rapid stress reduction and anxiolysis among distressed women as a consequence of a three-month intensive yoga program. Med Sci Monit. 2005;11:CR555–61.PubMed Michalsen A, Grossman P, Acil A, et al. Rapid stress reduction and anxiolysis among distressed women as a consequence of a three-month intensive yoga program. Med Sci Monit. 2005;11:CR555–61.PubMed
50.
Zurück zum Zitat Bhatia R, Dureja GP, Tripathi M, et al. Role of teporalis muscle over activity in chronic tension type headache: effect of yoga based management. Indian J Physiol Pharmacol. 2007;51:333–44.PubMed Bhatia R, Dureja GP, Tripathi M, et al. Role of teporalis muscle over activity in chronic tension type headache: effect of yoga based management. Indian J Physiol Pharmacol. 2007;51:333–44.PubMed
51.
Zurück zum Zitat Holland S, Silberstein SD, Freitag F, Dodick DW, Argoff C, Ashman E, Quality Standards Subcommittee of the American Academy of Neurology and the American Headache Society. Evidence-based guideline update: NSAIDs and other complementary treatments for episodic migraine prevention in adults: report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Headache Society. Neurology. 2012;78:1346–53.PubMedCrossRef Holland S, Silberstein SD, Freitag F, Dodick DW, Argoff C, Ashman E, Quality Standards Subcommittee of the American Academy of Neurology and the American Headache Society. Evidence-based guideline update: NSAIDs and other complementary treatments for episodic migraine prevention in adults: report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Headache Society. Neurology. 2012;78:1346–53.PubMedCrossRef
52.
Zurück zum Zitat Gobel H, Schmidt G, Soyka D. Effect of peppermint and eucalyptus oil preparations on neurophysiological and experimental algesimetric headache parameters. Cephalalgia. 1994;14:228–34.PubMedCrossRef Gobel H, Schmidt G, Soyka D. Effect of peppermint and eucalyptus oil preparations on neurophysiological and experimental algesimetric headache parameters. Cephalalgia. 1994;14:228–34.PubMedCrossRef
53.
Zurück zum Zitat Göbel H, Fresenius J, Heinze A, Dworschak M, Soyka D. Effectiveness of Oleum menthae piperitae and paracetamol in therapy of headache of the tension type. Nervenarzt. 1996;67:672–81.PubMedCrossRef Göbel H, Fresenius J, Heinze A, Dworschak M, Soyka D. Effectiveness of Oleum menthae piperitae and paracetamol in therapy of headache of the tension type. Nervenarzt. 1996;67:672–81.PubMedCrossRef
Metadaten
Titel
Complementary and Alternative Approaches to the Treatment of Tension-Type Headache
verfasst von
Christina Sun-Edelstein
Alexander Mauskop
Publikationsdatum
01.12.2012
Verlag
Current Science Inc.
Erschienen in
Current Pain and Headache Reports / Ausgabe 6/2012
Print ISSN: 1531-3433
Elektronische ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-012-0295-6

Weitere Artikel der Ausgabe 6/2012

Current Pain and Headache Reports 6/2012 Zur Ausgabe

Pain Aspects of Arthritis (DA Walsh and S Kelly, Section Editors)

Neurophysiology of Arthritis Pain

Tension-Type Headache (KA Henry, Section Editor)

Epidemiology and Cultural Differences in Tension-Type Headache

Tension-Type Headache (KA Henry, Section Editor)

Combat-Related Headache and Traumatic Brain Injury

Pain Aspects of Arthritis (DA Walsh and S Kelly, Section Editors)

Pain in Rheumatoid Arthritis

Pain Aspects of Arthritis (DA Walsh and S Kelly, Section Editors)

Neuromuscular Function in Painful Knee Osteoarthritis

Delir bei kritisch Kranken – Antipsychotika versus Placebo

16.05.2024 Delir Nachrichten

Um die Langzeitfolgen eines Delirs bei kritisch Kranken zu mildern, wird vielerorts auf eine Akuttherapie mit Antipsychotika gesetzt. Eine US-amerikanische Forschungsgruppe äußert jetzt erhebliche Vorbehalte gegen dieses Vorgehen. Denn es gibt neue Daten zum Langzeiteffekt von Haloperidol bzw. Ziprasidon versus Placebo.

Eingreifen von Umstehenden rettet vor Erstickungstod

15.05.2024 Fremdkörperaspiration Nachrichten

Wer sich an einem Essensrest verschluckt und um Luft ringt, benötigt vor allem rasche Hilfe. Dass Umstehende nur in jedem zweiten Erstickungsnotfall bereit waren, diese zu leisten, ist das ernüchternde Ergebnis einer Beobachtungsstudie aus Japan. Doch es gibt auch eine gute Nachricht.

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Klinik aktuell Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.