NICE GUIDANCE ON HEADACHES:
Consider a course of up to 10 sessions of acupuncture over 5-8 weeks for the prophylactic (preventive) treatment of chronic tension type headache.

WHAT IS CHRONIC TENSION TYPE HEADACHE?
A headache for more than 15 days a month, or for longer than 3 months. The duration of the headache may be as short as 30 minutes or become a constant symptom persisting continuously. The location of the pain is across both sides of the forehead and is described by patients as a pressing or tightening feeling.

A tension type headache might be of mild or moderate intensity and is not aggravated by activities of daily living or associated with other symptoms. Headache pain can be felt in the head, face or neck. Chronic migraine and chronic tension type headache commonly overlap.

NICE GUIDANCE ON MANAGEMENT OF MIGRAINES:
Prophylaxis (Preventive Treatment): Offer Topiramate or Propranolol for the prophylactic treatment of migraine. Advise women and girls of childbearing potential that Topiramate is associated with a risk of foetal malformations and can impair the effectiveness of hormonal contraceptives.

1.3.18. If both Topiramate and Propranolol are unsuitable or ineffective consider a course of up to 10 sessions of acupuncture over 5 to 8 weeks.

NICE GUIDANCE ON BACK PAIN:
Consider offering a course of acupuncture needling up to a maximum of 10 sessions over a period of up to 12 weeks.good quality rolex replicas
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