Materiały źródłowe

• #1 Chronic Daily Headache: Diagnosis and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2014/0415/p642.html

  Chronic daily headache is defined as the presence of a headache on 15 days or more per month for at least three months. The most common types of chronic daily headache are chronic migraines and chronic tension-type headaches. […] Several prophylactic treatments for chronic daily headache can reduce headache frequency and severity, as well as improve overall quality of life. Nonpharmacologic treatments include relaxation techniques, cognitive behavior therapy, acupuncture, osteopathic manipulation, and cervical exercises. Pharmacologic therapies include amitriptyline, gabapentin, onabotulinumtoxinA, propranolol, tizanidine, topiramate, and valproate. […] All patients with chronic daily headache should be counseled about medication overuse, which can complicate the course of the headache.

• #2 Chronic daily headaches – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/chronic-daily-headaches/symptoms-causes/syc-20370891

  Most people have headaches from time to time. But if you have a headache more days than not, you might have chronic daily headaches. […] The constant nature of chronic daily headaches makes them one of the most disabling headache conditions. Aggressive initial treatment and steady, long-term management might reduce pain and lead to fewer headaches. […] By definition, chronic daily headaches occur 15 days or more a month, for longer than three months. True (primary) chronic daily headaches aren’t caused by another condition. […] Taking care of yourself might help ease chronic daily headaches. […] Avoid headache triggers. Keeping a headache diary can help you determine what triggers your headaches so that you can avoid the triggers. […] Avoid medication overuse. Taking headache medications, including over-the-counter medications, more than twice a week can increase the severity and frequency of your headaches.

• #3 Chronic Headaches – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK559083/

  Chronic headache is not a single disease entity but an umbrella term that encompasses all chronic headaches. The International Headache Society defines chronic daily headaches (CDH) as „15 or more headache episodes per month for at least three months.” […] This activity reviews the evaluation and treatment of chronic headaches and explains the role of the interprofessional team in evaluating, treating, managing, and improving care for patients with this condition. […] A chronic daily headache can be divided into primary and secondary headache disorders depending upon its etiology. Primary chronic headache disorders do not have secondary organic etiology. […] It is important to realize that chronic headaches are often caused by a multifactorial combination of the causes mentioned above and can occur along a continuum.

• #4 Chronic daily headaches – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/chronic-daily-headaches/symptoms-causes/syc-20370891

  Most people have headaches from time to time. But if you have a headache more days than not, you might have chronic daily headaches. […] The constant nature of chronic daily headaches makes them one of the most disabling headache conditions. Aggressive initial treatment and steady, long-term management might reduce pain and lead to fewer headaches. […] By definition, chronic daily headaches occur 15 days or more a month, for longer than three months. True (primary) chronic daily headaches aren’t caused by another condition. […] Taking care of yourself might help ease chronic daily headaches. […] Avoid headache triggers. Keeping a headache diary can help you determine what triggers your headaches so that you can avoid the triggers. […] Avoid medication overuse. Taking headache medications, including over-the-counter medications, more than twice a week can increase the severity and frequency of your headaches.

• #5 Chronic Headaches – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK559083/

  Chronic headache is not a single disease entity but an umbrella term that encompasses all chronic headaches. The International Headache Society defines chronic daily headaches (CDH) as „15 or more headache episodes per month for at least three months.” […] This activity reviews the evaluation and treatment of chronic headaches and explains the role of the interprofessional team in evaluating, treating, managing, and improving care for patients with this condition. […] A chronic daily headache can be divided into primary and secondary headache disorders depending upon its etiology. Primary chronic headache disorders do not have secondary organic etiology. […] It is important to realize that chronic headaches are often caused by a multifactorial combination of the causes mentioned above and can occur along a continuum.

• #6 Chronic daily headaches – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/chronic-daily-headaches/symptoms-causes/syc-20370891

  Most people have headaches from time to time. But if you have a headache more days than not, you might have chronic daily headaches. […] The constant nature of chronic daily headaches makes them one of the most disabling headache conditions. Aggressive initial treatment and steady, long-term management might reduce pain and lead to fewer headaches. […] By definition, chronic daily headaches occur 15 days or more a month, for longer than three months. True (primary) chronic daily headaches aren’t caused by another condition. […] Taking care of yourself might help ease chronic daily headaches. […] Avoid headache triggers. Keeping a headache diary can help you determine what triggers your headaches so that you can avoid the triggers. […] Avoid medication overuse. Taking headache medications, including over-the-counter medications, more than twice a week can increase the severity and frequency of your headaches.

• #7 CE Activity | Chronic Headaches | NPs

  https://www.statpearls.com/nursepractitioner/ce/activity/38030

  Chronic headache is not a single disease entity but an umbrella term that encompasses all chronic headaches. The International Headache Society defines chronic daily headaches (CDH) as „15 or more headache episodes per month for at least three months.” A chronic daily headache can be divided into primary and secondary headache disorders depending upon its etiology. Primary chronic headache disorders do not have secondary organic etiology. Within the primary headache categories, a headache duration of fewer than 4 hours is labeled as a 'short headache.’ More than 4 hours is known as a 'long headache.’ Long headaches more commonly include chronic migraine and chronic tension headaches. There are a variety of causes and ways to manage this condition. This activity reviews the evaluation and treatment of chronic headaches and explains the role of the interprofessional team in evaluating, treating, managing, and improving care for patients with this condition.

• #8 Is It Normal To Get Headaches Everyday? | Grady Health

  https://www.gradyhealth.org/blog/is-it-normal-to-get-headaches-everyday/

  No, it’s NOT normal to get headaches every day. Most people have headaches from time to time. But if you have a headache more days than not, you might have chronic daily headaches, which come in many forms – most of them pretty disabling. […] You may be suffering from chronic daily headaches if the headaches occur 15 days or more a month and you have experienced them for at least three months. […] In general, there are four kinds of chronic daily headaches. They include: Chronic migraine headaches. These can affect one side or both sides of your head, have a throbbing sensation, and cause moderate-to-severe pain. They can also cause nausea, vomiting, or both. People tend to be sensitive to light and sound during these headaches. […] Chronic tension headaches. These tend to affect both sides of your head, cause mild-to-moderate pain, and produce a pain that feels like pressing or tightening but not throbbing.

• #9 Chronic Daily Headache: Diagnosis and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2014/0415/p642.html

  Chronic daily headache is defined as the presence of a headache on 15 days or more per month for at least three months. The most common types of chronic daily headache are chronic migraines and chronic tension-type headaches. […] Several prophylactic treatments for chronic daily headache can reduce headache frequency and severity, as well as improve overall quality of life. Nonpharmacologic treatments include relaxation techniques, cognitive behavior therapy, acupuncture, osteopathic manipulation, and cervical exercises. Pharmacologic therapies include amitriptyline, gabapentin, onabotulinumtoxinA, propranolol, tizanidine, topiramate, and valproate. […] All patients with chronic daily headache should be counseled about medication overuse, which can complicate the course of the headache.

• #10 Patient education: Headache treatment in adults (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/headache-treatment-in-adults-beyond-the-basics/print

  Chronic tension-type headache – For chronic tension-type headache, effective treatment involves the use of daily preventive medications (eg, tricyclic antidepressants), behavioral therapies, and lifestyle changes (eg, regular exercise and dietary changes). Like chronic migraine, the combined use of these interventions is often best. […] Medication-overuse headache – This happens when headaches (of any type) lead to a cycle of taking medication to treat pain, then headache recurring when the medication wears off, then taking more medication. […] The approach to treating medication-overuse headache involves understanding the cycle that is happening, stopping the medication being overused, and working with your healthcare provider to establish an appropriate headache treatment and prevention plan.

• #11 Headache & Migraine: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

  https://www.nursetogether.com/headache-migraine-nursing-diagnosis-care-plan/

  Headaches are a common nuisance that many people experience at one time or another, often due to stress, poor sleep, illness, or other causes. Headache disorders affect approximately 40% of the global population and are under-recognized and under-treated. […] It is essential to identify the type of headache the patient is experiencing for effective treatment. […] The nurse supports the patient and their treatment regimen through education and follow-up. […] Nursing interventions and care are essential for the patients recovery. […] Reducing symptoms and offering supportive care should be the main goals of treatment for primary headaches. Advise the patient to follow up with a neurologist or primary care physician for both preventive and therapeutic measures. […] Patients can learn to manage stress and tension with solutions such as: Deep breathing exercises, Muscle relaxation, Visualization techniques, Music therapy, Yoga, Regular exercise.

• #12 Frequent Headaches: Evaluation and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2020/0401/p419.html

  Most frequent headaches are typically migraine or tension-type headaches and are often exacerbated by medication overuse. […] A complete history is essential to identify the most likely headache type, indications of serious secondary headaches, and significant comorbidities. […] Medication overuse headache should be suspected in patients with frequent headaches. […] For the underlying headache, an individualized evidence-based management plan incorporating pharmacologic and nonpharmacologic strategies is necessary. […] Regular scheduled follow-up is important to monitor progress. […] An estimated 2% to 4% of U.S. adults have chronic headaches, and more than 30% of these report daily symptoms. […] Addressing medication overuse may be the most important intervention for increasingly frequent headaches.

• #13 Headache & Migraine: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

  https://www.nursetogether.com/headache-migraine-nursing-diagnosis-care-plan/

  Finding and treating the underlying cause is essential to managing a secondary headache. This may include taking an antibiotic for an infection, receiving chiropractic care or physiotherapy for an injury, or managing a comorbidity. […] Medication-overuse headaches (also known as rebound headaches) occur from excessive use of medications to treat headache pain and are the most common type of secondary headache. A detoxification approach is used while receiving other preventative therapy to reduce withdrawal symptoms. […] Once the nurse identifies nursing diagnoses for a migraine or headache, nursing care plans help prioritize assessments and interventions for both short and long-term goals of care. […] Pain is subjective and may be experienced differently from one patient to another. Pain felt in migraine and other types of headaches can range from mild to severe, and can be recurring and disabling.

• #14 Chronic daily headaches – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/chronic-daily-headaches/diagnosis-treatment/drc-20370897

  Chronic daily headaches can interfere with your job, your relationships and your quality of life. […] Commit yourself to living a full, satisfying life. Work with your doctor to develop a treatment plan that works for you. […] A counselor or therapist offers support and can help you manage stress. Your therapist can also help you understand the psychological effects of your headache pain. […] You’re likely to start by seeing your family doctor or a general practitioner. However, you may be referred to a headache specialist. […] Keep a headache journal, including when each headache occurred, how long it lasted, how intense it was, what you were doing immediately before the headache started, and anything else notable about the headache. […] To ease your headache pain until you see your doctor, you might: Avoid activities that worsen your headaches.

• #15 Chronic Headaches – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK559083/

  Treatment and management of chronic headache disorders depend upon the underlying etiology and may require an interprofessional approach. […] The patient should maintain a headache journal documenting their headache episodes and any accompanying triggers. If found, stressors should be avoided or minimized. […] Management of patients with chronic headaches will require the efforts of an interprofessional healthcare team. […] Nurses and psychologists can assist team management by teaching lifestyle changes, mental health supervision, drug overuse detoxification, and medication use recommendations.

• #16 Are Your Daily Headaches a Sign of Something More Serious? – Keck Medicine of USC

  https://www.keckmedicine.org/blog/are-daily-headaches-something-serious/

  Chronic headaches can also be linked to other disorders, including depression, anxiety, sinus infections, allergies and temporomandibular joint dysfunction, also known as TMJ. […] In order to figure out your headache pattern and identify your triggers, you may want to keep a headache diary to share with your doctor. […] Although daily headaches might not be the result of a dangerous problem, they can affect your quality of life and shouldn’t be considered normal. […] Progressive symptoms of more severe or frequent headaches, or any headache that is also associated with other neurological symptoms, should be evaluated by a physician, says Jonathan J. Russin, MD, a neurosurgeon with Keck Medicine of USC. […] Our neurology team provides personalized care to help diagnose and manage conditions, such as Alzheimer’s disease, Parkinson’s disease, epilepsy, multiple sclerosis, headaches, brain tumors and stroke.

• #17 There’s No Room in a Nurse’s Day for Recurring Headaches

  https://consultqd.clevelandclinic.org/theres-no-room-in-a-nurses-day-for-recurring-headaches

  Care for yourself by addressing chronic pain […] If youre a nurse who suffers from frequent headaches, you may shrug them off as a side effect of job stress. […] Occupational stress is a common trigger for both tension headaches and migraine headaches, says Katherine Najdovski, MSN, APRN-CNP, of Cleveland Clinics Center for Neurological Restorations Section of Headache and Facial Pain. […] Seek medical care right away if you have a sudden, severe headache or one that is associated with the following symptoms: […] Other red flags are if the headache seems positional in nature it gets worse when you lie down or when you stand, or if it is associated with fever or rigidity in the neck, Najdovski says. […] There are prescription medications available to treat and even prevent headaches, especially migraines.

• #18 Is It Normal To Get Headaches Everyday? | Grady Health

  https://www.gradyhealth.org/blog/is-it-normal-to-get-headaches-everyday/

  Cut back on caffeine. Some headache medications include caffeine because they can help to reduce headache pain. But it can also aggravate headaches. Try reducing or eliminating caffeine. […] You should consult a doctor if you: Consistently have two or more headaches a week. Take pain reliever for your headaches on most days. Need more than the recommended dose of over-the-counter medicines to relieve headache pain. Experience changes in the pattern of your headaches, or they get worse. Find the headaches are disabling. […] If your chronic headache is sudden and severe and associated with one of the symptoms above, you should call 911 and seek immediate medical attention. If you suffer from more common chronic headaches, visit your doctor for advice.

• #19 Is It Normal To Get Headaches Everyday? | Grady Health

  https://www.gradyhealth.org/blog/is-it-normal-to-get-headaches-everyday/

  Cut back on caffeine. Some headache medications include caffeine because they can help to reduce headache pain. But it can also aggravate headaches. Try reducing or eliminating caffeine. […] You should consult a doctor if you: Consistently have two or more headaches a week. Take pain reliever for your headaches on most days. Need more than the recommended dose of over-the-counter medicines to relieve headache pain. Experience changes in the pattern of your headaches, or they get worse. Find the headaches are disabling. […] If your chronic headache is sudden and severe and associated with one of the symptoms above, you should call 911 and seek immediate medical attention. If you suffer from more common chronic headaches, visit your doctor for advice.

• #20 Headache & Migraine: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

  https://www.nursetogether.com/headache-migraine-nursing-diagnosis-care-plan/

  Finding and treating the underlying cause is essential to managing a secondary headache. This may include taking an antibiotic for an infection, receiving chiropractic care or physiotherapy for an injury, or managing a comorbidity. […] Medication-overuse headaches (also known as rebound headaches) occur from excessive use of medications to treat headache pain and are the most common type of secondary headache. A detoxification approach is used while receiving other preventative therapy to reduce withdrawal symptoms. […] Once the nurse identifies nursing diagnoses for a migraine or headache, nursing care plans help prioritize assessments and interventions for both short and long-term goals of care. […] Pain is subjective and may be experienced differently from one patient to another. Pain felt in migraine and other types of headaches can range from mild to severe, and can be recurring and disabling.

• #21 Headache & Migraine: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

  https://www.nursetogether.com/headache-migraine-nursing-diagnosis-care-plan/

  Patient education is an integral part of any treatment regimen to ensure compliance, prevent complications, and restore patients health. […] Patients suffering from migraines and other types of headaches often experience impaired comfort. […] Poor sleep is a trigger for headaches and migraines but may also result from headache and migraine pain and symptoms. […] Migraines can activate changes within the brain that trigger nausea and vomiting.

• #22 Headache & Migraine: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

  https://www.nursetogether.com/headache-migraine-nursing-diagnosis-care-plan/

  Patient education is an integral part of any treatment regimen to ensure compliance, prevent complications, and restore patients health. […] Patients suffering from migraines and other types of headaches often experience impaired comfort. […] Poor sleep is a trigger for headaches and migraines but may also result from headache and migraine pain and symptoms. […] Migraines can activate changes within the brain that trigger nausea and vomiting.

• #23 Chronic daily headaches – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/chronic-daily-headaches/diagnosis-treatment/drc-20370897

  Chronic daily headaches can interfere with your job, your relationships and your quality of life. […] Commit yourself to living a full, satisfying life. Work with your doctor to develop a treatment plan that works for you. […] A counselor or therapist offers support and can help you manage stress. Your therapist can also help you understand the psychological effects of your headache pain. […] You’re likely to start by seeing your family doctor or a general practitioner. However, you may be referred to a headache specialist. […] Keep a headache journal, including when each headache occurred, how long it lasted, how intense it was, what you were doing immediately before the headache started, and anything else notable about the headache. […] To ease your headache pain until you see your doctor, you might: Avoid activities that worsen your headaches.

• #24 Chronic daily headaches // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/chronic-daily-headaches

  Most people have headaches from time to time. But if you have a headache more days than not, you might have chronic daily headaches. […] The constant nature of chronic daily headaches makes them one of the most disabling headache conditions. Aggressive initial treatment and steady, long-term management might reduce pain and lead to fewer headaches. […] By definition, chronic daily headaches occur 15 days or more a month, for longer than three months. True (primary) chronic daily headaches aren’t caused by another condition. […] Seek prompt medical care if your headache: Is sudden and severe. […] The causes of many chronic daily headaches aren’t well-understood. True (primary) chronic daily headaches don’t have an identifiable underlying cause. […] If you have chronic daily headaches, you’re also more likely to have depression, anxiety, sleep disturbances, and other psychological and physical problems.

• #25 Headache & Migraine: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

  https://www.nursetogether.com/headache-migraine-nursing-diagnosis-care-plan/

  Headaches are a common nuisance that many people experience at one time or another, often due to stress, poor sleep, illness, or other causes. Headache disorders affect approximately 40% of the global population and are under-recognized and under-treated. […] It is essential to identify the type of headache the patient is experiencing for effective treatment. […] The nurse supports the patient and their treatment regimen through education and follow-up. […] Nursing interventions and care are essential for the patients recovery. […] Reducing symptoms and offering supportive care should be the main goals of treatment for primary headaches. Advise the patient to follow up with a neurologist or primary care physician for both preventive and therapeutic measures. […] Patients can learn to manage stress and tension with solutions such as: Deep breathing exercises, Muscle relaxation, Visualization techniques, Music therapy, Yoga, Regular exercise.

• #26 Headache & Migraine: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

  https://www.nursetogether.com/headache-migraine-nursing-diagnosis-care-plan/

  Headaches are a common nuisance that many people experience at one time or another, often due to stress, poor sleep, illness, or other causes. Headache disorders affect approximately 40% of the global population and are under-recognized and under-treated. […] It is essential to identify the type of headache the patient is experiencing for effective treatment. […] The nurse supports the patient and their treatment regimen through education and follow-up. […] Nursing interventions and care are essential for the patients recovery. […] Reducing symptoms and offering supportive care should be the main goals of treatment for primary headaches. Advise the patient to follow up with a neurologist or primary care physician for both preventive and therapeutic measures. […] Patients can learn to manage stress and tension with solutions such as: Deep breathing exercises, Muscle relaxation, Visualization techniques, Music therapy, Yoga, Regular exercise.

• #27 Frequent Headaches: Evaluation and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2020/0401/p419.html

  About 30% to 50% of patients who develop chronic headaches have MOH, which is defined as headache on 15 or more days per month in a patient with preexisting primary headache, developing as a consequence of regular overuse of acute or symptomatic headache medication for more than three months. […] A comprehensive management plan requires pharmacologic and nonpharmacologic interventions, attention to inciting and exacerbating factors, advice on healthy lifestyle, attention to comorbid conditions, and education for patients and family members on headache management. […] Patients with frequent headaches require both prophylactic and acute pharmacologic treatment. […] Guidelines stress that behavioral and physical therapies should be integrated with pharmacologic treatment of frequent headaches, but patient access may be limited, and evidence-based guidance is sparse. […] Regularly scheduled follow-up is necessary to monitor the patient’s headache pattern and make adjustments to the management plan.

• #28 Chronic daily headaches – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/chronic-daily-headaches/diagnosis-treatment/drc-20370897

  Your doctor will likely examine you for signs of illness, infection or neurological problems and ask about your headache history. […] Our caring team of Mayo Clinic experts can help you with your chronic daily headaches-related health concerns Start Here. […] Treatment for an underlying condition often stops frequent headaches. If no such condition is found, treatment focuses on preventing pain. […] Prevention strategies vary, depending on the type of headache you have and whether medication overuse is contributing to your headaches. […] When you’re ready to begin preventive therapy, your doctor may recommend: Antidepressants. Tricyclic antidepressants such as nortriptyline (Pamelor) can be used to treat chronic headaches. […] The use of one drug is preferred, but if one drug doesn’t work well enough, your doctor might consider combining drugs.

• #29 Management of chronic headache

  https://www.racgp.org.au/afp/2014/march/chronic-headache

  Where headaches occur more frequently than once per fortnight, prophylaxis should be offered and the choice determined by the headache type, as set out within the continuum model. […] TTH is best managed with tricyclic antidepressants (amitriptyline where sleep disturbance is a prominent feature and imipramine where sleep does not pose a problem). […] The operative rule with all these agents is to start low and go slow but to escalate treatment until achieving either efficacy or intolerable side effects. […] Should the headache not respond to treatment as would have been expected, or the quality or site of the pain changes, specialist advice should be sought. […] TTH and migraines are often worse within the context of stress and it behoves a family physician to explore factors that exacerbate the patients stress and seek ways to relieve the stress.

• #30 Chronic Daily Headache: Diagnosis and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2014/0415/p642.html

  Chronic daily headache is defined as the presence of a headache on 15 days or more per month for at least three months. The most common types of chronic daily headache are chronic migraines and chronic tension-type headaches. […] Several prophylactic treatments for chronic daily headache can reduce headache frequency and severity, as well as improve overall quality of life. Nonpharmacologic treatments include relaxation techniques, cognitive behavior therapy, acupuncture, osteopathic manipulation, and cervical exercises. Pharmacologic therapies include amitriptyline, gabapentin, onabotulinumtoxinA, propranolol, tizanidine, topiramate, and valproate. […] All patients with chronic daily headache should be counseled about medication overuse, which can complicate the course of the headache.

• #31 Chronic Daily Headache: Diagnosis and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2014/0415/p642.html

  Chronic daily headache is defined as the presence of a headache on 15 days or more per month for at least three months. The most common types of chronic daily headache are chronic migraines and chronic tension-type headaches. […] Several prophylactic treatments for chronic daily headache can reduce headache frequency and severity, as well as improve overall quality of life. Nonpharmacologic treatments include relaxation techniques, cognitive behavior therapy, acupuncture, osteopathic manipulation, and cervical exercises. Pharmacologic therapies include amitriptyline, gabapentin, onabotulinumtoxinA, propranolol, tizanidine, topiramate, and valproate. […] All patients with chronic daily headache should be counseled about medication overuse, which can complicate the course of the headache.

• #32 Chronic Daily Headaches | Jan & Tom Lewis Migraine Treatment Program | Barrow Neurological InstituteGroup 9Group 9Group 49

  https://www.barrowneuro.org/condition/chronic-daily-headaches/

  Chronic daily headache describes a group of headache disorders in which headache pain occurs at least 15 days per month during a 3-month period. True (primary) chronic daily headaches are not caused by another condition. […] Treatments that try to stop or reduce headache symptoms before or shortly after they start have a greater chance of reducing the frequency of chronic headaches than treatments administered after headache symptoms have begun. […] Some medications originally intended for other uses can be effective at preventing chronic daily headaches, such as: Anti-depressants, Beta blockers, Anti-seizure medications. […] Botox can be used for the prevention of chronic migraines, but insurance companies usually require people to try preventative medications before they will cover Botox.

• #33 Management of chronic headache

  https://www.racgp.org.au/afp/2014/march/chronic-headache

  Chronic headache is the most common neurological complaint to present to the family physician. […] This overview has offered a practical approach to the management of chronic headache, provided clues to differentiate between TTH and migraine (the two most common primary headache types to present to the family physician), and discussed treatment options, red flags, which necessitate more detailed consideration, and referral for specialist opinion. […] Where headaches occur less frequently than once per fortnight, it seems acceptable to use pulse therapy, such as simple analgesia with aspirin, diclofenac, ibuprofen, naproxen, paracetamol or similar agents. […] Where such agents have been suboptimal for the treatment of migraine, triptans (sumatriptan, zolmitriptan, rizatriptan, naratriptan or elmatriptan) may be more efficacious for acute intervention.

• #34 Management of chronic headache

  https://www.racgp.org.au/afp/2014/march/chronic-headache

  Chronic headache is the most common neurological complaint to present to the family physician. […] This overview has offered a practical approach to the management of chronic headache, provided clues to differentiate between TTH and migraine (the two most common primary headache types to present to the family physician), and discussed treatment options, red flags, which necessitate more detailed consideration, and referral for specialist opinion. […] Where headaches occur less frequently than once per fortnight, it seems acceptable to use pulse therapy, such as simple analgesia with aspirin, diclofenac, ibuprofen, naproxen, paracetamol or similar agents. […] Where such agents have been suboptimal for the treatment of migraine, triptans (sumatriptan, zolmitriptan, rizatriptan, naratriptan or elmatriptan) may be more efficacious for acute intervention.

• #35 Management of chronic headache

  https://www.racgp.org.au/afp/2014/march/chronic-headache

  Where headaches occur more frequently than once per fortnight, prophylaxis should be offered and the choice determined by the headache type, as set out within the continuum model. […] TTH is best managed with tricyclic antidepressants (amitriptyline where sleep disturbance is a prominent feature and imipramine where sleep does not pose a problem). […] The operative rule with all these agents is to start low and go slow but to escalate treatment until achieving either efficacy or intolerable side effects. […] Should the headache not respond to treatment as would have been expected, or the quality or site of the pain changes, specialist advice should be sought. […] TTH and migraines are often worse within the context of stress and it behoves a family physician to explore factors that exacerbate the patients stress and seek ways to relieve the stress.

• #36 Chronic Daily Headache: Diagnosis and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2014/0415/p642.html

  Several behavioral modifications are recommended for patients with chronic daily headache. These include cessation of caffeine and tobacco use, improved sleep hygiene, diet changes, and regular mealtimes. […] There is a growing body of evidence to suggest that various psychotherapeutic regimens can be effective in decreasing disability for those with chronic daily headache, including Internet-based biofeedback and relaxation techniques that have been shown to decrease headache frequency and severity, and medication use. […] There is somewhat stronger evidence for the use of cognitive behavior therapy for chronic daily headache, both in group and individualized settings. […] Education about headache from medication overuse is essential.

• #37 Headache & Migraine: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

  https://www.nursetogether.com/headache-migraine-nursing-diagnosis-care-plan/

  Headaches are a common nuisance that many people experience at one time or another, often due to stress, poor sleep, illness, or other causes. Headache disorders affect approximately 40% of the global population and are under-recognized and under-treated. […] It is essential to identify the type of headache the patient is experiencing for effective treatment. […] The nurse supports the patient and their treatment regimen through education and follow-up. […] Nursing interventions and care are essential for the patients recovery. […] Reducing symptoms and offering supportive care should be the main goals of treatment for primary headaches. Advise the patient to follow up with a neurologist or primary care physician for both preventive and therapeutic measures. […] Patients can learn to manage stress and tension with solutions such as: Deep breathing exercises, Muscle relaxation, Visualization techniques, Music therapy, Yoga, Regular exercise.

• #38 Management of chronic headaches – Wikipedia

  https://en.wikipedia.org/wiki/Management_of_chronic_headaches

  In addition to medicines, physical therapy is a treatment to help improve chronic headaches. In physical therapy, a patient works together with a therapist to help identify and change physical habits or conditions that affect chronic headaches. Physical therapy for chronic daily headaches focuses on the upper body, including the upper back, neck, and face. Therapists assess and improve the patient’s body posture, which can aggravate headaches. […] Also, behavioral therapy and psychological therapy are suggested treatments to reduce chronic headaches. Behavioral therapy and psychological therapy relate closely in their treatment methods, which include a combination of identifying headache stressors, biofeedback, relaxation training, and cognitive-behavioral therapy. Cognitive-behavioral therapy’s purpose is to identify and resolve the sources of recurrent stress. Psychological and behavioral therapies identify stressful situations and teach chronic headache patients to react differently, change their behavior, or adjust attitudes to reduce tension that leads to headaches.

• #39 Management of chronic headaches – Wikipedia

  https://en.wikipedia.org/wiki/Management_of_chronic_headaches

  In addition to medicines, physical therapy is a treatment to help improve chronic headaches. In physical therapy, a patient works together with a therapist to help identify and change physical habits or conditions that affect chronic headaches. Physical therapy for chronic daily headaches focuses on the upper body, including the upper back, neck, and face. Therapists assess and improve the patient’s body posture, which can aggravate headaches. […] Also, behavioral therapy and psychological therapy are suggested treatments to reduce chronic headaches. Behavioral therapy and psychological therapy relate closely in their treatment methods, which include a combination of identifying headache stressors, biofeedback, relaxation training, and cognitive-behavioral therapy. Cognitive-behavioral therapy’s purpose is to identify and resolve the sources of recurrent stress. Psychological and behavioral therapies identify stressful situations and teach chronic headache patients to react differently, change their behavior, or adjust attitudes to reduce tension that leads to headaches.

• #40 Chronic daily headaches – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/chronic-daily-headaches/symptoms-causes/syc-20370891

  Most people have headaches from time to time. But if you have a headache more days than not, you might have chronic daily headaches. […] The constant nature of chronic daily headaches makes them one of the most disabling headache conditions. Aggressive initial treatment and steady, long-term management might reduce pain and lead to fewer headaches. […] By definition, chronic daily headaches occur 15 days or more a month, for longer than three months. True (primary) chronic daily headaches aren’t caused by another condition. […] Taking care of yourself might help ease chronic daily headaches. […] Avoid headache triggers. Keeping a headache diary can help you determine what triggers your headaches so that you can avoid the triggers. […] Avoid medication overuse. Taking headache medications, including over-the-counter medications, more than twice a week can increase the severity and frequency of your headaches.

• #41 Chronic daily headaches – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/chronic-daily-headaches/symptoms-causes/syc-20370891

  Get enough sleep. The average adult needs seven to eight hours of sleep a night. […] Don’t skip meals. Eat healthy meals at about the same times daily. […] Exercise regularly. Regular aerobic physical activity can improve your physical and mental well-being and reduce stress. […] Reduce stress. Stress is a common trigger of chronic headaches. […] Reduce caffeine. While some headache medications include caffeine because it can be beneficial in reducing headache pain, it can also aggravate headaches.

• #42 There’s No Room in a Nurse’s Day for Recurring Headaches

  https://consultqd.clevelandclinic.org/theres-no-room-in-a-nurses-day-for-recurring-headaches

  There are non-pharmacological ways to treat headaches as well, Najdovski says. […] To avoid or limit headaches, Najdovski says lifestyle factors can play an important role. Eating regular meals, staying hydrated, practicing good sleep hygiene and exercising regularly all can help. […] Of course, controlling and reducing stress can help as well.

• #43 Headache & Migraine: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

  https://www.nursetogether.com/headache-migraine-nursing-diagnosis-care-plan/

  Finding and treating the underlying cause is essential to managing a secondary headache. This may include taking an antibiotic for an infection, receiving chiropractic care or physiotherapy for an injury, or managing a comorbidity. […] Medication-overuse headaches (also known as rebound headaches) occur from excessive use of medications to treat headache pain and are the most common type of secondary headache. A detoxification approach is used while receiving other preventative therapy to reduce withdrawal symptoms. […] Once the nurse identifies nursing diagnoses for a migraine or headache, nursing care plans help prioritize assessments and interventions for both short and long-term goals of care. […] Pain is subjective and may be experienced differently from one patient to another. Pain felt in migraine and other types of headaches can range from mild to severe, and can be recurring and disabling.

• #44 Frequent Headaches: Evaluation and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2020/0401/p419.html

  About 30% to 50% of patients who develop chronic headaches have MOH, which is defined as headache on 15 or more days per month in a patient with preexisting primary headache, developing as a consequence of regular overuse of acute or symptomatic headache medication for more than three months. […] A comprehensive management plan requires pharmacologic and nonpharmacologic interventions, attention to inciting and exacerbating factors, advice on healthy lifestyle, attention to comorbid conditions, and education for patients and family members on headache management. […] Patients with frequent headaches require both prophylactic and acute pharmacologic treatment. […] Guidelines stress that behavioral and physical therapies should be integrated with pharmacologic treatment of frequent headaches, but patient access may be limited, and evidence-based guidance is sparse. […] Regularly scheduled follow-up is necessary to monitor the patient’s headache pattern and make adjustments to the management plan.

• #45 Chronic Daily Headache: Ten Steps for Primary Care Providers to Regain Control – PubMed

  https://pubmed.ncbi.nlm.nih.gov/27552176/

  Chronic daily headache (CDH) affects 2% to 4% of the North American and European population. Various pathways lead to this condition, although chronification of migraine and the occurrence of central sensitization in tension headache are the 2 most common. Medication overuse headaches complicate a substantial portion of other primary headaches that have become chronic and often make their treatment more complex and less successful. […] A 10-step process to help primary care providers evaluate and treat CDH patients begins with excluding secondary headache disorders, then moves on to classification of the primary underlying headache disorder. Next, the exacerbating factors, as well as relevant comorbid conditions, are identified. The patient’s current acute therapy is examined, and attempts are made to identify and resolve medication overuse if present. Past preventive therapies are reviewed, allowing for thoughtful design of a headache action plan with preventive, acute, and lifestyle components. Patients are asked to keep a headache diary, used to initiate a cycle of continuous improvement in a patient’s response to acute and preventive therapeutic approaches. […] A systematic approach and partnership with patients often make it possible to convert CDH to episodic headache that is responsive to both acute and preventive therapies.

• #46 Chronic daily headaches

  https://www.mymlc.com/health-information/diseases-and-conditions/c/chronic-daily-headaches2/?section=Causes

  Most people have headaches from time to time. But if you have a headache more days than not, you might have chronic daily headaches. […] The constant nature of chronic daily headaches makes them one of the most disabling headache conditions. Aggressive initial treatment and steady, long-term management might reduce pain and lead to fewer headaches. […] Taking care of yourself might help ease chronic daily headaches. […] Avoid medication overuse. Taking headache medications, including over-the-counter medications, more than twice a week can increase the severity and frequency of your headaches. Consult your doctor about how to wean yourself off the medication because there can be serious side effects if done improperly. […] Treatment for an underlying condition often stops frequent headaches. If no such condition is found, treatment focuses on preventing pain.

• #47 Headache & Migraine: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

  https://www.nursetogether.com/headache-migraine-nursing-diagnosis-care-plan/

  Patient education is an integral part of any treatment regimen to ensure compliance, prevent complications, and restore patients health. […] Patients suffering from migraines and other types of headaches often experience impaired comfort. […] Poor sleep is a trigger for headaches and migraines but may also result from headache and migraine pain and symptoms. […] Migraines can activate changes within the brain that trigger nausea and vomiting.

• #48 Chronic daily headaches – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/chronic-daily-headaches/diagnosis-treatment/drc-20370897

  Chronic daily headaches can interfere with your job, your relationships and your quality of life. […] Commit yourself to living a full, satisfying life. Work with your doctor to develop a treatment plan that works for you. […] A counselor or therapist offers support and can help you manage stress. Your therapist can also help you understand the psychological effects of your headache pain. […] You’re likely to start by seeing your family doctor or a general practitioner. However, you may be referred to a headache specialist. […] Keep a headache journal, including when each headache occurred, how long it lasted, how intense it was, what you were doing immediately before the headache started, and anything else notable about the headache. […] To ease your headache pain until you see your doctor, you might: Avoid activities that worsen your headaches.

• #49 Chronic Headaches – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK559083/

  Treatment and management of chronic headache disorders depend upon the underlying etiology and may require an interprofessional approach. […] The patient should maintain a headache journal documenting their headache episodes and any accompanying triggers. If found, stressors should be avoided or minimized. […] Management of patients with chronic headaches will require the efforts of an interprofessional healthcare team. […] Nurses and psychologists can assist team management by teaching lifestyle changes, mental health supervision, drug overuse detoxification, and medication use recommendations.

• #50 Headaches | St. Luke’s Neuroscience Specialties

  https://www.slhn.org/neurosciences/specialties/headaches

  The best way to prevent these kinds of headaches is to know your triggers and the best way to do that is to keep a headache diary. […] Adopting a healthy lifestyle can help you ward off chronic headaches. That includes figuring out how to maximize sleep, nutrition and exercise, and minimize stress. […] Treatments for chronic daily headaches vary, often depending on the type of headache it is and your individual response to medication.

• #51 Chronic daily headaches – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/chronic-daily-headaches/symptoms-causes/syc-20370891

  Most people have headaches from time to time. But if you have a headache more days than not, you might have chronic daily headaches. […] The constant nature of chronic daily headaches makes them one of the most disabling headache conditions. Aggressive initial treatment and steady, long-term management might reduce pain and lead to fewer headaches. […] By definition, chronic daily headaches occur 15 days or more a month, for longer than three months. True (primary) chronic daily headaches aren’t caused by another condition. […] Taking care of yourself might help ease chronic daily headaches. […] Avoid headache triggers. Keeping a headache diary can help you determine what triggers your headaches so that you can avoid the triggers. […] Avoid medication overuse. Taking headache medications, including over-the-counter medications, more than twice a week can increase the severity and frequency of your headaches.

• #52 Frequent Headaches: Evaluation and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2020/0401/p419.html

  About 30% to 50% of patients who develop chronic headaches have MOH, which is defined as headache on 15 or more days per month in a patient with preexisting primary headache, developing as a consequence of regular overuse of acute or symptomatic headache medication for more than three months. […] A comprehensive management plan requires pharmacologic and nonpharmacologic interventions, attention to inciting and exacerbating factors, advice on healthy lifestyle, attention to comorbid conditions, and education for patients and family members on headache management. […] Patients with frequent headaches require both prophylactic and acute pharmacologic treatment. […] Guidelines stress that behavioral and physical therapies should be integrated with pharmacologic treatment of frequent headaches, but patient access may be limited, and evidence-based guidance is sparse. […] Regularly scheduled follow-up is necessary to monitor the patient’s headache pattern and make adjustments to the management plan.

• #53 Chronic Daily Headaches

  https://www.cookchildrens.org/services/pain-management/conditions/chronic-daily-headaches/

  Chronic daily headaches (CDH) is used to describe migraine and tension-type headaches that occur more than 15 days a month for more than three months. […] If your child is referred to Cook Children’s Pain Management program for treatment, our team of experts will work to determine the cause of your child’s chronic daily headaches, such as tension or migraine, and create a treatment plan that you and your child are comfortable with. […] The general treatment principles of chronic daily headache include: Avoid daily Advil or Tylenol. If used more than 3 days a week, they may be causing the headaches (this is sometimes called a rebound effect). […] Consider a daily medicine to control the headaches. These are not opioids, but other kinds of medicines that can help to prevent headaches. If daily medication is needed, your child’s doctor or pain team will help you determine the best choices for your child.

• #54 Chronic Daily Headaches

  https://www.cookchildrens.org/services/pain-management/conditions/chronic-daily-headaches/

  Chronic daily headaches (CDH) is used to describe migraine and tension-type headaches that occur more than 15 days a month for more than three months. […] If your child is referred to Cook Children’s Pain Management program for treatment, our team of experts will work to determine the cause of your child’s chronic daily headaches, such as tension or migraine, and create a treatment plan that you and your child are comfortable with. […] The general treatment principles of chronic daily headache include: Avoid daily Advil or Tylenol. If used more than 3 days a week, they may be causing the headaches (this is sometimes called a rebound effect). […] Consider a daily medicine to control the headaches. These are not opioids, but other kinds of medicines that can help to prevent headaches. If daily medication is needed, your child’s doctor or pain team will help you determine the best choices for your child.

• #55 Dealing with Chronic Daily Headaches: Treatment and Coping Strategies – Chiro Studio

  https://chirostudiococoa.com/dealing-with-chronic-daily-headaches-treatment-and-coping-strategies/

  You’ve probably heard this before, but adopting healthier lifestyle habits can make a real difference. […] Here are a few areas to focus on: Diet: A balanced, nutritious diet helps regulate your body’s systems and prevent headaches triggered by poor nutrition or blood sugar fluctuations. […] Since stress is a major player in the chronic headache game, learning how to manage it effectively is key. […] Here are some popular strategies: Meditation and Mindfulness: Taking a few minutes each day to focus on your breathing, clear your mind, or meditate can help reduce stress and muscle tension. […] Let’s get this out of the way first—medicine can be helpful, but it’s essential to approach it wisely. […] Preventive medications: These are taken regularly to prevent headaches from occurring.

• #56 Dealing with Chronic Daily Headaches: Treatment and Coping Strategies – Chiro Studio

  https://chirostudiococoa.com/dealing-with-chronic-daily-headaches-treatment-and-coping-strategies/

  Even with treatment, managing chronic daily headaches is an ongoing process. […] Here are some tried-and-true strategies to help make daily life more manageable: Rest in a Dark, Quiet Room: Light and sound can be particularly harsh when you’re in the throes of a headache, especially a migraine. […] Managing chronic daily headaches often requires a multifaceted approach that includes a combination of medical treatments, lifestyle changes, and effective coping strategies. […] Exploring therapies such as chiropractic care, stress management, dietary adjustments, and posture correction may further alleviate discomfort and improve your overall quality of life.

• #57 Chronic Headaches – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK559083/

  Treatment and management of chronic headache disorders depend upon the underlying etiology and may require an interprofessional approach. […] The patient should maintain a headache journal documenting their headache episodes and any accompanying triggers. If found, stressors should be avoided or minimized. […] Management of patients with chronic headaches will require the efforts of an interprofessional healthcare team. […] Nurses and psychologists can assist team management by teaching lifestyle changes, mental health supervision, drug overuse detoxification, and medication use recommendations.

• #58 Chronic Headaches – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK559083/

  Treatment and management of chronic headache disorders depend upon the underlying etiology and may require an interprofessional approach. […] The patient should maintain a headache journal documenting their headache episodes and any accompanying triggers. If found, stressors should be avoided or minimized. […] Management of patients with chronic headaches will require the efforts of an interprofessional healthcare team. […] Nurses and psychologists can assist team management by teaching lifestyle changes, mental health supervision, drug overuse detoxification, and medication use recommendations.

• #59 Frequent Headaches: Evaluation and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2020/0401/p419.html

  About 30% to 50% of patients who develop chronic headaches have MOH, which is defined as headache on 15 or more days per month in a patient with preexisting primary headache, developing as a consequence of regular overuse of acute or symptomatic headache medication for more than three months. […] A comprehensive management plan requires pharmacologic and nonpharmacologic interventions, attention to inciting and exacerbating factors, advice on healthy lifestyle, attention to comorbid conditions, and education for patients and family members on headache management. […] Patients with frequent headaches require both prophylactic and acute pharmacologic treatment. […] Guidelines stress that behavioral and physical therapies should be integrated with pharmacologic treatment of frequent headaches, but patient access may be limited, and evidence-based guidance is sparse. […] Regularly scheduled follow-up is necessary to monitor the patient’s headache pattern and make adjustments to the management plan.

• #60 Headache & Migraine: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

  https://www.nursetogether.com/headache-migraine-nursing-diagnosis-care-plan/

  Headaches are a common nuisance that many people experience at one time or another, often due to stress, poor sleep, illness, or other causes. Headache disorders affect approximately 40% of the global population and are under-recognized and under-treated. […] It is essential to identify the type of headache the patient is experiencing for effective treatment. […] The nurse supports the patient and their treatment regimen through education and follow-up. […] Nursing interventions and care are essential for the patients recovery. […] Reducing symptoms and offering supportive care should be the main goals of treatment for primary headaches. Advise the patient to follow up with a neurologist or primary care physician for both preventive and therapeutic measures. […] Patients can learn to manage stress and tension with solutions such as: Deep breathing exercises, Muscle relaxation, Visualization techniques, Music therapy, Yoga, Regular exercise.

• #61 Frequent Headaches: Evaluation and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2020/0401/p419.html

  Most frequent headaches are typically migraine or tension-type headaches and are often exacerbated by medication overuse. […] A complete history is essential to identify the most likely headache type, indications of serious secondary headaches, and significant comorbidities. […] Medication overuse headache should be suspected in patients with frequent headaches. […] For the underlying headache, an individualized evidence-based management plan incorporating pharmacologic and nonpharmacologic strategies is necessary. […] Regular scheduled follow-up is important to monitor progress. […] An estimated 2% to 4% of U.S. adults have chronic headaches, and more than 30% of these report daily symptoms. […] Addressing medication overuse may be the most important intervention for increasingly frequent headaches.

• #62 Frequent Headaches: Evaluation and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2020/0401/p419.html

  About 30% to 50% of patients who develop chronic headaches have MOH, which is defined as headache on 15 or more days per month in a patient with preexisting primary headache, developing as a consequence of regular overuse of acute or symptomatic headache medication for more than three months. […] A comprehensive management plan requires pharmacologic and nonpharmacologic interventions, attention to inciting and exacerbating factors, advice on healthy lifestyle, attention to comorbid conditions, and education for patients and family members on headache management. […] Patients with frequent headaches require both prophylactic and acute pharmacologic treatment. […] Guidelines stress that behavioral and physical therapies should be integrated with pharmacologic treatment of frequent headaches, but patient access may be limited, and evidence-based guidance is sparse. […] Regularly scheduled follow-up is necessary to monitor the patient’s headache pattern and make adjustments to the management plan.

• #63 Frequent Headaches: Evaluation and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2020/0401/p419.html

  About 30% to 50% of patients who develop chronic headaches have MOH, which is defined as headache on 15 or more days per month in a patient with preexisting primary headache, developing as a consequence of regular overuse of acute or symptomatic headache medication for more than three months. […] A comprehensive management plan requires pharmacologic and nonpharmacologic interventions, attention to inciting and exacerbating factors, advice on healthy lifestyle, attention to comorbid conditions, and education for patients and family members on headache management. […] Patients with frequent headaches require both prophylactic and acute pharmacologic treatment. […] Guidelines stress that behavioral and physical therapies should be integrated with pharmacologic treatment of frequent headaches, but patient access may be limited, and evidence-based guidance is sparse. […] Regularly scheduled follow-up is necessary to monitor the patient’s headache pattern and make adjustments to the management plan.

• #64 Chronic daily headaches – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/chronic-daily-headaches/diagnosis-treatment/drc-20370897

  Chronic daily headaches can interfere with your job, your relationships and your quality of life. […] Commit yourself to living a full, satisfying life. Work with your doctor to develop a treatment plan that works for you. […] A counselor or therapist offers support and can help you manage stress. Your therapist can also help you understand the psychological effects of your headache pain. […] You’re likely to start by seeing your family doctor or a general practitioner. However, you may be referred to a headache specialist. […] Keep a headache journal, including when each headache occurred, how long it lasted, how intense it was, what you were doing immediately before the headache started, and anything else notable about the headache. […] To ease your headache pain until you see your doctor, you might: Avoid activities that worsen your headaches.

• #65 Chronic daily headaches // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/chronic-daily-headaches

  Taking care of yourself might help ease chronic daily headaches. […] Treatment for an underlying condition often stops frequent headaches. If no such condition is found, treatment focuses on preventing pain. […] For many people, complementary or alternative therapies offer relief from headache pain. […] Chronic daily headaches can interfere with your job, your relationships and your quality of life. […] You’re likely to start by seeing your family doctor or a general practitioner. However, you may be referred to a headache specialist.

• #66 Chronic headaches: Five things families should know – Boston Children’s Answers

  https://answers.childrenshospital.org/chronic-headaches-five-things-families-should-know/

  Multidisciplinary care for chronic headaches can also involve treating associated disabilities and comorbidities that can occur with chronic pain, such as anxiety and depression. […] Unfortunately, there’s no quick fix for chronic headaches in kids. A multidisciplinary approach can be extremely beneficial, but it won’t eliminate head pain overnight. Families can expect lot of education, conversations with clinicians, and even homework, such as assignments to safely incorporate exercise and tips for managing stress. Follow-up appointments occur over months and even years.

• #67 Chronic headaches: Five things families should know – Boston Children’s Answers

  https://answers.childrenshospital.org/chronic-headaches-five-things-families-should-know/

  Multidisciplinary care for chronic headaches can also involve treating associated disabilities and comorbidities that can occur with chronic pain, such as anxiety and depression. […] Unfortunately, there’s no quick fix for chronic headaches in kids. A multidisciplinary approach can be extremely beneficial, but it won’t eliminate head pain overnight. Families can expect lot of education, conversations with clinicians, and even homework, such as assignments to safely incorporate exercise and tips for managing stress. Follow-up appointments occur over months and even years.

• #68 Chronic daily headaches – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/chronic-daily-headaches/diagnosis-treatment/drc-20370897

  Your doctor will likely examine you for signs of illness, infection or neurological problems and ask about your headache history. […] Our caring team of Mayo Clinic experts can help you with your chronic daily headaches-related health concerns Start Here. […] Treatment for an underlying condition often stops frequent headaches. If no such condition is found, treatment focuses on preventing pain. […] Prevention strategies vary, depending on the type of headache you have and whether medication overuse is contributing to your headaches. […] When you’re ready to begin preventive therapy, your doctor may recommend: Antidepressants. Tricyclic antidepressants such as nortriptyline (Pamelor) can be used to treat chronic headaches. […] The use of one drug is preferred, but if one drug doesn’t work well enough, your doctor might consider combining drugs.

• #69 Chronic headaches: Five things families should know – Boston Children’s Answers

  https://answers.childrenshospital.org/chronic-headaches-five-things-families-should-know/

  Multidisciplinary care for chronic headaches can also involve treating associated disabilities and comorbidities that can occur with chronic pain, such as anxiety and depression. […] Unfortunately, there’s no quick fix for chronic headaches in kids. A multidisciplinary approach can be extremely beneficial, but it won’t eliminate head pain overnight. Families can expect lot of education, conversations with clinicians, and even homework, such as assignments to safely incorporate exercise and tips for managing stress. Follow-up appointments occur over months and even years.

• #70 Chronic Headaches – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK559083/

  Treatment and management of chronic headache disorders depend upon the underlying etiology and may require an interprofessional approach. […] The patient should maintain a headache journal documenting their headache episodes and any accompanying triggers. If found, stressors should be avoided or minimized. […] Management of patients with chronic headaches will require the efforts of an interprofessional healthcare team. […] Nurses and psychologists can assist team management by teaching lifestyle changes, mental health supervision, drug overuse detoxification, and medication use recommendations.

• #71 Chronic Daily Headache: Diagnosis and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2014/0415/p642.html

  Chronic daily headache is defined as the presence of a headache on 15 days or more per month for at least three months. The most common types of chronic daily headache are chronic migraines and chronic tension-type headaches. […] Several prophylactic treatments for chronic daily headache can reduce headache frequency and severity, as well as improve overall quality of life. Nonpharmacologic treatments include relaxation techniques, cognitive behavior therapy, acupuncture, osteopathic manipulation, and cervical exercises. Pharmacologic therapies include amitriptyline, gabapentin, onabotulinumtoxinA, propranolol, tizanidine, topiramate, and valproate. […] All patients with chronic daily headache should be counseled about medication overuse, which can complicate the course of the headache.

• #72 Frequent Headaches: Evaluation and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2020/0401/p419.html

  About 30% to 50% of patients who develop chronic headaches have MOH, which is defined as headache on 15 or more days per month in a patient with preexisting primary headache, developing as a consequence of regular overuse of acute or symptomatic headache medication for more than three months. […] A comprehensive management plan requires pharmacologic and nonpharmacologic interventions, attention to inciting and exacerbating factors, advice on healthy lifestyle, attention to comorbid conditions, and education for patients and family members on headache management. […] Patients with frequent headaches require both prophylactic and acute pharmacologic treatment. […] Guidelines stress that behavioral and physical therapies should be integrated with pharmacologic treatment of frequent headaches, but patient access may be limited, and evidence-based guidance is sparse. […] Regularly scheduled follow-up is necessary to monitor the patient’s headache pattern and make adjustments to the management plan.

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