Abstract
Headache is an almost universal experience, afflicting patients of any age or characteristic, although it is reported to be particularly frequent in young adults. Nearly 60% of men and 76% of women aged 12 to 29 years report at least one headache within any 4-week period.1 The societal costs of headache are enormous but can be estimated only indirectly in terms of days lost from work or school, expenditures on medical services, and consumption of nonprescription medications. The total burden of suffering due to this symptom, including disruption of relationships and loss of normal activities, is incalculable. Although headache is given as the principal reason for more than 10 million physician office visits per year2 and is consistently found to be one of the most frequent presenting complaints in family practice,3 it is important to realize that most headache episodes are not brought to medical attention.
Keywords
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Diamond S, Feinberg DT. The classification, diagnosis and treatment of headaches. Med Times 1990;118:15–27.
National Ambulatory Medical Care Survey: 1991 Summary. Hyattsville, MD: Centers for Disease Control and Prevention/National Center for Health Statistics, 1994:21. DHSS Report No. (PHS)94–177.
Strayhorn G. Headache. In: Sloane PD, Slatt LM, Curtis P, editors. Essentials of family medicine. 2nd ed. Baltimore: Williams & Wilkins, 1993:185–93.
Olesen J. Understanding the biologic basis of migraine. N Engl J Med 1994;331:1713–4.
Appenzeller O. Pathogenesis of migraine. Med Clin North Am 1991;75:763–89.
Silberstein SD. Office management of benign headache. Postgrad Med 1996;93:223–40.
O’Dowd TC. Five years of heartsink patients in general practice. BMJ 1988;297:528–30.
Graham JR. Headaches. In: Noble J, editor. Textbook of primary care medicine. 2nd ed. St. Louis: Mosby, 1996:1283–319.
McWhinney IR. A textbook of family medicine. New York: Oxford University Press, 1989.
Headache Classification Committee of the International Headache Society. Classification and diagnostic criteria for all headache disorders, cranial neuralgias and facial pain. Cephalgia 1988;8(S7):1–96.
Clough C. Non-migrainous headaches [editorial] BMJ 1989; 299:70–2.
Diamond S, Dalessio DJ, editors. The practicing physician’s approach to headache. 5th ed. Baltimore: Williams & Wilkins, 1992.
Becker L, Iverson DC, Reed FM, et al. Patients with new headache in primary care: a report from ASPN. J Fam Pract 1988;27:41–7.
Prager JM, Mikulis DJ. The radiology of headache. Med Clin North Am 1991;75:525–44.
NIH Consensus Development Panel. Computer tomographic scanning of the brain. In: Proceedings from NIH Consensus Development Conference, NIH, Bethesda. Washington DC: Government Printing Office, 1982:4:2.
Silberstein SD, Lipton RB. Overview of diagnosis and treatment of migraine. Neurology 1994;44 Suppl 7:56–16.
Raskin NH. Headache. 2nd ed. New York: Churchill Livingstone,1988.
Blau J. Migraine: theories of pathogenesis. Lancet 1992;339: 1202–7.
Smith R. Chronic headaches in family practice. J Am Board Fam Pract 1992;5:589–99.
Lance JW. Treatment of migraine. Lancet 1992;393:1207–9.
Cady RK, Shealy CN. Recent advances in migraine management. J Fam Pract 1993;36:85–91.
Tfelt-Hansen P, Henry P, Mulder LJ, et al. The effectiveness of combined oral lysine acetylsalicylate and metoclopramide compared with oral sumatriptan for migraine. Lancet 1995;346:923–6.
Walling AD. Cluster headaches. Am Fam Physician 1993;47: 1457–63.
Kudrow L. Diagnosis and treatment of cluster headache. Med Clin North Am 1991;75:579–94.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1998 Springer Science+Business Media New York
About this chapter
Cite this chapter
Walling, A.D. (1998). Headache. In: Taylor, R.B., David, A.K., Johnson, T.A., Phillips, D.M., Scherger, J.E. (eds) Family Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-2947-4_63
Download citation
DOI: https://doi.org/10.1007/978-1-4757-2947-4_63
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4757-2949-8
Online ISBN: 978-1-4757-2947-4
eBook Packages: Springer Book Archive