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Chronic Daily Headache

  • Roger K. CadyEmail author
  • Kathleen Farmer
Chapter

Abstract

  • Chronic daily headache (CDH) is a descriptive term encompassing many different headache conditions.

  • It is easier to prevent CDH than to treat it. Prevention includes:
    • Establish a clear diagnosis early in the natural history of the headache pattern.

    • Set measurable goals of treatment and outcome.

    • Provide limits for acute medication usage.

    • Start preventive medications earlier rather than later.

    • Encourage patients to participate as partners in their headache care.

    • Follow the patient’s progress over time.

  • In evaluating patients with CDH, look for various mechanisms that may be involved in driving the headache process.

  • Address the patient with an interdisciplinary comprehensive approach rather than a linear approach when appropriate.

  • Non-pharmacological interventions are the foundation of treatment, not an afterthought when the patient is not compliant with medications.

  • Most CDH patients have a good prognosis and are rewarding to treat.

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Director, Headache Care CenterSpringfieldUSA
  2. 2.Headache Care CenterSpringfieldUSA

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