Headache in the Tropics: India

  • K. Ravishankar
Reference work entry


Headache management in the Tropics is somewhat different from what prevails in the Temperate zones primarily because of the many regional factors that impact a primary headache disorder like migraine. There are different geographical factors, different environmental problems and different cultural attitudes. The aim of this chapter is to try and appraise a worldwide audience of these factors that influence headache prevalence and treatment in the Tropics.

India with a population of 1.2 billion is the second most populous country in the world and is located in the Tropics to the north of the equator. Some of the epidemiological studies on headache from this region have been detailed. Medication overuse headache is not so common in India as in the West. Barriers to care have been divided into those that are patient-related, physician-related and regional. Overpopulation, low literacy levels, low income, growing urbanization, different triggering factors and nonavailability of latest treatment options are some of the more important regional problems. Alongside are listed the efforts needed to overcome these barriers.

Special measures are therefore required to tackle the burden of headache in India. Addressing these issues will also go a long way to providing headache relief in other Tropical regions where similar conditions prevail and where more than 40% of the world population lives.


Migraine Patient Chronic Daily Headache Secondary Headache Medication Overuse Headache Headache Management 
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Copyright information

© Lifting The Burden 2011

Authors and Affiliations

  1. 1.The Headache and Migraine ClinicJaslok Hospital and Research Centre, Lilavati Hospital and Research CentreMumbaiIndia

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