Headache, chronic daily

Chronic daily headache is a very common problem.

Diagnosis is based on the following:

• Each headache lasts for 4 hours or more
• Recurrs over 15 days a month
• Affecting over 4% of adults
• Woman are affected more common than male

Subtypes

• Chronic migraine
• Chronic tension headache
• Medication overuse headache
• Hemicrania continua
• plus many other variety

Treatment

Chronic migraine

• Life style modification
• Avoid migraine trigger
• Needs preventive migraine treatment
• Very common to have other health issues: Mood disorder, panic disorder, anxiety disorder, fibromyalgia, sleep disorder

Chronic tension headache

• Needs preventive treatment
• Behavioral therapy

Medication overuse headache

• withdraw of offending medications
• preventive treatment of underlying headache