Assessment of Chronic Daily Headache
What do you know about the assessment of chronic daily headache? What kind of examination will you have if you suffer with chronic daily headache? In relation with the questions, we will reveal the answers for you through this article.
Headache is a common disorder with a lot of possible causes. As we have written in our previous article about chronic daily headache, it can be separated into primary disorders, such as cluster, migraine and tension-type headaches that account for majority of cases, while secondary headaches, such as aneurysm, meningitis, or those due to tumor are rarely happen.
Assessment of Chronic Daily Headache Patients
If you are a chronic daily headache patient, you will be asked a lot of questions in order to review your health history and have a thorough physical examination.
In relation with the questions, headache specialists rely on specific diagnosis of headache type which can be determined by conducting a structured interview. Nevertheless, we will keep our focus on the physical examination of chronic daily headache as the beginning.
Physical examination of chronic daily headache should include palpation of the neck muscles and scalp. This can be tender in patients who suffer with chronic daily headache.
Putting moderate pressure on patient’s occipital notch just medial to the patient’s ear often reproduces the head pain. Patients who suffer with pain in their occipital notch might become excellent candidates for an occipital nerve block.
Presence of any focal neurologic abnormalities shall prompt thought of neuroimaging studies.
Neuroimaging might be useful for patients who suffer with non-acute headache and an unexplained abnormal finding on neurologic examination. Patients who suffer with atypical headache or those who do not satisfy strict criteria of migraine may become candidates for neuroimaging as well.
In a separate action, neuroimaging is typically not warranted in migraine patients with normal neurologic findings.
A lot of chronic daily headache sufferers will not benefit of having computed tomography (CT) or magnetic resonance imaging (MRI). In some cases, however, such examinations might be useful in easing their fear that an organic lesion exists. After being convinced that the scan results are negative, they might find that their pain remits impulsively.
Neuroimaging may also be used in chronic daily headache sufferers whose headache patterns varies in frequency, clinical features, or severity.
Hence, assessment of chronic daily headache can be a complex procedure. Nevertheless, providing adequate time to obtain a comprehensive history and conduct a thorough physical examination in a bid to characterize the headache as precisely as possible could save time and frustration in defining the best treatment and management.
As an added information, careful attention by the doctors or physicians to patients’ description regarding to their problems could be very reassuring after patients have spent a lot of times searching for any relief.
You should consult with your doctor and other health care professionals to get a better knowledge and information about Assessment of Chronic Daily Headache.
Kindly bear in mind, this article is not solely intended as the only source of information about Assessment of Chronic Daily Headache.