Chronic Daily Headache

Diagnosis:

  • >15 days per month for >6 months.
Subtypes:

Chronic tension type headache
Chronic migraine (see under migraine)
Transformed migraine: chronic daily headache that has evolved from migraine not meeting criteria for chronic migraine. Believed to be the late stage of chronic migraine.

Treatment:

Behavioural psychotherapy
Physical therapy for myofascial symptoms
Consider trigger point botulinum toxin injection or occipital nerve block
Prevention & acute treatment for underlying headache: migraine or tension

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