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Chronic daily headache is a common
problem reported by children and adults.
The causes are multiple. Treatment with
dugs can make the problem worse rather
than better. The best approach is to
locate and remove the cause.
There are two common patterns of
headache:
-
Tension headaches
-
Migraine headaches
Tension
headaches are associated with increased
neck, scalp, and facial muscle tone and
tenderness. The muscle tension and
soreness is an effect of the underlying
biochemical cause of the pain and not a
cause of it. Many patients have mixed
headache patterns, with "tension"
headaches occurring more often than
their sick, migraine headaches.
Migraine
Features:
-
Severe throbbing head pain often on
one side.
-
Associated with nausea and sometimes
vomiting
-
Light sensitivity (photophobia)
- Odor
sensitivity (osmophobia)
According to Family Practice ( Jan 12
1998;36) fewer than half of migraine
suffers seek help from their physicians.
In Canada, it is estimated that 27 of
100 lost work days is due to migraine
headaches at an annual cost of $500
million per year.
Migraines
can begin in children and affect females
more than males. The average age of
onset is 20 and most people have 15 to
20 years of headaches before they
disappear. New headaches starting
after the age of 45 should not be
considered migraine until all other
causes have been ruled out. Some women
have "premenstrual migraine" and only
experience headaches days before and
during their periods.
Better than drugs... why not remove the
original cause of headaches?
Analgesic Headaches
Kossoff
suggested that over 50% of chronic daily
headache is thought to be secondary to
overuse of analgesics such as
acetaminophen, aspirin, ibuprofen,
naproxen, ergotamine, triptans, and
caffeine. Withdrawal of the offending
analgesic is a well-established
treatment for medication-overuse
headache.
See
Medication-Overuse Headache in Children:
Is Initial Preventive Therapy Necessary?
From the Journal of Child Neurology
Medscape Posted 04/11/2006 Eric H.
Kossoff, MD; Dhwani N. Mankad, MPH, MBBS
Migraines can begin in children and affect females more than males. The average age of
onset is 20 and most people have 15 to 20 years of headaches before they disappear. New
headaches starting after the age of 45 should not be considered migraine
until all other
causes have been ruled out. Some women have "premenstrual migraine" and only
experience headaches days before and during their periods.
Better than drugs... why not remove the original food causes of
migraine headaches?
Headache Rescue |