For medication overuse headache, stopping medication overuse is key. Please go to the ”dealing with medication overuse” section in the detailed treatment modules on this website.
The treatment of chronic migraine is basically similar to that of migraine. For more information, see the detailed treatment modules which deal with lifestyle, specific migraine triggers, symptomatic medication, and prophylactic medication. It is also important to avoid the pitfalls of medication overuse, so see the medication overuse module.
Like migraine, chronic tension type headaches are often helped by prophylactic medications like amitriptyline and nortriptyline. Similar medications are also used for new daily persistent headache. However, the treatment of all these chronic daily headache syndromes is difficult and complicated, and requires that patients work carefully with their doctor.]]>
So, if you have headache on 15 days a month or more and your doctor is confident that you do not have a “secondary headache” due to a structural cause or some other serious underlying illness, then you likely have one of the above syndromes. Of course, things are not quite that simple. Some people with cluster headache will develop chronic cluster headaches. These people will also have headache every day or almost every day. The tip off here is that the cluster headache attacks are severe but short, with individual headache attacks lasting less than three hours, even though several attacks may occur during a single day. Cluster headache attacks are always one sided, and there is often associated redness and/or tearing of the eye on the side of the headache. Another possible cause of daily head pain is a problem with the upper neck and cervical spine, especially after an injury. It is controversial just how often this causes daily headache. If your doctor suspects this as a cause for your headaches because of the results of your physical examination, further tests can be done. Often, physiotherapy is a good place to start in terms of treatment.
Head injuries can also cause a daily headache syndrome.]]>