HEADACHES – burden
Headache is a very common problem in both adults and children but continues to be neglected. Recurrent headaches interfere with normal functioning and can impair family, social and sex life.
Globally, it has been estimated that prevalence among adults of current headache disorder (symptomatic at least once within the last year) is about 50%.
In the Global Burden of Disease Study, updated in 2013, headaches were the third highest cause of disability while migraine was found to be the sixth common cause.
Headaches are classified into primary and secondary.
SNOOP pneumonic for identifying life-threatening headaches
Systemic symptoms and signs
Neurological symptoms and signs
Onset in thunderclap presentation
Onset after 50 yrs, change in the pattern of headache
Papilledema ,precipitated by exercise, Valsalva etc.
Stages of migraine
Triggering Points of Migraine:
A trigger is any event, change, external stimulus or physical act which seems to result in migraine. Triggers are different in each patient and may also vary from time to time in the same person. Triggers can be identified by maintaining migraine dairy. Common triggers include,
Management of migraine:
Migraine is not curable, but headaches are manageable.
Treatment includes LIFESTYLE MODIFICATION
AVOIDING MIGRAINE TRIGGERS
MAINTAINING MIGRAINE DAIRY
COMPLIANCE TO MEDICATIONS
MEDICATIONS – ACUTE AND PREVENTIVE CARE.