‘Miscellaneous’ pain
The frequency and diversity of presentation of headache symptoms is almost universal. Most if not all
people develop headache at some time, but the presence and persistence of chronic, episodic or frequent
headache remains a difficult problem in pain management.
The pattern of presentation of headache, its frequency and clinical features, are assessed during initial
consultation and appropriate investigations assist in providing a working diagnosis and management plan.
Investigations may be necessary to exclude more serious causes of symptoms.
The most common headache types such as acute and chronic migraine,
chronic whiplash injury with cervicogenic headache, cluster headache
and tension related symptoms require different regimen of therapy and management to obtain
the best results in each individual.
Management will often involve a combination of therapies including physical mobilization,
medication and interventions especially in associaton with cervicogenic symptoms (neck related
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