In this lecture in the chronic pain mcn series, dr michael mckenzie describes how to diagnose and manage headache in the primary care setting. he covers red. Objective to increase the use of evidence informed approaches to diagnosis, investigation, and treatment of headache for patients in primary care. quality of evidence a comprehensive search was conducted for relevant guidelines and systematic reviews published between january 2000 and may 2011. the guidelines were critically appraised using the agree (appraisal of guidelines for research and.
Diagnosis and investigation of secondary headache dis orders and the management of cervicogenic headache and temporomandibular joint disorder. the guideline will be helpful to a range of primary health care profes sionals, including family physicians, physical therapists, occupational therapists, nurses, nurse practitioners,. Headache is a common presentation in primary care, but assessment and treatment can be complex. this article provides an overview of the current guidelines on diagnosis and management of headache and migraine, with an emphasis on a patient centred approach. Observations primary headache disorders are defined as headaches that are unrelated to an underlying medical condition and are categorized into 4 groups: migraine, tension type headache, trigeminal autonomic cephalalgias, and other primary headache disorders. studies evaluating prevalence in more than 100 000 people reported that tension type headache affected 38% of the population, while. Figure 2. a flow chart for diagnosing migraine in primary care. a headache history and physical exam are the first step in diagnosing migraine, followed by screening for red flags of secondary headache. likely headache types in primary care can be differentiated by asking about headache duration, features, and frequency.
Observations primary headache disorders are defined as headaches that are unrelated to an underlying medical condition and are categorized into 4 groups: migraine, tension type headache, trigeminal autonomic cephalalgias, and other primary headache disorders. studies evaluating prevalence in more than 100 000 people reported that tension type headache affected 38% of the population, while. Figure 2. a flow chart for diagnosing migraine in primary care. a headache history and physical exam are the first step in diagnosing migraine, followed by screening for red flags of secondary headache. likely headache types in primary care can be differentiated by asking about headache duration, features, and frequency. Notably, none of our interviewees described primary care as an important pipeline for headache referrals. primary care initially treats the majority of people with migraine and tension type. Headache is consistently one of the most common complaints reported by patients in the medical setting worldwide. headache can be a symptom of another condition or illness, secondary to the disruption of homeostasis, or can be a primary disorder with inherent variability and patterns. headache disorders, whether primary or secondary, can cause significant disability and loss of quality of life.
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