Chronic Daily Headache Treatment
What is Chronic Daily Headache?
Chronic daily headache is a broad definition that includes any headache that occur for at least 15 days in a month, over at least a three-month period. This can include many different types of headache, including; cluster headaches, paroxysmal hemicrania and SUNCT  However, the most common types of chronic daily headache are; Chronic Tension-Type Headache, New Persistent Daily Headache, Chronic Migraine and Hemicrania Continua [2, 1] It has been reported that Chronic Daily Headache is experienced by 4-5% of the population, which would account for 30-80% of headaches in the Gold Coast area .
Chronic Tension Type Headache
Chronic Tension Type Headache is classified as a mild-moderate headache, that is felt on both sides of the head. It is often described as feeling like a tightening or pressing around the head, as opposed to the pulsating pain that is commonly associated with migraine.
New Daily Persistent Headache
New Daily Persistent Headache is similar to Chronic Daily Tension-Type Headaches, however they occur to people that have had no prior history of headaches. Generally, the headache will become constant, or near constant, within three days of the onset of the first headache. Similarly, to Chronic Daily Tension-Type Headaches, these headaches are often described as a tightening and pressing sensation, and not a pulsating pain.
Chronic Migraine usually is a progression of episodic migraine, that worsens over time to become more persistent. These migraines may have gone untreated, or may have progressed naturally over time. Migraine pain is usually experienced on one side of the head, but may switch sides during an attack or appear on a different side of the head between different attacks. The pain is usually described as a throbbing and pulsating pain that is moderate-severe in nature
Hemicrania Continua typically affects one-side of the head but will be side-locked and not switch sides. People who experience these headaches will have moderate pain throughout the whole day, with more severe spikes intermittently. It is also possible for people to experience other symptoms with Hemicrania Continua, such as; swollen or droopy eyelids, eye redness, blocked or runny nose and watery eyes. Some symptoms associated with migraines can occur, such as nausea and sensitivity to light, sound and smell
So, what causes Chronic Daily Headache?
The most recent research suggests that Chronic Daily Headache results from problems in the upper cervical spine (C1-3). These patients have been shown to have an ‘up-regulated’ Trigemino-cervical Nucleus (TCN) as part of a sensitised brain stem.  This sensitised brainstem then interprets information coming from nerves in the neck incorrectly, sending pain to the head. This pain, referred from a sensitised brainstem, is what sufferers of Chronic Daily Headache are experiencing.
I’ve done it all, is there anything else that can help me?
It isn’t uncommon for Chronic Daily Headache sufferers to have tried most treatments or therapies available, often with very limited success. A big reason why this is the case, is because most practitioners don’t attempt to identify the cause of your headaches. At The Headache & Migraine Clinic, we use the experience that we have gathered from seeing countless patients with Chronic Daily Headache, and we utilize the most current and up-to-date research to assess, treat and correctly diagnose your headaches. By assessing the joints in your upper cervical spine and the using techniques to determine the level of sensitivity in your brainstem, we can determine if this is the cause of your chronic daily headache.
If this is the case, then we can start treatment right then and there. Our treatment technique doesn’t involve any medication or surgery and is completely non-invasive. We expect that results will be rapid, and be seen within the first 6 sessions, as it is with 85-90% of our patients.
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