• Anne D. Walling


Headache is an almost universal experience. Few individuals claim never to have suffered from headache; conversely, more than 40% of North American adults have experienced severe headache1 and up to 10% of this population report headache as a severe, recurrent, and periodically disabling symptom.2 Headaches are most prevalent among young adults. Nearly 60% of men and 76% of women aged 12 to 29 years report headache within any 4-week period.3 Although most headaches are not brought to medical attention, the condition still leads more than 40 million Americans to consult physicians annually4 and is the seventh leading presenting complaint in ambulatory care settings.3 Family practice studies consistently find headache to be one of the most frequently presented problems.5 The costs of headache, including expenditure on treatments and investigations and the disruption of personal and family life style, are enormous. Many of these costs are hidden. Headache is the single largest cause of lost work days in the United States—some 155 million work days annually.6


Cluster Headache Migraine Attack Migraine Patient Headache Patient Secondary Headache 


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  1. 1.
    Raskin NH. Headache. 2nd ed. New York: Churchill Livingstone, 1988.Google Scholar
  2. 2.
    Hansotia P. Evaluation and treatment of headache. Postgrad Med 1986;79: 75–84.PubMedGoogle Scholar
  3. 3.
    Diamond S, Feinberg DT. The classification, diagnosis and treatment of headaches. Med Times 1990;118:15–27.Google Scholar
  4. 4.
    Greer T, Katon W, Christman N, et al. Headache and chronic pain in primary care. J Fam Pract 1988;27:477–82.PubMedGoogle Scholar
  5. 5.
    Baker RM. Headache. In Sloane PD, Slatt LM, Baker RM, editors. Essentials of family medicine. Baltimore: Williams & Wilkins, 1988:112–17.Google Scholar
  6. 6.
    Diamond S. Treatment of chronic headache. Postgrad Med 1987;81:91–96.PubMedGoogle Scholar
  7. 7.
    O’Dowd TC. Five years of heartsink patients in general practice. BMJ 1988; 297:528–30.PubMedCrossRefGoogle Scholar
  8. 8.
    Graham JR. Headaches. In: Noble J, editor. Textbook of general medicine and primary care. Boston: Little, Brown, 1987:1521–60.Google Scholar
  9. 9.
    McWhinney IR. A textbook of family medicine. New York: Oxford University Press, 1989.Google Scholar
  10. 10.
    International Headache Society. Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalgia 1988;8 (Suppl7):l-96.Google Scholar
  11. 11.
    Diamond S, Dalessio DJ, editors. The practicing physician’s approach to headache. 4th ed. Baltimore: Williams & Wilkins, 1986.Google Scholar
  12. 12.
    Gunderson CH, editor. Essentials of clinical neurology. New York: Raven Press, 1990.Google Scholar
  13. 13.
    Dalessio DJ, editor. Wolffs headache and other head pain. 5th ed. New York: Oxford University Press, 1987.Google Scholar
  14. 14.
    Becker L, Iverson DC, Reed FM, et al. Patients with new headache in primary care: a report from ASPN. J Fam Pract 1988;27:41–47.PubMedGoogle Scholar
  15. 15.
    NIH Consensus Development Panel. Computer tomographic scanning of the brain. In: Proceedings from NIH Consensus Development Conference, NIH, Bethesda. Washington, DC: Bethesda. 1982;4:2.Google Scholar
  16. 16.
    Blau JN. Migraine: theories of pathogenesis. Lancet 1992;339:1202–7.PubMedCrossRefGoogle Scholar
  17. 17.
    Lance JW. Treatment of migraine. Lancet 1992;393:1207–9.CrossRefGoogle Scholar
  18. 18.
    Bateman X. Sumatriptan. Lancet 1993;341:221–4.PubMedCrossRefGoogle Scholar
  19. 19.
    Kunkel RS. Abortive treatment of migraine. In: Diamond S, editor. Migraine headache prevention and management. New York: Marcel Dekker, 1990:45–55.Google Scholar
  20. 20.
    Walling A. Drug prophylaxis for migraine headaches. Am Fam Physician 1990;42:425–32.PubMedGoogle Scholar
  21. 21.
    McKenna JP. Cluster headaches. Am Fam Physician 1988;37:173–8.PubMedGoogle Scholar
  22. 22.
    Walling AD. Cluster headaches. Am Fam Physician 1993;47:1457–63.PubMedGoogle Scholar
  23. 23.
    Clough C. Non-migrainous headaches [editorial]. BMJ 1989;299:70–72.PubMedCrossRefGoogle Scholar
  24. 24.
    Kunkel RS. Tension-type (muscle-contraction) headaches: evaluation and treatment. Mod Med 1989;57:60–68.Google Scholar
  25. 25.
    Elkind AH. Muscle contraction headache. Postgrad Med 1987;81: 203–17.PubMedGoogle Scholar

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© Springer Science+Business Media New York 1996

Authors and Affiliations

  • Anne D. Walling

There are no affiliations available

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