What is the approach to managing a patient presenting with headache?

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Last updated: August 22, 2025View editorial policy

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Approach to Headache Management

The initial approach to headache management should focus on distinguishing between primary and secondary headache disorders through careful history, physical examination, and targeted neuroimaging when red flags are present. 1, 2

Initial Assessment

History Taking

  • Key questions to ask:
    • Character of pain: dull, aching, throbbing, piercing, squeezing
    • Location: unilateral, bilateral, frontal, occipital, behind the eyes
    • Duration: hours, days, continuous
    • Associated symptoms: nausea, vomiting, photophobia, phonophobia, visual disturbances
    • Triggers: foods, stress, weather, hormonal changes, alcohol
    • Timing patterns: frequency, time of day, awakening from sleep
    • Current medications and response to treatments
    • Family history of headaches 1

Physical Examination

  • Complete neurological examination
  • Vital signs with special attention to blood pressure
  • Head and neck examination for tenderness, masses, or stiffness
  • Fundoscopic examination 1, 2

Red Flags Requiring Urgent Evaluation

Identify these concerning features that suggest secondary headache:

  • Sudden onset, "thunderclap" headache
  • New headache after age 50
  • Progressively worsening headache pattern
  • Headache worsened by Valsalva maneuver or exertion
  • Headache that awakens patient from sleep
  • Neurological deficits or altered mental status
  • Fever, neck stiffness, or rash
  • History of cancer, HIV, or immunosuppression
  • Recent head or neck trauma 3, 4

Diagnostic Testing

Neuroimaging

  • Indications for neuroimaging:

    • Presence of any red flags
    • Unexplained abnormal neurological examination
    • Atypical features or headache that doesn't meet criteria for primary headache
    • New onset in older persons
    • Progressively worsening headache 1, 5
  • Type of imaging:

    • CT scan: for acute presentations, suspected hemorrhage
    • MRI: for detailed evaluation of brain parenchyma, posterior fossa 2

Additional Testing

  • Lumbar puncture: when meningitis or subarachnoid hemorrhage is suspected
  • Blood tests: CBC, ESR, CRP when inflammatory conditions are suspected 2

Management of Primary Headache Disorders

1. Migraine

  • Acute treatment:

    • First-line: NSAIDs, acetaminophen, or combination with caffeine for mild-moderate attacks
    • Second-line: Triptans (e.g., sumatriptan) for moderate-severe attacks
      • Caution: Contraindicated in coronary artery disease, uncontrolled hypertension, and Wolff-Parkinson-White syndrome 6
    • Antiemetics for associated nausea
  • Preventive treatment indications:

    • Two or more attacks per month with disability lasting 3+ days
    • Failure of or contraindication to acute treatments
    • Use of acute medications more than twice weekly
    • Uncommon migraine conditions (hemiplegic migraine, prolonged aura) 1
  • Preventive options:

    • Beta-blockers
    • Anticonvulsants (topiramate, valproate)
    • Antidepressants (amitriptyline, fluoxetine)
    • CGRP antagonists 1

2. Tension-Type Headache

  • Acute treatment: NSAIDs, acetaminophen
  • Preventive treatment: Amitriptyline, stress management, physical therapy

3. Cluster Headache

  • Acute treatment:

    • High-flow oxygen (100% at 12-15 L/min via non-rebreathable mask)
    • Triptans (subcutaneous sumatriptan 6mg or intranasal zolmitriptan 10mg) 7
  • Preventive treatment:

    • Galcanezumab
    • Noninvasive vagus nerve stimulation 7

Prevention of Medication Overuse Headache

  • Limit acute headache medication use to no more than 2 days per week
  • Monitor for increasing headache frequency in patients using acute medications
  • Consider preventive therapy in patients at risk for medication overuse
  • Educate patients about the risk of rebound headaches with frequent medication use 1

Follow-up and Referral

  • Consider referral to neurology or headache specialist when:
    • Diagnosis is uncertain
    • Treatment fails despite adequate trials
    • Complex comorbidities exist
    • Chronic migraine is suspected (≥15 headache days/month for >3 months) 1

Common Pitfalls to Avoid

  • Failing to recognize red flags suggesting secondary headache
  • Overuse of neuroimaging in typical primary headache presentations
  • Inadequate dosing or premature discontinuation of preventive medications
  • Failure to address medication overuse
  • Missing the diagnosis of chronic migraine (only 20% of patients meeting criteria are correctly diagnosed) 1, 8

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Headache Disorders: Differentiating Primary and Secondary Etiologies.

Journal of integrative neuroscience, 2024

Research

The Cost-Effective Evaluation of Uncomplicated Headache.

The Medical clinics of North America, 2016

Guideline

Cluster Headache Management

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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