Treating headaches. A conceptual framework.
BACKGROUND
Similar medications are effective in migraine and muscle contraction headache therefore the term recurrent headache is used to cover the spectrum of classic migraine and muscle contraction headache.


OBJECTIVE
The concept of a threshold to headache triggers is proposed. Treatment for chronic headaches is directed at raising the threshold or removing triggers.


CONCLUSIONS
The most important factors that lower the threshold to headaches are hormones, mood and sleep disturbance. Therapeutic strategies for raising the threshold and treatment of the acute headache are discussed.
Horne
M
M
Neuroscience program, Monash Medical Centre, Clayton, Vic.
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008487:Medical History Taking; D008875:Middle Aged; D008881:Migraine Disorders / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D011247:Pregnancy; D018781:Tension-Type Headache / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control