The long and winding road: the journey taken by headache sufferers in search of help

Primary Health Care Research & Development
Paul T G DaviesManjit Matharu

Abstract

AimTo outline the pathways a cohort of first attendees to our headache clinics had taken over the years in search of explanations and treatment for their headaches. To establish a greater awareness of the shortcomings and failures in their medical journey in the hope that better headache management will emerge in primary care. BACKGROUND: At first attendance in primary care most headache sufferers will not receive a firm diagnosis. Treatments provided are often ineffective and so many patients embark on a somewhat random self-made journey searching for a remedy. If they reach a Headache Clinic the most common diagnoses are 'chronic migraine' and 'medication overuse headache'. They are either no better or worse than when their headaches first started despite their efforts. METHOD: We undertook a prospective questionnaire-based study of over 200 patients on first attendance at each of our headache clinics, three based in District General Hospitals and one in a tertiary referral centre. We documented the patients' headache characteristics, the 'burden' of their headaches, functional handicap and the financial costs incurred seeking help before referral. We also documented what our patients understood about their headache disorder ...Continue Reading

References

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Citations

Feb 18, 2020·Neurology and Therapy·Machaon BonafedeStephen Silberstein
Aug 17, 2019·The Journal of Headache and Pain·Mario Fernando Prieto PeresRaimundo Pereira Silva-Neto
Jun 13, 2020·Journal of Neurology·Daniëlle L van de GraafSteffen C Pauws
Dec 29, 2020·Headache·Alice R PressmanRichard B Lipton
Jul 23, 2021·The Journal of Headache and Pain·Timothy J SteinerUNKNOWN Lifting The Burden: the Global Campaign against Headache
Oct 23, 2020·Irish Journal of Medical Science·Kinley RobertsSinéad M Murphy
Aug 6, 2021·Clinical Neurology and Neurosurgery·Maria KhanYasmine Kamal

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Methods Mentioned

BETA
prophylactic therapy

Software Mentioned

GPwSI

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