Do you know what chronic headaches are? No, this is not a frequent migraine and non-chronic tension headache, although these diseases are related to the pathology of interest. Chronic pain in the head syndrome is characteristic of a whole group of diseases and is the most common cause of long-term disability, depression and deadaption.
Content
Chronic headache, or how it otherwise is called physicians Chronic daily headache (Hegb) occurs in 2-4% of people on earth, and 5-6 times more often in women than in men. Practical doctors are familiar with such patients. Gradually and imperceptibly to complaints, a sad face, reflecting full dissatisfaction with life, involuntarily get used to, and sometimes you even start to perceive these suffering as weakness or bad character trait. Indeed, unless you can assume that without any reason, and, despite a bunch of drugs taken, someone has a headache every day, and at the same time no surveys and analyzes reveal pathologies? But maybe! And such a pathology is called «Chronic daily headache».
When diagnosed with Hegb syndrome?
The diagnosis of chronic daily headache syndrome (Hegb) is exhibited if the head hurts at least 4 hours a day, within 6 days a week, at least 15 days a month and at least 6 months a year.
It should be immediately said that among all chronic pain syndromes, Hegb is diagnosed especially difficult. Undoubtedly, initially headache was acute, and was associated with tension, migraine, drug intake and other specific reasons. Then, due to some special causes, the bouts of headaches became frequent, almost daily, less intense, ceased to relocate to the usual drugs. What was the impetus for such a manifestation, and what kind of headache put the beginning of Hegb, sometimes it is not possible to identify, although it is precisely this fact, like knowledge of the clinic, makes noticeably facilitates the treatment of chronic headaches.
In 75% of cases, Hegb precedes migraine, which is then transformed into a chronic form, the migraine attacks are rapidly, the pain weakens, becomes bilateral, practically disappear Aura and other vegetative manifestations. The cause of the transformation of a headache in chronic form is most often abused by antimi-breeding drugs, lubricating clinic. Treatment of chronic pain will be in this case aimed at reducing the dose of drugs and a complete refusal of them.
Often Hegb is taken for chronic tension headache. Indeed, they are in many ways similar and in 15% of cases it is the headache of the voltage goes to Hegb. But putting the sign of equality between diseases incorrectly, very often causes and factors causing pain gain different, and chronic headache therapy will have its own characteristics.
In the remaining 10% of the clinics and treatment of chronic pain correspond to the following forms of pathology: abusive headaches, paroxysmal migraine, persistent headache, hemicranous headache, post-traumatic headache and cervicogenic headaches.
Chronic Pain Syndrome Clinic
Hegb has long been under the close attention of scientists, has studied enough and its clinic. Treatment of chronic pain in the head is based on the manifestations of the syndrome, very specific and different from other types of headaches.
What are the manifestations of Hegb, and what is different, for example, chronic daily headache from stress or migraine pain?
- The pain is monotonous (50%), pulsating (29%) character or squeezes head like helmet (13%).
- Headache captures the whole head, in contrast to migraine having one-sided character. Only some sections of more intensive pain can be distinguished.
- Moderate pain, in contrast to migraine and headache, therefore, the peculiarity of the treatment of chronic headaches is the refusal of potent drugs.
- The pain is intensified during overwork, stress, cutting head, lack of sleep, nutrition disorders, taking alcohol, weather shifts and weakens after rest and sleep, which distinguishes it from headache of tension and is taken into account in the treatment and prevention of chronic headaches.
- Chronic headache accompany vegetative and emotional violations, depression and complaints against respiratory disorders, cardiac activity and digestion disorder, which sometimes makes it difficult for the diagnosis and selection of treatment.
