Treatment of headache pain

Cephalic extremity pain (migraine, tension-type headache or other) are among the most common pain conditions and is one of the main reasons for presentation to the doctor. 

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Headache has a major impact on quality of life and is one of the main reasons for self-medication. The disease is defined as a sensation of localized pain in the head, but in practice by means discomfort headache skull region. Headache is often accompanied by other symptoms: nausea, vomiting, anorexia, photophobia (sensitivity to light), phonophobia (sensitivity to noise), and difficulty in speech and sleep disorders. Sometimes it may appear blurred vision, diarrhea, abdominal cramps, facial pallor, feeling hot or cold, and coldness of extremities.

Migraine headache is a family character, regular topography frequently unilateral, throbbing, which begins in childhood, adolescence or early adulthood, decreasing in frequency with the age, type associated with autonomic phenomena. Migraine is about 10% of all headaches, with frequency between 4% and 9% in men and between 12% and 25% in women.

After the current classification of the International Society for the Study of Headache, migraine are recognized in several forms: migraine without aura (common migraine or hemicrania plain), migraine with aura (typical migraine with aura, migraine with aura prolonged familial hemiplegic migraine, basilar migraine, Headache migraine with aura without migraine, migraine with aura suddenly) Headache syndromes of childhood periodic (are precursors of migraine), migraine, retinal complications of migraine, probable migraine. Out of migraine, migraine without aura is 80%. Among migraineurs, only 28% have the classic form of migraine with aura. Many alternative and crises can develop without aura.

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The crisis is characterized clinically by migraine headache without demonstrable organic cause, sudden onset, topography frequently unilateral deep fronto-parietal pulsatile with paroxysmal exacerbations, accompanied by photophobia, nausea and vomiting, sometimes with anxiety, asthenia, anorexia or transit disorders. Migraine attack lasts between 4 hours and 72 hours and often terminates after a deep sleep. Severe attacks of headache are often pulsating nature and associated with vomiting and sensitivity to the scalp.

Studies have shown that, currently, 36% of migraine sufferers require specialist medical advice about necessary treatment, 45% believe that they no longer need to seek the advice of a physician, and 19% were not addressed never a specialist for this health problem.

Presentation to the doctor is necessary because it must first determine the form of headache; treatment is different for each form of headache.

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