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Updated: Apr 12, 2026

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Chronic daily headache.

Natalia Murinova1, Daniel Krashin2

  • 1Headache Clinic, Department of Neurology, University of Washington, 1959 Northeast Pacific Street, Seattle, WA, USA.

Physical Medicine and Rehabilitation Clinics of North America
|May 9, 2015
PubMed
Summary

Chronic daily headache (CDH) management requires realistic goals focused on improving function, not complete headache elimination. A correct diagnosis and multimodal treatment plan are key to improving well-being for most CDH patients.

Keywords:
Chronic daily headacheChronic migraineChronic posttraumatic headacheChronic tension-type headacheMedication overuse headache

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Area of Science:

  • Neurology
  • Headache Medicine

Background:

  • Chronic daily headache (CDH) presents significant treatment challenges.
  • Comorbidities like fatigue, depression, anxiety, and insomnia complicate CDH management.
  • Unrealistic patient expectations can hinder treatment adherence and lead to frustration.

Purpose of the Study:

  • To emphasize the importance of realistic treatment goals in managing chronic daily headache.
  • To highlight the role of accurate diagnosis and multimodal treatment plans.
  • To underscore the potential for improved function and well-being in CDH patients with comprehensive care.

Main Methods:

  • Review of treatment challenges and goal-setting in chronic daily headache.
  • Analysis of the impact of comorbidities on treatment adherence.
  • Emphasis on diagnostic accuracy and multimodal therapeutic strategies.

Main Results:

  • Achieving a headache-free status is often an unrealistic goal for CDH patients.
  • Effective treatment focuses on improving patient function and overall well-being.
  • Multimodal treatment plans, based on correct diagnosis, lead to improvement in most cases.

Conclusions:

  • Setting realistic expectations is crucial for successful chronic daily headache management.
  • Comprehensive, multimodal treatment plans are essential for improving patient outcomes.
  • Focusing on functional improvement and well-being enhances adherence and success in CDH treatment.