Practice Current: How do you diagnose and treat post-concussive headache?

Area of Science:

• Neurology
• Sports Medicine
• Public Health

Background:

• Headaches are a frequent and debilitating complaint following concussion.
• Significant uncertainty exists regarding the optimal evaluation and management of post-concussion headaches.
• Varied clinical approaches and lack of consensus complicate patient care.

Purpose of the Study:

• To gather global expert opinions on the evaluation and management of headaches after concussion.
• To compare expert consensus with readership survey data on this topic.
• To inform best practices for addressing post-concussion headaches.

Main Methods:

• A global survey of experts in concussion management was conducted.
• An online survey was distributed to readers to gather broader opinions.
• Results from both surveys were compiled and analyzed.

Main Results:

• Expert opinions and reader survey data reveal diverse approaches to concussion headache management.
• Key areas of debate include neuroimaging necessity, treatment strategies, and patient counseling.
• Consensus is lacking on several critical aspects of post-concussion headache care.

Conclusions:

• There is a need for standardized guidelines for evaluating and managing headaches post-concussion.
• Further research and consensus-building are required to optimize patient outcomes.
• Addressing patient concerns and managing expectations are crucial components of care.