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Headache management in a Veteran population: First considerations.
1Headache Center of Excellence, Central Virginia VA Health Care System, Richmond, Virginia.
Journal of the American Association of Nurse Practitioners
|November 12, 2020
Summary
Post-9/11 combat Veterans experience high rates of chronic daily headache (CDH) and chronic migraine (CM), significantly impacting their quality of life. This review focuses on examination, contributing factors, and treatments for these debilitating headache disorders in Veterans.
Area of Science:
- Neurology
- Public Health
- Military Medicine
Background:
- Headache disorders affect nearly half the population, with tension-type headaches being most common.
- Chronic daily headache (CDH) and chronic migraine (CM) are less prevalent but more disabling, affecting 3% of the general population.
- CDH/CM rates are disproportionately high (≥20%) in the post-9/11 combat Veteran population.
Purpose of the Study:
- To review physical examination techniques for Veterans with headache disorders.
- To discuss contributing factors and comorbid conditions associated with headaches in Veterans.
- To provide an overview of current treatment options for CDH/CM, particularly in post-9/11 combat Veterans.
Main Methods:
- Literature review of physical examination for headache disorders.
- Analysis of contributing factors and comorbidities in Veteran headache patients.
- Synthesis of current treatment strategies for chronic daily headache and chronic migraine.
Main Results:
- Veterans, especially post-9/11 combat Veterans, exhibit elevated prevalence of CDH/CM.
- Over 380,000 Veterans under 50 received headache care in 2017, primarily from primary care providers.
- Physical examination, contributing factors, comorbidities, and treatment options are crucial for managing Veteran headaches.
Conclusions:
- Post-9/11 combat Veterans face a significant burden of chronic daily headache and chronic migraine.
- Comprehensive management requires thorough physical examination, consideration of comorbidities, and tailored treatment approaches.
- Addressing these specific needs is vital for improving the health and well-being of the Veteran population.
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