A treatment plan has its own importance important for any individual who is the chronic headache sufferers.Because each type of headache has different treatment methods that can be effectual in treating headache pain.It is not sure that two patients that describe their headache pain the same way can necessarily find relief from the same headache treatment. It is always demanding a process of trial and error to find out effective treatment options.
Table of Content
Kinds of Headache
- Hemicrania continua
- Primary stabbing headaches
- Medication overuse headache
- Chronic paroxysmal hemicrania
Hemicrania continua is a one-sided headache that can be felt like a migraine pain by someone.
Individual with hemicrania continua describe a dull ache or throb that’s interrupted by pain that is:
These attacks usually happen 3 to f5 times in a day.
Some anti-inflammatory medications ease hemicrania continua headaches. Indomethacin (Such as Indocin, Tivorbex a nonsteroidal anti-inflammatory drug (NSAID) can give you fast relief. May be a doctor will be able to know that you have hemicrania continua is if your headaches go away after a dose of the drug. However, some people may require more testing, such as an MRI – to find out its rout causes.
Amount of dose of indomethacin for hemicrania continua is typically starts from the range of 25 to 150 milligrams a day.
2-Primary stabbing headaches
It is kind of pain which is for few seconds and can occur several times throughout the day. Although primary stabbing headache occurs a few times a day at most, however in rare cases, it may occur more frequently, requiring treatment
Melatonin or indomethacin may be very effective for prevention of primary stabbing headache.
3.Chronic paroxysmal hemicrania’s
Chronic paroxysmal hemicrania (CPH) is a unique headache syndrome which is known as indomethacin responsive headaches. This pain is similar to cluster headache but is less common. Actually, some authors have labeled CPH as atypical cluster headache
Indomethacin, a nonsteroidal anti-inflammatory drug, is the first-line treatment for this pain and amount of 25 mg or 50 mg orally 3 times a day is typically effective for preventing attacks in CPH. Indomethacin is useful for preventing headaches in paroxysmal hemicrania, hemicrania continua, primary cough headache, and primary stabbing headache. Peri cranial nerve blocks do not appear to be effective in treating chronic paroxysmal hemicrania.
4.Medication overuse headache
Medication overuse headaches is the pain which occur from overusing pain medications for headaches for at least three months. These headaches occur at least 15 day
Symptoms and signs of its may differ according to the type of original headache being treated and the medication used.
• This type of pain occurs every day or nearly every day, often waking you in the early morning
• Improve with pain relief medication but and return whenever your medication wears off
There is no method to judge how to treat MOH, and we lack evidence from sufficiently powered randomized clinical trials (RCTs) to recommend one specific treatment approach.
Tertiary care centers usually report high rates of treatment success, however generalizability of these results is questionable owing to selection of patients with high motivation.
Side effect of Drugs.
A common side effect of the drug is irritation of the lining of the stomach and digestive tract, who may be faced by patient. So, individual who take it may also need medication to help their stomach make less acid.
Some potential side effects include heartburn, nausea, gastroesophageal reflux, bleeding problems and stomach ulcers also can be faced by individuals while adopting that type of treatment for getting relief.
Those individuals who do need to use indomethacin for prevention should remember that it is a non-steroidal anti-inflammatory drug (NSAID) and it has also a potential side effects typically associated with NSAIDs.
One of the most indispensable aspect of treating headaches is figuring out your triggers.Once you have come to know your triggers, your healthcare provider can tailor treatment according to it. For instance, you can get headaches when you are tense or worried. Counseling and stress management techniques may help you handle this trigger better. By lowering your stress level, you can avoid stress-induced your headaches.