LYCOS RETRIEVER 
Headache: Patients
built 633 days ago
Laboratory and imaging test results are generally normal; ... if an abnormality is found, it most likely is not the cause of the headache. Similarly, physical and neurologic examination results also are usually normal, but abnormalities found are not related to the headache. During the headache, however, cluster and migraine patients may have some abnormal clinical findings, and many patients with tension-type headache will have demonstrable tightness in the cervical muscles, with limitation of neck motion and/or scalp tenderness.
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"Clinicians intuitively use information about headache-related disability in formulating treatment plans but often don't ask about it," Stewart explained. "Patients don't volunteer information about disability because they don't know it's important. As a consequence, this communication gap about migraine-related disability creates a treatment gap."
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If a headache is due to an underlying condition, the neurologic or systemic problem should be treated and the headache will resolve. Most patients with tension-type, migraine or cluster headache will need to be treated with medication. Some patients, particularly those with tension-type headaches may benefit from relaxation techniques or biofeedback training if stress is an important factor. Physical therapy may ... decrease chronic neck pain if due to increased cervical muscle spasm or postural abnormalities.
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Modern methods of diagnosis and treatment enable physicians and psychologists today to help about 90 percent of chronic headache patients, according to the director of a major U.S. headache clinic. These methods are based on years of scientific research. New research should lead to even more advanced techniques of headache management.
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The founder and director of the DALLAS HEADACHE ASSOCIATION is Dr Stuart B Black, a neurologist who has had extensive clinical experience in the treatment of headache and related neurological conditions. Working with Dr Black is a team of experienced professionals ... dedicated to implementing the most effective treatment for each headache patient.
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Diagnosing a headache is like playing Twenty Questions. Experts agree that a detailed question-and-answer session with a patient can often produce enough information for a diagnosis. Many types of headaches have clear-cut symptoms which fall into an easily recognizable pattern.
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