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Chronic headache refers to headache occurring on 15 or more days per month for more than three months.
Quick Answer
Chronic headache refers to headache occurring on 15 or more days per month for more than three months. Dr. Jitendra Prasad Yadav (NMC 8029, 15+ years of clinical experience) evaluates chronic headache at Kathmandu Neurology Clinic & Cognitive Center, Durbar Marg, Opposite of Yak & Yeti Hotel, Kathmandu 44600, Nepal — evidence-based, medically reviewed.
Chronic headache often evolves from episodic forms and may involve multiple contributors, including migraine, tension-type features, sleep, mood, and medication overuse. A headache diary and careful medication review are central to assessment.
History, examination, and headache diary review. Evaluation focuses on headache frequency, characteristics, and triggers; investigations are guided by red flag assessment.
Management addresses underlying headache type, medication overuse when present, lifestyle factors, and individualized preventive considerations with follow-up.
Management is individualized and discussed with benefits, limitations, and follow-up.
Consistent sleep schedule, hydration, regular meals, managing medication use, and regular follow-up.
Frequency may improve with systematic evaluation of types, contributors, and individualized planning, but outcomes vary.
Using pain medication on 10+ days per month can trigger daily headache. Reduction or cessation under medical supervision may help break this cycle.
Imaging is not routine for chronic daily headache. It is considered if red flags are present (sudden worsening, new features, neurologic deficits) or if examination raises concerns.
Yes; sleep deprivation, poor sleep quality, and sleep disorders are common contributors. Addressing sleep may reduce headache frequency.
A diary records headache days, severity, associated features, triggers, and medication use. Patterns guide diagnosis and help track response to management changes.
Often transformation of episodic migraine or tension-type headache, plus medication overuse, sleep/mood factors, and multiple contributors coexisting.
Headache on 15+ days per month, variable severity, sometimes migrainous features, neck tightness, fatigue, and concentration difficulty.
Via history, examination, and headache diary review focusing on frequency, characteristics, and triggers. Investigations are guided by red-flag assessment.
By addressing the underlying headache type, medication overuse, lifestyle factors, and individualized preventive considerations with follow-up.
When headache occurs on 15+ days per month, requires pain medication most days, or abruptly worsens — especially with new systemic or neurologic symptoms.
Comprehensive neurological assessment for headache, dizziness, numbness, weakness, and other nerve and brain-related concerns.
Systematic evaluation of headache patterns, triggers, red flags, and associated symptoms to guide appropriate care.
Care for frequent or daily headache presentations, with attention to underlying contributors and medication factors.
Migraine is a neurological condition characterized by recurrent headache episodes, often with nausea, sensitivity to light or sound, and sometimes aura.
Tension-type headache is a common primary headache, often described as pressure or tightness around the head.
Cluster headache causes severe unilateral pain with autonomic features, occurring in clusters of attacks.
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Reviewed by Dr. Jitendra Prasad Yadav • Last reviewed: 2026-09-04
Authoritative external references:
Content is educational and aligns with standard medical references; individual evaluation may vary. External links provide context and do not imply endorsement.
Doctor — medically reviewed
Dr. Jitendra Prasad Yadav
Consultant Neurologist & Headache Specialist • MBBS, MD (Internal Medicine), FICN (Neurology), FCNV, FIHM • NMC 8029
This condition guide was medically reviewed by Dr. Jitendra Prasad Yadav.
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Emergency
For sudden neurologic change, thunderclap headache, or seizure >5 min, seek emergency services now.