Our treatment strategy is similar to the one we use for chronic migraine.  Patients with chronic daily headache often respond better compared to those with chronic migraine, but otherwise we use a personalised combination of the drugs available.

For chronic daily headaches due to tension headaches, physiotherapy may play a greater part in your treatment.  Treatment is personalised to each individual patient and to their particular pattern of chronic headaches. This approach is very successful and most patients find that their symptoms improve significantly; many patients report that they become virtually symptom free.

In the few patients who do not respond well, we continue investigations and try different treatments and combinations of medication to try to at least reduce headache frequency and severity.