Enhancing the health of Canadians by fostering excellence in chiropractic care

Guideline
Scope & Purpose
Outcomes
Care Pathways

Care Pathway for the Management of Chronic Tension-type Headaches

Adults with chronic tension-type headaches (>6 months duration)

Including:

  • All injured adults with chronic tension type headaches 

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At initial contact, educate and reassure the patient. Patients greatly improve their recovery by actively participating in their care. 

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Adults with chronic tension-type headaches

Conduct an appropriate clinical evaluation

Risk factors for serious pathologies?

No

Other conditions?

No

Poor prognostic factors?

No

Offer information on nature, management, course of chronic tension-type headaches as a framework for initiation of a program of care

Is treatment required?

Yes

Management of Symptoms

 

Based on shared decision making between the patient and provider, any one of the following therapeutic interventions is recommended:

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Yes

Yes

No

Refer to appropriate services

Go to appropriate clinical care pathways and co-manage

Discharge

Adjust modifiable prognostic factors

Yes

Is the person recovered?

Yes

Discharge

No

  1. Incomplete recovery: refer to physician

  2. Major symptom change (new or worsening physical, mental or psychological symptoms): refer to physician

Literature search updated April 2015