Does your patient have other conditions (e.g. physical or mental health conditions or co-morbidities)?
Physical conditions: shoulder pain, back pain
Mental health conditions: depression, anxiety
Co-morbidities: diabetes, heart disease
Adults with chronic tension-type headaches
Conduct an appropriate clinical evaluation
Risk factors for serious pathologies?
Poor prognostic factors?
Offer information on nature, management, course of chronic tension-type headaches as a framework for initiation of a program of care
Is treatment required?
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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Refer to appropriate services
Go to appropriate clinical care pathways and co-manage
Adjust modifiable prognostic factors
Is the person recovered?
Incomplete recovery: refer to physician
Major symptom change (new or worsening physical, mental or psychological symptoms): refer to physician
Literature search updated April 2015