Care Pathway for the Management of Chronic Tension-type Headaches

Assess the prognostic factors

 

Assess the prognostic factors for delayed recovery. Most patients recover from their injury. Patients with the following prognostic factors may have a higher risk for delayed recovery:

  • depression

  • passive coping strategies

  • job dissatisfaction

  • high disability levels

  • disputed compensation claims 

  • somatization

Does the patient have poor prognostic factors?

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No

No

No

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

Discharge

Yes

Yes

Discharge

No