Chronic Post-Traumatic Headache (CPTH)

While most post-traumatic head and neck pain improves within days to weeks after injury, prolonged pain – known as chronic post-traumatic headache (CPTH) - afflicts millions.

Non-Pharmacological Treatment
Lifestyle adjustment including sleep regulation, avoidance of trigger activities, discontinuation of nicotine and alcohol, and regular appropriate exercise should be stressed. Relaxation techniques, including thermal and myographic biofeedback, imagery, and hypnotherapy have proven helpful for many patients.
Most patients also have features of the Post-Concussive Syndrome (PCS):

Symptoms of Post-Concussion Syndrome:
Headache, Neck pain, Vertigo, imbalance, dizziness
Mood disorders
- irritability, anger outbursts, depression, mania
Anxiety
Cognitive and attentional changes
Sleep dysfunction
Chronic fatigue
Vision disturbances (blurred, photophobia)
Sexual dysfunction

The evaluation and management of patients with CPTH must be individualized and comprehensive. The majority of patients will spontaneously improve within 6 months. The remainder can still be helped by a symptom-based approach that is both competently applied and compassionate.

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