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Headache management in general practice

Marina Mesina and Francesco Carelli
British Journal of General Practice 2008; 58 (549): 283. DOI: https://doi.org/10.3399/bjgp08X279913
Marina Mesina
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Francesco Carelli
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Reading David PB Watson1 and David Kernick,2 we are really impressed by the strong similarities between the UK and Italian situation in this field.

As a neurologist working in a headache centre (out-patients service) in Milan, and a GP with teaching roles, we agree of course with all the theoretical statements by Watson (90% primary headache, no need for imaging in most cases, etcetera), and also with the complaint about limited GPs' interest and participation in headache patients' care and follow-up.

We have just one remark to add: for a correct diagnosis, a careful history is very important, but what is also useful is a neurological examination (and maybe a fundus of the eye examination). Both could be performed by a skilled GP, and only in some cases may require a specialist consultation.

Also for follow-up, GPs, being closer to their patients than specialists, could obtain easier careful registration for the course of headache attacks, and could prevent medication abuse.

  • © British Journal of General Practice, 2008.

REFERENCES

  1. ↵
    1. Watson D
    (2008) Easing the pain: challenges and opportunities in headache management. Br J Gen Pract 58(547):77–78.
    OpenUrlFREE Full Text
  2. ↵
    1. Kernick D,
    2. Stapley S,
    3. Hamilton W
    (2008) GPs' classification of headache. Br J Gen Pract 58(547):102–104.
    OpenUrlAbstract/FREE Full Text
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British Journal of General Practice: 58 (549)
British Journal of General Practice
Vol. 58, Issue 549
April 2008
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Headache management in general practice
Marina Mesina, Francesco Carelli
British Journal of General Practice 2008; 58 (549): 283. DOI: 10.3399/bjgp08X279913

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Headache management in general practice
Marina Mesina, Francesco Carelli
British Journal of General Practice 2008; 58 (549): 283. DOI: 10.3399/bjgp08X279913
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