Diagnosis and Treatment of Headache. Tension-Type Headache Algorithm.

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Source: Institute for Clinical Systems Improvement (ICSI). Diagnosis and treatment of headache. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2007 Jan. 72 p. Diagnosis and Treatment of Headache Tension-Type Headache Algorithm The patient would enter this algorithm from box 18 of the Diagnosis Algorithm. Tension-type headache A = Annotation Patient meets criteria for tension-type headache? A Return to Diagnosis algorithm Does patient currently have a headache? Acute treatment: *Acetaminophen. *Aspirin. *NSAIDs. *Midrin. *Adjunctive therapy. A Consider referral. Out of guideline. Is patient candidate for prophylactic treatment? Therapy successful? Adjunctive therapy 62, 66 *Stress management. *Physiotherapy. Prophylactic treatment: *Amitriptyline. *Other TCAs. *Venlafaxine XR. *Tizanidine. *Adjunctive therapy. A Therapy successful? *Consider other acute or prophylactic treatment. *Reconsider diagnosis. *Consider medication overuse. *Consider specialty referral. Continue therapy All copyrights are reserved by the Institute for Clinical Systems Improvement, Inc.