Rule out secondary headache when diagnosing a primary headache disorder
Neuroimaging is not indicated in patients with recurrent headache with the clinical features of migraine, normal neurologic examination findings, and no red flags
Neuroimaging, sinus or cervical spine x-ray scans, and electroencephalograms are not recommended for the routine assessment of patients with headache: history and physical and neurologic examination findings are usually sufficient to make a diagnosis of migraine or tension-type headache
Migraine is by far the most common headache type in patients seeking help for headache from physicians
Migraine is historically underdiagnosed and undertreated; many patients with migraine are not diagnosed with migraine when they consult a physician
Migraine should be considered in patients with recurrent moderate or severe headaches and normal neurologic examination findings
Patients consulting for bilateral headaches that interfere with their activities are likely to have migraine rather than tension-type headache and might require migraine-specific medication
Consider a diagnosis of migraine in patients with a previous diagnosis of recurring “sinus” headache
Medication overuse is considered to be present when patients with migraine or tension-type headache use combination analgesics, opioids, or triptans on ≥ 10 d/mo or acetaminophen or NSAIDs on ≥ 15 d/mo
Comprehensive migraine therapy includes management of lifestyle factors and triggers, acute and prophylactic medications, and migraine self-management strategies
A substantial number of people who might benefit from prophylactic therapy do not receive it
