Primary care doctors are familiar with normal headache presentations, but post-concussive headaches can be multifactorial. Some physicians, usually neurologists, specialize in the medical management of headaches. In addition, the expertise of a multidisciplinary team can provide insights into the potential causes as well as a range of treatment options.
Post-traumatic headache can be a major culprit in delayed recovery, but it is not a diagnostic label. Knowing pre-existing headache causes and frequency will enable you to determine the origin of the patient’s post-traumatic headache. A persistent headache may be unrelated to the mTBI. It could result from a neck injury, for example. Knowing the headache type (cervicogenic pain, occipital neuritis
, migraine, tension headache, or vision-related) will help you treat it.