If you’re struggling with primary or secondary headache, you should reach out to your local VA healthcare provider for personalized assessment and treatment options. The VA aims to provide comprehensive care tailored to the individual needs of veterans.

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Comprehensive Evaluation

Neurological Assessment: Veterans typically undergo an assessment first by a primary care practitioner to identify the type and severity of their headache. At this visit it will be determined whether the treatment is best provided at that office, or if a referral to a specialist and broader team is needed.

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Medication Management

Medication management for headache attacks involves two main categories: acute and preventive treatments. Acute treatments are designed to stop an attack once it has begun and typically include prescription medications such as triptans, nonsteroidal anti-inflammatory drugs (NSAIDs), or acetaminophen, which are taken early in the course of a headache attack. In contrast, preventive medications aim to reduce the frequency and severity of headache attacks. This category encompasses a range of drugs, including beta-blockers, antidepressants, anti-seizure medications, and CGRP inhibitors. Additionally, injections like nerve blocks or botulinum toxin can be used for preventive purposes.

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Lifestyle and Behavioral Interventions

As part of a holistic approach to managing headache attacks, lifestyle and behavioral interventions play a crucial role. This includes education, where veterans learn about factors contributing to their headache attacks and acquire self-management techniques. Stress management is also emphasized, with techniques like cognitive-behavioral therapy (CBT) or mindfulness practices often being offered. Diet and exercise guidance provides recommendations on beneficial dietary changes and exercise routines to help alleviate symptoms.

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Physical Therapy & Alternative Therapies

In addition to traditional medical approaches, veterans experiencing headache attacks may find relief through various complementary and alternative therapies. Physical therapy can address musculoskeletal issues that contribute to headache, while some VA facilities offer acupuncture and chiropractic care. Massage therapy may also be available to help alleviate tension. Furthermore, neuromodulation, which works by altering nerve activity, can be used to relieve pain.

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Patient Education and Support Groups

VA facilities often provide resources for education about managing headache, as well as support groups for veterans dealing with chronic pain.

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Telehealth Services

Many VA services are available through telehealth, allowing veterans to consult with healthcare providers remotely, which can be particularly helpful for managing chronic conditions.

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Integrated Care Approaches

Coordination between different specialties, such as mental health and pain management, provide a holistic approach to treatment.