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.

Treatment and Resource Options

1. 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.
2. Medication Management
   • Acute Treatments: These help stop (abort) an attack after it has started. Prescription medications such as triptans, NSAIDs, or acetaminophen are used early to treat headache attacks.
   • Preventive Medications: Medications such as beta-blockers, antidepressants, anti-seizure drugs or CGRPs to reduce or prevent the frequency and severity of headache.
   • Injections such as nerve blocks or botulinum toxin.
3. Lifestyle and Behavioral Interventions
   • Education: Veterans receive information on contributing factors and self-management techniques.
   • Stress Management: Techniques such as cognitive-behavioral therapy (CBT) or mindfulness practices may be offered.
   • Diet and Exercise Guidance: Recommendations on dietary changes and exercise routines that may help alleviate symptoms.
4. Physical Therapy & Alternative Therapies
   • Some veterans may benefit from physical therapy to address any underlying musculoskeletal issues contributing to headache attacks.
   • Acupuncture and Chiropractic Care: Some VA facilities may offer complementary treatments like acupuncture or chiropractic care.
   • Massage Therapy: May be available to help relieve tension.
   • Neuromodulation: relieving pain by altering nerve activity
5. 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.
6. 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.
7. Integrated Care Approaches
   • Coordination between different specialties, such as mental health and pain management, provide a holistic approach to treatment.