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I get headaches daily, what do I suffer from?

Chronic Daily Headache Treatment

Chronic daily headaches can be categorised as having daily headaches for at least 15 days per month. According to the International Headache Society, approximately 4.1% of the population will suffer from chronic daily headaches. These individuals normally have extreme difficulty concentrating for long periods of time due to persistent symptoms.

At the Sydney Headache and Migraine Clinic, we see a number of patients with chronic daily headaches and we witness remarkable progress in 90% of these patients within the first 5 treatments over 3 weeks.

We take pride in our medication-free, surgery-free, and non-invasive approach to chronic daily headache treatment.

Understanding Your Symptoms

What are the common symptoms of Chronic Daily Headache?

The duration of chronic daily headache last for at least four hours a day. It can lead to significant stresses to quality of life due to the frequency and duration of the symptoms.

Those with this condition have extreme difficulty in concentrating due to persistent symptoms.

Different types of Chronic Daily Headache

In order to be classified as a chronic daily headache, headaches must be symptomatic for more than 15 days, over three months.

Four common types of chronic daily headaches include: Chronic Tension-Type Headache; New Daily Persistent Headache; Chronic Migraine; and Hemicrania Continua.

A man experiencing a Migraine

Understanding Your Chronic Daily Headache

What causes Chronic Daily Headache?

Chronic Daily Headache is a result of the upper cervical spine and brain stem, located in the top section of your neck, becoming sensitive. In Chronic daily headache patients, the brainstem will be sensitised which causes an ‘up-regulation of the trigeminal cervical nucleus’. This will result in the pain being transmitted into the head via the trigeminal nerve. The referral pain is then experienced by patients as a chronic daily headache. All headaches are multi-factorial, meaning there are many factors that may be contributing to your symptoms and we need to consider your lifestyle, occupation, medication overuse and postural position when finding your daily triggers.

About The Assessment Stage

What To Expect During The Assessment


1. Comprehensive and in-depth examination

We instigate an in-depth assessment to identify all possible related factors that could be causing your headaches or migraines. The upper cervical spine, in particular, is thoroughly examined to identify possible issues.



2. Ligamental stability and vertebral arterial tests

We undertake careful examination of neck ligaments and vertebral arteries, ensuring only the highest standards of patient safety and comfort.


3. Temporarily reproduce your headache and migraine symptoms

As a part of the treatment process, we apply gentle and selective stress to the upper cervical spine in order to reproduce headache symptoms, which subside after 20-30 seconds. This helps to identify and treat the cause of your headaches.

More Information about Chronic Daily Headache Types

Chronic Tension Type Headache

Chronic tension type headache is classified as headache pain being bilaterally on both sides of the head, where the pain is usually symmetrical and equal from left to right.

Compared to migraines, chronic tension type headache causes mild to moderate pain, and feels more of a tightening and pressing sensation rather than a pulsating pain.

New Daily Persistent Headache

New daily persistent headaches occur in those with no history of headaches and come on abruptly and suddenly. The pain is constant in nature within the first three days from the start of the first headache.

New daily persistent headaches normally presents with pain bilaterally to both sides of the head with a mild to moderate pain intensity, similar to chronic daily tension headache. The pain is a pressing type pain with a tightening sensation as opposed to pulsating pain.

Chronic Migraine

Chronic migraine is categorised as those who suffer from a history of episodic migraines. Usually, their migraines have worsened over time and have now become chronic in nature due to being left untreated.

The pain can switch from left to right during the same attack or during but is usually unilaterally on one side of the head. The pain is usually felt as pulsating and throbbing sensation and is usually moderate to severe in severity.

Hemicrania Continua

Hemicrania continua is a more severe headache that affects locked on one side of the head and does not shift from side to side.

This headache is persistent with no pain-free periods and is usually moderate in nature. However, tends to have severe spikes of pain throughout the day.

Hemicrania continua is also associated with autonomic features such as a watery eye, redness in the eye, swollen or droopy eyelids, blocked or runny nose.

Symptoms such as sensitivity to sound, smell or light, nausea and vomiting can also be present.

What treatments are available for Chronic Daily Headaches?

Treating your Chronic Daily Headache

Many healthcare provers use blanket treatment options to treat Chronic Daily Headaches that are outdated and ineffective.

Here at Sydney Headache and Migraine Clinic™, we have a special interest in treating migraines and headaches. We have developed an evidence-based approach with up to date literature to give the most effective treatment. With the clinic having a special interest in migraines and headache we have treated a large number of Chronic Daily Headache patients with successful results. Our methodology is based on examining your upper cervical spine to determine if you have a sensitised brainstem. If the cause of your Chronic Daily Headache is due to having a hypersensitive brainstem, we use our approach to de-sensitise your brainstem.

A lot of our patients say they have tried everything. A common issue our patients have found is they still don’t know what the cause of their chronic daily headache is, despite seeing multiple health practitioners. At the Sydney Headache and Migraine Clinic™, we see countless amounts of patients with Chronic Daily Headaches and utilise world-class techniques in assessing and treating this problem. A thorough examination of the upper cervical spine is initiated to determine the severity of your sensitised brainstem. An important factor that a chronic daily headache sufferer would need to establish and rule out, is whether or not their symptoms are resulting from a hypersensitive brainstem.

If your symptoms are coming from a sensitised brainstem, treatment can begin immediately.

We expect our treatment to significantly reduce your symptoms within the first 3 weeks. If we feel that we cannot help you we will let you know after the initial assessment. Our treatment approach dramatically reduces Chronic Daily Headaches in 85-90% of sufferers. The best part of our treatment approach is invasive-free, surgery free and drug-free.

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