ABSTRACT

Headaches comprise the second most prevalent chronic, nonmalignant pain problem in the general population (Sternbach, 1986). The majority of headache patients perform some type of self-care that may include avoidance of stress, missed time from work, curtailment of activities of daily living, or use of nonprescription medications. As Rasmussen and Olesen (1996) have noted, there are now several studies documenting that only a minority of headache sufferers ever seek medical treatment. Even so, headache complaint still comprises over 18 million office visits per year for diagnosis and treatment (Stewart & Lipton, 1993).