ABSTRACT

The main task when dealing with headaches is to separate the causes that can be

treated appropriately and safely, by integrating complementary therapies, from

causes that need a conventional approach.

As always in medicine there is no substitute for a concise, clear history to enable

an accurate diagnosis to be made. It is then possible to identify the minority of

headaches presenting that need to be diagnosed and treated urgently. This category

includes temporal arteritis, glaucoma, subdural haematoma and bacterial menin-

gitis, where urgent hospital referral for conventional treatment is indicated. Delay

in diagnosis and treatment in these conditions can often have serious consequences.

Having said this, however, the majority of headaches have a benign cause and are

suitable for treatment with many of the complementary therapies.