New Daily Persistent Headache
New daily persistent headache (NDPH) is a rare chronic headache disorder. The symptoms of NDPH start very suddenly and range from moderate to severe. It is not a dangerous condition, but the symptoms last for months and can greatly disrupt your life and routine activities. Most cases of this condition are also difficult to treat.
There are two main forms of NDPH, primary and secondary.
PrimaryGSD : Healthcare providers and specialists often refer to this as “idiopathic” NDPH, meaning that specialists cannot determine why it happens. Secondary NDPH: This is when the NDPH is caused by or in connection with another condition or illness, most commonly a viral illness.
Who is affected by new daily persistent headache? NDPH can affect anyone, but it is more common in women and in people who were assigned female at birth. It can be more common in children and young people, especially between the ages of 10 and 18, but it is still possible at any age.
How common is new daily persistent headache? There is limited research on how common NDPH is, but available data suggests that it is rare. The best available research from Norway and Spain shows that it happens in 30 to 100 out of every 100,000 people.
How does new daily persistent headache affect my body?
NDPH typically affects your brain directly. However, when it shows migraine-like characteristics, it can cause light sensitivity, sound sensitivity, dizziness, nausea or vomiting.
What are the symptoms of a new daily persistent headache?
The symptoms of NDPH are not unique, but some of them occur in an unusual way.
They are long-lasting. A requirement for a diagnosis of NDPH is that your headache has been present for at least three months.
The pain is constant. Most specialists define a headache as pain that, once it starts, is uninterrupted.
You remember when it started. The official guidelines of the International Headache Society, the International Classification of Headache Disorders, require you to remember when the headache started. This means that a healthcare professional will only diagnose NDPH if you can remember exactly when the headache started, including where you were and what you were doing.
The pain is usually moderate to severe. People with a NDPH usually have moderate or worse pain. Because the pain is also constant, it has the potential to seriously disrupt a person’s life and activities.
The headaches that occur with NDPH can look like standard tension headaches, migraines, or have features of both.
Tension headache symptoms may include
Pain on both sides of your head.
The pain feels like pressure or squeezing in or around your head.
The pain does not get worse depending on what you do.
Migraine characteristics may include
Pain on one side of your head.
Pain that feels like throbbing, pulsing or pounding.
Photophobia (sensitivity or pain from light).
Phonophobia (sensitivity or pain caused by sounds).
Nausea and vomiting dizziness
Visual auras .
How is a new daily persistent headache diagnosed?
Diagnosing NDPH is a multi-step process.
The first step is to gather information about your symptoms, including how long you have had a headache, when it started and how you feel about it. The second step is to rule out other causes of the headache.
The first step usually involves a health professional talking to you and asking you questions. They may also do a neurological examination to check for signs of any problems with your nervous system.
Once the first step has been completed, the health professional needs to make sure that there are no other causes for your NDPH. This is very important because GSD shares many symptoms with other neurological conditions.
Diagnosis before reaching the three-month requirement It is common for people to seek medical attention before reaching the three-month requirement to have a NDPH. In these cases, your provider will go through all the same diagnostic steps but will not finalize the diagnosis. In these cases, your provider will give you a diagnosis of “probable NDPH”. Once you have reached three months with symptoms, they can officially diagnose you with a diagnosis of NDPH.
How is new daily persistent headache treated and is there a cure?
NDPH is often a difficult condition to treat. Some cases of this condition are easier to treat, especially those with migraine-like symptoms. Tension headache cases are more likely to be resistant to treatment. Time is also a factor, as NDPH is more likely to respond to treatment if it is treated earlier rather than years after the onset of symptoms.
We have been treating with Solution Injections therapy and have had successful results.