Chronic headache refers to headache disorders occurring on 15 or more days per month for at least three months. It encompasses a spectrum of neurological conditions including chronic migraine, chronic tension-type headache, and medication-overuse headache. Chronic headache significantly impairs quality of life and often requires specialized neurological evaluation.

Patients may experience constant or near-daily head pain, often accompanied by fatigue, sleep disturbance, mood changes, and cognitive complaints. The chronicity of symptoms frequently leads to functional impairment and psychological distress. Accurate diagnosis is essential, as management strategies vary significantly based on headache subtype.

Neurological evaluation focuses on detailed history, headache pattern analysis, medication use, and identification of secondary causes. Neuroimaging is indicated when clinical features suggest structural or secondary pathology. Misuse of analgesics is a common contributor and must be carefully addressed.

Management of chronic headache is multidisciplinary and long-term. Neurologists focus on reducing headache frequency, preventing medication overuse, and addressing comorbid conditions such as anxiety, depression, and sleep disorders. Preventive therapies are central to treatment.

Patient education, lifestyle modification, and regular follow-up are critical components of care. With appropriate neurological management, many patients experience significant improvement in symptom control and quality of life.

In the UAE, chronic headache management is integrated within comprehensive neurology services, emphasizing accurate diagnosis, individualized therapy, and sustained follow-up.