Preparing for your appointment
By Mayo Clinic staffYou're likely to start by first seeing your family doctor or a general practitioner. However, in some cases when you call to set up an appointment, you may be referred immediately to a headache specialist.
Because appointments can be brief, and because there's often a lot of ground to cover, it's a good idea to be well prepared for your appointment. Here's some information to help you get ready for your appointment, and what to expect from your doctor.
What you can do
- Be aware of any pre-appointment restrictions. At the time you make the appointment, be sure to ask if there's anything you need to do in advance, such as restrict your diet.
- Keep a headache journal, which should include when each headache occurred, how long it lasted, how intense it was, what you were doing immediately before the headache started, and anything else that was notable about the headache.
- Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment.
- Write down key personal information, including any major stresses or recent life changes.
- Make a list of all medications, as well as any vitamins or supplements, that you're taking.
- Take a family member or friend along, if possible. Sometimes it can be difficult to soak up all the information provided to you during an appointment. Someone who accompanies you may remember something that you missed or forgot.
- Write down questions to ask your doctor.
Your time with your doctor is limited, so preparing a list of questions will help you make the most of your time together. List your questions from most important to least important in case time runs out. For chronic headaches, some basic questions to ask your doctor include:
- What is likely causing my headaches?
- Are there other possible causes for my headaches?
- What kinds of tests do I need?
- Is my condition likely temporary or chronic?
- What is the best course of action?
- What are the alternatives to the primary approach that you're suggesting?
- I have these other health conditions. How can I best manage them together?
- Are there any restrictions that I need to follow?
- Should I see a specialist? What will that cost, and will my insurance cover seeing a specialist?
- Is there a generic alternative to the medicine you're prescribing me?
- Are there any brochures or other printed materials that I can take home with me? What Web sites do you recommend?
In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions during your appointment at any time that you don't understand something.
What to expect from your doctor
Your doctor is likely to ask you a number of questions. Being ready to answer them may reserve time to go over any points you want to spend more time on. Your doctor may ask:
- When did you first begin experiencing headaches?
- Have your headaches been continuous or occasional?
- How severe are your headaches?
- What, if anything, seems to improve your headaches?
- What, if anything, appears to worsen your headaches?
What you can do in the meantime
There are some things you can do before seeing your doctor to try to improve your headache pain:
- Avoid activities that you know make your headaches worse.
- Try over-the-counter nonsteroidal anti-inflammatory drugs — such as naproxen (Aleve) and ibuprofen (Advil, Motrin, others). Don't take these more than 15 days a month, because that may make your headaches worse.
- Rains J, et al. Chronic daily headache: An overview. American Headache Society. http://www.achenet.org/education/patients/chronicdailyheadacheanoverview.asp?print=y. Accessed Nov. 17, 2009.
- Headache: Hope through research. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/headache/detail_headache.htm. Accessed Nov. 10, 2009.
- Goadsby PJ, et al. Headache. In: Fauci AS, et al. Harrison's Online. 17th ed. Columbus, Ohio: The McGraw-Hill Companies, Inc. 2008. http://www.accessmedicine.com/content.aspx?aid=2890365. Accessed Dec. 23, 2009.
- Headache and other craniofacial pains. In: Ropper AH, et al. Adams & Victor's Principles of Neurology. 9th ed. Columbus, Ohio: The McGraw-Hill Companies, Inc. 2009. http://www.accessmedicine.com/content.aspx?aid=3630946. Accessed Dec. 23, 2009.
- Boes CJ, et al. In: Bradley WG, et al. Neurology in Clinical Practice. 5th ed. Philadelphia, Pa.: Elsevier; 2008:2053.
- Garza I, et al. Overview of chronic daily headache. http://www.uptodate.com/home/index.html. Accessed Jan. 14, 2010.
- Olesen J, et al. The international classification of headache disorders. International Headache Society. http://216.25.88.43/upload/CT_Clas/ICHD-IIR1final.pdf. Accessed Nov. 2, 2009.
- Sun Y, et al. Acupuncture for the management of chronic headache: A systematic review. Anesthesia & Analgesia. 2008;107:2038.
- Calandre EP, et al. Myofascial trigger points in cluster headache patients: A case series. Head & Face Medicine. 2008:4:32.
- Ducic I, et al. Indications and outcomes for surgical treatment of patients with chronic migraine headaches caused by occipital neuralgia. Plastic and Reconstructive Surgery. 2009;123:1453.
- Pain: Hope through research. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/chronic_pain/detail_chronic_pain.htm. Accessed Nov. 13, 2009.
- Vernon H, et al. A randomized, placebo-controlled clinical trial of chiropractic and medical prophylactic treatment of adults with tension-type headache: Results from a stopped trial. Journal of Manipulative and Physiological Therapeutics. 2009;32:344.
- Trigger avoidance information. American Headache Society. https://www.americanheadachesociety.org/professionalresources/TriggerAvoidanceInformation.asp. Accessed Nov. 17, 2009.
- Rios J, et al. Evidence-based use of botanicals, minerals, and vitamins in the prophylactic treatment of migraines. Journal of the American Academy of Nurse Practitioners. 2004;16:251.
- Bajwa ZH, et al. Preventative treatment of migraine in adults. http://www.uptodate.com/home/index.html. Accessed Nov. 17, 2009.
- Feverfew. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed Nov. 13, 2009.
- Butterbur. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed Nov. 13, 2009.
- Coenzyme Q. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed Nov. 13, 2009.
- Acupuncture: An introduction. National Center for Complementary and Alternative Medicine. http://nccam.nih.gov/health/acupuncture/introduction.htm. Accessed Nov. 13, 2009.
- Meditation: An introduction. National Center for Complementary and Alternative Medicine. http://nccam.nih.gov/health/meditation/overview.htm. Accessed Nov. 13, 2009.
- Massage therapy: An introduction. National Center for Complementary and Alternative Medicine. http://nccam.nih.gov/health/massage/. Accessed Nov. 13, 2009.
- Prakash S, et al. Hemicrania continua responsive to intravenous methyl prednisolone. Headache. 2009;49:604.
- Sullivan MD, et al. Antidepressant and anticonvulsant medication for chronic pain. Physical Medicine and Rehabilitation Clinics of North America. 2006;17:381.
- Physical activity fundamental to preventing disease. U.S. Department of Health and Human Services. http://aspe.hhs.gov/health/reports/physicalactivity/. Accessed Nov. 19, 2009.
- Headache information page. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/headache/headache.htm. Accessed Nov. 19, 2009.
- What do to in a medical emergency: Headache. American College of Emergency Physicians Foundation. http://www.emergencycareforyou.org/EmergencyManual/WhatToDoInMedicalEmergency/Default.aspx?id=248. Accessed Nov. 19, 2009.
- Saper JR. Chronic daily headache: Transformational migraine, chronic migraine, and related disorders. Current Neurology and Neuroscience Reports. 2008;8:100.
- Swanson JW (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 8, 2009.
- Headache Classification Subcommittee of the International Headache Society. The international classification of headache disorders: 2nd edition. Cephalalgia. 2004;24(suppl):9.
- Bajwa ZH, et al. Headache syndromes other than migraine. http://www.uptodate.com/home/index.html. Accessed Dec. 8, 2009.
- Olesan J, et al. New appendix criteria open for a broader concept of chronic migraine. Cephalalgia. 2006;26:742.
- Silberstein SD, et al. The international classification of headache disorders, 2nd edition (ICHD-II) — Revision of criteria for 8.2 Medication — Overuse headache. Cephalalgia. 2005;25:460.
- Olesen J, et al. New appendix criteria open for a broader concept of chronic migraine. Cephalalgia. 2006;26:742.

Find Mayo Clinic on