What is the difference between a headache specialist and a neurologist?

When seeking help dealing with a headache condition like migraine, it can be difficult to figure out who to go to. Should you choose a neurologist or a headache specialist? Both can help, but here are some of the key differences.

What is a neurologist?

A neurologist is a specialist doctor who works with the brain and nervous system. They treat a wide range of diseases, from migraines to strokes and Parkinson's disease. To become a neurologist, it requires at least 12 years of education that includes medical school and a specialization in neurology. Some neurologists choose to focus on specific areas, for example through research or subspecialization in headaches.

What makes a headache specialist different?

Headache specialists are often neurologists -- or other health professionals -- who have further trained in headache disorders. This specialization gives them an in-depth insight into the diagnosis and treatment of a range of headache disorders, including:

• Episodic and chronic migraine
• Tension headache
• Cluster headaches
• Medication overuse headache
• Facial pain

It's not just neurologists who can specialize in headache disorders. For example, nurses and doctors from other specialties can take further training courses, such as the internationally recognized Master's Degree Programme in Headache Diseases (MHD) at the University of Copenhagen in collaboration with the Danish Headache Centre. This means that different professional groups can gain deep knowledge and expertise in the field.

Why Choose a Headache Specialist?

Headache disorders are complex and can be challenging to diagnose. The symptoms of different types of headaches, like migraines and tension headaches, often overlap, making it difficult to find the right treatment. This is where headache specialists can really make a difference:

• Can offer a tailored treatment: They know that one solution does not fit all and can help find the right treatment over time.
• Have access to the latest treatments: They often have greater experience with newer medications and therapies.
• Understand your situation: Their experience enables them to help you with a holistic approach that takes into account how headaches affect your life.
• Have experience with the health care system: They can help you navigate the system and ensure access to relevant treatments.

What can neurologists help with?

Neurologists can also play an important role in diagnosing and treating headache disorders. They perform neurological examinations, assess your symptom history and may commission tests such as blood tests or MRI scans to find the cause of your headache.

Limitations of ordinary neurologists

Although neurologists have broad expertise, some may lack specialist training in headache medicine or pain management. This can affect their familiarity with the latest treatment methods or access to advanced therapies.

When should you contact a headache specialist?

Consider seeking out a headache specialist if:

• Your current treatment is not working.
• Your medication causes side effects.
• You experience severe headaches during pregnancy or breastfeeding.
• You have headaches at least four days a month.
• Your headache is new, suddenly worsened, or different from before.

Headache specialist or neurologist?

The choice between a neurologist and a headache specialist depends on your situation. If your headaches are complex, recurring, or significantly impacting your everyday life, a headache specialist can often be the way forward. Their goal is not only to reduce your pain, but also to help you have a better everyday life.

Finding the right treatment can take time, but with the right professional by your side, there are good opportunities to find solutions that work.

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