{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T00:16:49Z","timestamp":1793146609521,"version":"4.5.0"},"reference-count":29,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Reg Anesth Pain Med"],"accepted":{"date-parts":[[2023,9,18]]},"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:p>With headache being one of the most common chief complaints, it is essential for pain practitioners to interpret and differentiate a variety of headache characteristics to accurately diagnose and treat specific headache disorders. Certain misconceptions often lead to misdiagnosis. This article presents and discusses six myths about several common headache disorders (migraine, tension-type headache, cluster headache, cervicogenic headache, sinus headache, and occipital neuralgia) often encountered in clinical practice. The discussion is based primarily on the International Classification of Headache Disorders, 3rd edition and the latest studies. Recognizing and understanding the intricacies behind key headache diagnoses will help providers devise appropriate plans to better care for their patients.<\/jats:p>","DOI":"10.1136\/rapm-2023-104803","type":"journal-article","created":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T12:55:29Z","timestamp":1696942529000},"page":"545-549","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Debunking myths in headache diagnosis for the pain practitioner"],"prefix":"10.1136","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4536-9974","authenticated-orcid":false,"given":"Hsiangkuo","family":"Yuan","sequence":"first","affiliation":[{"name":"Jefferson Headache Center, Department of Neurology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Strutner","sequence":"additional","affiliation":[{"name":"School of Medicine, University of California, Irvine, Irvine, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clara","family":"Yuh","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine & Rehabilitation, University of California, Irvine, Irvine, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suwarna","family":"Anand","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, University of Mississippi University Hospital, Jackson, Mississippi, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaurav","family":"Chauhan","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anand","family":"Prem","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, University of Mississippi University Hospital, Jackson, Mississippi, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shalini","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology & Perioperative Care, University of California, Irvine, Orange, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathaniel M","family":"Schuster","sequence":"additional","affiliation":[{"name":"Headache and Pain Neurologist, Center for Pain Medicine, Department of Anesthesiology, University of California, San Diego, La Jolla, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,10,10]]},"reference":[{"key":"2025101109554755000_49.8.545.1","unstructured":"Gbd compare, Available: https:\/\/vizhub.healthdata.org\/gbd-compare [Accessed 26 Mar 2023]."},{"key":"2025101109554755000_49.8.545.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)32279-7"},{"key":"2025101109554755000_49.8.545.3","doi-asserted-by":"crossref","first-page":"3030","DOI":"10.1093\/pm\/pnab149","article-title":"Survey of pain medicine specialists' familiarity with migraine management","volume":"22","author":"Minen","year":"2021","journal-title":"Pain Med"},{"key":"2025101109554755000_49.8.545.4","doi-asserted-by":"publisher","DOI":"10.1177\/0333102417738202"},{"key":"2025101109554755000_49.8.545.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2006.00443.x"},{"key":"2025101109554755000_49.8.545.6","doi-asserted-by":"crossref","first-page":"1010","DOI":"10.1111\/head.12335","article-title":"Imploding and exploding migraine headaches: comparison of methods to diagnose pain Directionality","volume":"54","author":"Files","year":"2014","journal-title":"Headache"},{"key":"2025101109554755000_49.8.545.7","doi-asserted-by":"publisher","DOI":"10.1046\/j.1526-4610.2000.00143.x"},{"key":"2025101109554755000_49.8.545.8","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1007\/s40259-022-00530-0","article-title":"Calcitonin gene-related peptide (Cgrp)-Targeted Monoclonal antibodies and antagonists in migraine: Current evidence and rationale","volume":"36","author":"Cohen","year":"2022","journal-title":"BioDrugs"},{"key":"2025101109554755000_49.8.545.9","doi-asserted-by":"publisher","DOI":"10.1111\/head.14237"},{"key":"2025101109554755000_49.8.545.10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2982.2008.01592.x"},{"issue":"Suppl 2","key":"2025101109554755000_49.8.545.11","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1007\/s10072-020-04643-8","article-title":"Gender-related differences in migraine","volume":"41","author":"Allais","year":"2020","journal-title":"Neurol Sci"},{"key":"2025101109554755000_49.8.545.12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2009.01608.x"},{"key":"2025101109554755000_49.8.545.13","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1177\/03331024211068073","article-title":"Prevalence of neck pain in migraine: A systematic review and meta-analysis","volume":"42","author":"Al-Khazali","year":"2022","journal-title":"Cephalalgia"},{"key":"2025101109554755000_49.8.545.14","doi-asserted-by":"crossref","DOI":"10.1186\/s12891-021-04595-w","article-title":"Differentiating migraine, Cervicogenic headache and asymptomatic individuals based on physical examination findings: A systematic review and meta-analysis","volume":"22","author":"Anarte-Lazo","year":"2021","journal-title":"BMC Musculoskelet Disord"},{"key":"2025101109554755000_49.8.545.15","doi-asserted-by":"crossref","DOI":"10.1186\/s40945-022-00153-2","article-title":"A perspective on the use of the Cervical flexion rotation test in the physical therapy management of Cervicogenic headaches","volume":"12","author":"Paquin","year":"2022","journal-title":"Arch Physiother"},{"key":"2025101109554755000_49.8.545.16","doi-asserted-by":"crossref","first-page":"102804","DOI":"10.1016\/j.msksp.2023.102804","article-title":"Neck pain and headache: pathophysiology, treatments and future directions","volume":"66","author":"Al-Khazali","year":"2023","journal-title":"Musculoskelet Sci Pract"},{"key":"2025101109554755000_49.8.545.17","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000000219"},{"key":"2025101109554755000_49.8.545.18","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(09)70209-1"},{"key":"2025101109554755000_49.8.545.19","doi-asserted-by":"crossref","first-page":"2443","DOI":"10.1093\/pm\/pnab281","article-title":"Consensus practice guidelines on interventions for Cervical spine (facet) joint pain from a Multispecialty International working group","volume":"22","author":"Hurley","year":"2021","journal-title":"Pain Med"},{"key":"2025101109554755000_49.8.545.20","doi-asserted-by":"publisher","DOI":"10.1111\/head.14103"},{"key":"2025101109554755000_49.8.545.21","doi-asserted-by":"crossref","DOI":"10.1007\/s11916-021-00982-z","article-title":"Stigma and migraine: developing effective interventions","volume":"25","author":"Parikh","year":"2021","journal-title":"Curr Pain Headache Rep"},{"key":"2025101109554755000_49.8.545.22","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp-2018-318254"},{"key":"2025101109554755000_49.8.545.23","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.164.16.1769"},{"key":"2025101109554755000_49.8.545.24","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814561600"},{"key":"2025101109554755000_49.8.545.25","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e318182f81d"},{"key":"2025101109554755000_49.8.545.26","doi-asserted-by":"crossref","first-page":"1851","DOI":"10.1093\/pm\/pnac080","article-title":"Occipital headache evaluation and rates of migraine assessment, diagnosis, and treatment in patients receiving greater occipital nerve blocks in an academic pain clinic","volume":"23","author":"Love","year":"2022","journal-title":"Pain Med"},{"key":"2025101109554755000_49.8.545.27","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-007-0195-3"},{"key":"2025101109554755000_49.8.545.28","doi-asserted-by":"publisher","DOI":"10.1177\/0333102416655159"},{"key":"2025101109554755000_49.8.545.29","doi-asserted-by":"crossref","first-page":"1077","DOI":"10.1111\/head.14385","article-title":"Narrative review of peripheral nerve blocks for the management of headache","volume":"62","author":"Stern","year":"2022","journal-title":"Headache"}],"container-title":["Regional Anesthesia &amp; Pain Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/rapm-2023-104803","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T16:55:55Z","timestamp":1760201755000},"score":1,"resource":{"primary":{"URL":"https:\/\/rapm.bmj.com\/lookup\/doi\/10.1136\/rapm-2023-104803"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,10]]},"references-count":29,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2024,8,5]]},"published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1136\/rapm-2023-104803"],"URL":"https:\/\/doi.org\/10.1136\/rapm-2023-104803","relation":{},"ISSN":["1098-7339","1532-8651"],"issn-type":[{"value":"1098-7339","type":"print"},{"value":"1532-8651","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,10]]}}}