Primary exercise headache

What is primary exercise headache

Primary exercise headache may occur in 10% of the population and is a typically bilateral throbbing headache lasting from minutes up to 48 hours brought on by or occurring only during or after sustained physical exercise not usually associated with nausea and vomiting although migraineurs may have exercise as a trigger.

The average age of onset is 24 (±11) years.

Secondary pathology such as space occupying lesions and vascular pathology should be excluded with an MRI of the brain and MRA of the brain and neck. 

Indomethacin 25 to 150 mg in divided doses can be taken daily for dosing 30 to 60 minutes before exercise for prevention.

Propranolol and naproxen may also be effective.

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