New daily persistent headache (NDPH) is a type of chronic daily headache that typically does not subside or remit. NPDH can persist for many years and may be refractory to multiple treatment modalities. Triggering factors most identified with NDPH include increased life stressors, suppressed immunity, and/or post-operation.

The International Classification of Headache Disorders, 3rd edition (ICHD-3), published in 2018, describes NDPH as a persistent and continuous headache with a clearly remembered onset. The pain lacks characteristic features and may be migraine-like or tension type–like or have elements of both.

The following are the ICHD-3 diagnostic criteria for NDPH:
●(A) Persistent headache fulfilling criteria B and C
●(B) Distinct and clearly remembered onset, with pain becoming continuous and unremitting within 24 hours
●(C) Present for longer than three months
●(D) Not better accounted for by another ICHD-3 diagnosis

A detailed history in addition to a thorough physical examination is needed to diagnose and/or treat NDPH. Call The Manhattan Center for Headache & Neurology to set up an appointment with one of our caring providers.

By: Jordan Shankle, PA