New daily persistent headache is a common type of daily continuous headache, representing >10% of patients seen in outpatient facilities. Clinically, it is a disorder with an onset that is unexpected. The pain is usually continuous, unremitting from onset or within a matter of days. Patients tend to have no prior history of headaches. These headaches may or may not have migrainous or autonomic features; and tend not to respond well to conventional migraine abortive therapies such as triptans or standard prophylactic medications. It is crucial that secondary causes of new onset daily headaches be ruled out. If you have experienced similar symptoms, please contact The Manhattan Center for Headache and Neurology for further evaluation and treatment options.