Primary exertional headache
ICD-10 G44.84 is a billable code used to indicate a diagnosis of primary exertional headache.
Primary exertional headache is a type of headache that occurs during or after physical exertion. It is characterized by a throbbing or pulsating pain that can be unilateral or bilateral and typically lasts from a few minutes to several days. This condition is often triggered by activities such as running, lifting heavy objects, or sexual activity. The pathophysiology of primary exertional headache is not fully understood, but it is believed to involve vascular changes in the brain and increased intracranial pressure during exertion. Unlike secondary headaches, which are caused by underlying medical conditions, primary exertional headaches are idiopathic and do not have a clear etiology. Patients may experience associated symptoms such as nausea, vomiting, and sensitivity to light or sound. Diagnosis is primarily clinical, based on the patient's history and symptomatology, and it is important to rule out secondary causes of headache through appropriate imaging and laboratory tests. Treatment often includes lifestyle modifications, hydration, and preventive medications for those with recurrent episodes.
Detailed patient history, including headache frequency, duration, and triggers; neurological examination findings.
Patients presenting with recurrent headaches triggered by exercise or physical activity.
Ensure to document any neurological deficits or associated symptoms to rule out secondary causes.
Assessment of physical activity levels, detailed history of headache onset during exertion.
Athletes experiencing headaches during training or competition.
Consideration of hydration status and physical conditioning in relation to headache occurrence.
Used for follow-up visits for headache management.
Document the patient's headache history, triggers, and response to treatment.
Neurologists may require more detailed neurological assessments.
Common triggers include physical activities such as running, weightlifting, and sexual activity. Dehydration and lack of proper warm-up may also contribute.
Preventive measures include staying hydrated, gradually increasing physical activity intensity, and considering preventive medications if headaches are recurrent.
