Intended for healthcare professionals

Rapid response to:

Primary Care 10-minute consultation


BMJ 2005; 330 doi: (Published 10 February 2005) Cite this as: BMJ 2005;330:346

Rapid Response:

common causes for headache

Among the most common causes for recurrent headache must surely be the postural stress caused by unergonomic desks in front of computer screens with inadequate seating. The treatment required is not reassurance, but rather to:

a) remove the cause of the problem - provide ergonomic work environment

b) treat the problem using massage, stretching exercises, acupuncture or neural therapy (among others, all excellent and drug-free)

c) prevent recurrence by educating the patient in causes, early signs of a recurrence, and the postural approaches of management.

Together with encouraging regular frequent exercise, these measures will enhance health generally and - importantly from the employers point of view - improve productivity.

Competing interests: None declared

Competing interests: No competing interests

11 February 2005
Brian F Walker
Hong Kong