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Chronic headache is one of the most common human ailments, yet the layperson's conception of headache is fraught with conjecture and misunderstanding. The physician often finds little satisfaction in dealing with the headache sufferer and may overlook one of the most important aspects of management—patient education. This article outlines the types of chronic headache and reviews a recommended approach to treatment of each. When treatment goals are realistic, Dr Follender believes results can be gratifying to both physician and patient.