[Tension headache and migraine--management in general practice].

Tension type headache, migraine, and chronic daily headache as a possible endpoint of both, are the most frequent manifestations of primary headache. Their effects on the quality of life and at the workplace, as well as the socioeconomic consequences, are largely underestimated. The aim of treatment is the elimination of the condition or at the very least an acceptable improvement for the patient. If self-help fails, a professional approach is needed, priority being given to exclusion of symptomatic secondary headache and the necessary diagnostic classification in order to initiate treatment. These are primarily general measures, although often medication is indispensable. Empathic use of current knowledge, employing optimal means and methods, offers the best chance of success.