
Informing and empowering patients has been the ultimate objective here.
In the course of my professional life, covering almost half a century, I have treated thousands of patients with headache or face pain. The care that I provided gave me valuable insight into these conditions and how they impact those afflicted. The research I have participated in contributed, among others, to the development of three great classes of migraine medications: triptans, CGRP antibodies, and gepants.
Unfortunately, however, what I continue to observe is that the treatment of headache and face pain remains much to be desired; this prompted me to write this book. Hopefully, it will render people with an understanding of their suffering as well as with the knowledge what treatments are currently available and should be considered standard of care, how to apply them, and what benefits to expect from them.

Chapter 1
After addressing the brain tumor question, always a concern among patients with headaches and their physicians alike, Dr. Spierings introduces headache as a part of life as much as fatigue is. He presents headache as a secondary symptom to fatigue, which he sees as the biological reason for its existence.
In addition to fatigue, anything that strains us, mentally or physically, causes headache, coming from the outside or from within. There is more to it when headaches occur frequently or are intense, and there are medical reasons for both.