What can I claim secondary to tension-type headache?

1 condition in the Repatriation Medical Authority's Statements of Principles list tension-type headache as a factor. If DVA has accepted your tension-type headache, each of these has a documented pathway to a further claim.

At a glance

  • Accepted conditionTension-type headache
  • Conditions it may open1
  • SourceRMA SoPs
  • Chart Review$600 + GST
Read the tension-type headache SoP

How a secondary claim works

Some Statement of Principles factors are not about service at all — they name another condition. Where DVA has already accepted your tension-type headache, and another condition's SoP lists tension-type headache as a factor, that part of the next claim is already established on your file. How a secondary claim works, in full →

Documented pathways

Conditions that list tension-type headache as a factor

Quoted from the instrument. A pathway existing is not the same as a claim succeeding — each factor carries thresholds your record has to satisfy.

Tinnitus

RH No. 84 of 2020 · BoP No. 85 of 2020

Reasonable Hypothesis — factor (24): “having migraine or tension-type headache before the clinical onset of tinnitus” [clinical onset] — factor (62): “having migraine or tension-type headache before the clinical worsening of tinnitus” [worsening]

This factor appears in the Reasonable Hypothesis instrument only, which applies to operational service.

Related

Other accepted conditions that also open tinnitus

If any of these is also on your file, it reaches some of the same conditions tension-type headache does.

Before the factors

What DVA means by tension-type headache

A claim is tested against the definition first. If the diagnosis on your file does not meet this wording, the factors below never get reached — so it is worth checking that what your doctor wrote matches what the instrument requires.

Tension-type headache, for the purposes of the Statement of Principles, for the purposes of this Statement of Principles, tension-type headache: (a) means a condition in which within a 12 month period, there are episodes of headache lasting at least 30 minutes, occurring on at least one day per month for at least three consecutive months, and a minimum of ten episodes occur within that 12 month period; and (b) has at least two of the following characteristics: (i) bilateral location; (ii) pressing/tightening (nonpulsating) quality; (iii) mild or moderate intensity; (iv) not aggravated by routine physical activity (such as walking or climbing stairs); and (c) causes clinically significant distress or impairment of social, occupational, educational, or other important areas of functioning; and (d) excludes: (i) cluster headache; (ii) migraine; (iii) headache attributable to structural abnormalities or inflammatory disorders of the head and neck; (iv) headache attributable to systemic disease; and (v) headache that results from normal physiological stress such as exercise, or the temporary effect of extraneous agents. (3) While tension-type headache attracts ICD-10-AM code G44.2, in applying this Statement of Principles the meaning of tension-type headach

Aggravation-only factors. In this instrument, subsections 9(6) to 9(12) apply only to material contribution to, or aggravation of, tension-type headache where it was already present before or during service. If service caused tension-type headache outright, those factors are not available to you.

RH No. 37 of 2018 · BoP No. 38 of 2018 · 4 factors

Every factor in the tension-type headache SoP →

The other direction

What could support a claim for tension-type headache?

The Statement of Principles for tension-type headache names 2 other conditions among its own factors. If any of these is already accepted on your file, it may be the factor that carries a tension-type headache claim — quoted here from the instrument.

Cluster headache

Reasonable Hypothesis — factor (1): “for chronic tension-type headache in migraine and cluster headache sufferers only, taking a drug as specified, for at least the three months before the clinical onset of tension-type headache” [clinical onset]

Balance of Probabilities — factor (1): “for chronic tension-type headache in migraine and cluster headache sufferers only, taking a drug as specified, for at least the three months before the clinical onset of tension-type headache” [clinical onset]

Moderate to severe traumatic brain injury

Reasonable Hypothesis — factor (5): “having concussion or moderate to severe traumatic brain injury within the seven days before the clinical onset of tension-type headache, where tension-type headache has developed within the seven days of: (a) injury to the head; or (b) regaining consciousness following the injury to the head; or (c) discontinuing medication that impairs the ability to sense or report headache following the injury to the head” [clinical onset]

Reasonable Hypothesis — factor (11): “having concussion or moderate to severe traumatic brain injury within the seven days before the clinical worsening of tension-type headache, where tension-type headache has worsened within the seven days of: (a) injury to the head; or (b) regaining consciousness following the injury to the head; or (c) discontinuing medication that impairs the ability to sense or report headache following the injury to the head” [worsening]

Dr Thomas Perkins, Veterans Health Centre

Reviewed by Dr Thomas Perkins

Founding doctor, Veterans Health Centre · former RAAF aviation medical officer · 13 years working exclusively with ADF members and veterans. Full profile →

Tension-type headache accepted?

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