Headaches/Migraines

viper2g1

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Sep 3, 2010
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Headaches need to be evaluated by your doctor and the cause of which when determined should be reported to the FAA. After all, it is your health at stake.
I have heard rumors that people who have cluster headaches can still work air traffic with the FAA. Is this true?
 

viper2g1

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Sep 3, 2010
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A follow up question, I haven't seen anyone here talk about tension headaches. Are they as bad as migraines as far as the FAA is concerned?
 

atl1jcg

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Mar 7, 2014
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https://www.faa.gov/about/office_org/headquarters_offices/avs/offices/aam/ame/guide/app_process/exam_tech/item46/amd/ha/

[h=1]Guide for Aviation Medical Examiners[/h]

[h=2]Decision Considerations - Aerospace Medical Dispositions
Item 46. Neurologic - Headaches19[/h]
Disease/ConditionClassEvaluation DataDisposition
Atypical Facial PainAllSubmit all pertinent medical records, current neurologic report, to include name and dosage of medication(s) and side effectsRequires FAA Decision
Ocular or complicated migraineAllSubmit all pertinent medical records, current neurologic report, to include characteristics, frequency, severity, associated with neurologic phenomena, name and dosage of medication(s) and side effectsRequires FAA Decision
Migraines, Chronic Tension or Cluster HeadachesAllReview all pertinent medical records, current neurologic report, to include characteristics, frequency, severity, associated with neurologic phenomena, and name and dosage of medication(s) and side effectsSee Migraine and Chronic Headache Worksheet (PDF). If airman meets all certification criteria -Issue.

All others require FAA decision. Submit all evaluation data.

Initial Special Issuance - Requires FAA Decision

Followup Special
Issuances - See AASI Protocol
Post-traumatic HeadacheAllSubmit all pertinent medical records, current neurologic report, name and dosage of medication(s) and side effectsRequires FAA Decision

[h=2]Common Conditions and Course of Action[/h]
19 Pain, in some conditions, may be acutely incapacitating. Chronic recurring headaches or pain syndromes often require medication for relief or prophylaxis, and, in most instances, the use of such medications are disqualifying because they may interfere with a pilot's alertness and functioning. The Examiner may issue a medical certificate to an applicant with a long-standing history of headaches if mild, seldom requiring more than simple analgesics, occur infrequently, are not incapacitating, and are not associated with neurological stigmata.