The objective of this study is to investigate the treatment effect of repetitive transcranial magnetic stimulation in patients with a history of both persistent post-traumatic headache and post-concussion symptoms. In this double-blind, sham-controlled, concealed allocation, randomized clinical trial, 20 patients aged 18-65 yrs will be recruited from the Calgary Brain Injury Program (CBIP) and the Calgary Headache Assessment and Management Program (CHAMP) / Calgary Chronic Pain Centre, Calgary, Alberta, Canada. Patients will engage in a two-week rTMS treatment protocol (10 treatments) and will be followed for 6 months after therapy.
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Change in headache severity from baseline to 1 month post-treatment.
Timeframe: Repeated measures: Baseline (0-2 weeks),1 month (6-8 weeks)
Change in headache frequency from baseline to 1 month post-treatment.
Timeframe: Repeated measures: Baseline (0-2 weeks),1 month (6-8 weeks)