As an ACSM RCEP, if I am working with someone who is high risk, one of the thing I educate him/her about is the signs and symptoms of MI and CVA.
Some people experience headache before a CVA. If the person is moderate or high risk for MI or CVA, and I am training them, then part of my responsibility is to educate my client regarding the signs and symptoms of stroke.
This is why I am so passionate about scope of practice.
Remember yes headaches are a symptom of someone potentially who is having a stroke, but HA’s do not mean they are having one.
Remember what the client is telling you, think about it and analyze it. That is the sign of a true health professional.
How often are the headaches?
When and where? and what other symptoms they are experiencing..
Yes I would worry if my client was complaining of a headache along with blurred vision or slurred speech, or a headache that has lasted for more than a few days and was the cause of severe discomfort to my client, or a headache that seemed to be getting worse rather than better.
I would not train a person with these symptoms until they got medical clearance.
I worry about every headache. If a client tells me that they have a headache, we stop. We drink water, rest, and see if it goes away or gets worse. If the client does not reach for their head/face in any way, isn’t squinting or scrunching up their face, and isn’t tilting their head as if gaurding from something, and the headache has dramatically lessened or gone away entirely, then we continue.
Any headache that starts at the back of the head is cause for concern and the training session should stop automatically. If you contimue with the exercise session, the pain will become severe and it will work its way behind the eye socket. If the client thought he/she was in pain before, he/she is in for a rude awakening!!