What should be confirmed before certifying an individual who has headaches?

Before certifying an individual who experiences headaches, it is essential to confirm a clear etiology with no impairing symptoms. Understanding the underlying cause of the headaches is critical in determining whether the individual's condition could potentially impair their ability to safely operate a commercial vehicle. For example, primary headaches, such as tension-type headaches or migraines, might not pose a significant risk if they are well-managed and not associated with other impairing symptoms.

By confirming that the etiology is known and that the individual experiences no impairing symptoms, the medical examiner can make an informed decision regarding the certification. This assessment helps ensure that any medical conditions related to headaches do not interfere with the safety of the driver, the vehicle, or other road users.