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Different Types of Headache & How They Are Treated

Headaches affect everyone at some point. They are also one of the most common medical complaints handled by healthcare professionals. From minor, temporary headaches to severe cases with exhausting symptoms, headaches can be a sign of other health issues. There are also different types of headaches, which are important to know to access effective treatment and make informed decisions about your lifestyle. 




What Are Headaches?

Any pain or discomfort in the face and head is considered a headache. It can be caused by different factors, such as illness, tension, and more. In case of frequent or severe headaches, it is important to find the root cause and address it immediately. 

Generally, headaches have been categorized into two types:

  • Primary Headaches are the result of abnormal brain activity, tension, or blood flow to the head. Migraines and tension headaches are perfect examples. They are usually caused by lifestyle factors and stressful situations. 

  • Secondary Headaches are the effects of medical issues like sinus infections, concussions, and other health issues. They are symptoms of other underlying conditions.  

Types of Headaches 

Based on the causes and symptoms, some common types of headaches are: 

Tension Headaches

Tension headaches are the most common type of headache, causing pain in the forehead and temples. These are mostly caused by muscle tension around the head, neck, and shoulders, affecting the scalp muscles. 

Symptoms

  • A constant yet dull pressure around the forehead, temples, and back of your head. 

  • Sensitivity to sound and light

  • Aching neck and shoulder muscles

  • Feeling tightness or squeezing on the sides of your head.

  • Irritability, agitation, fatigue, and difficulty focusing.

Causes and Triggers

  • Stress

  • Emotional conflict

  • Neck strain due to poor posture 

  • Eye strain due to staring at screens and documents

  • Sleep disorders

  • Anxiety and depression

  • Smoking or drinking

  • Dehydration 

Treatments

Tension headaches are usually simple conditions that can be cured with simple medications, exercises, and lifestyle changes. 

  • Medication: Over-the-counter medication like ibuprofen, aspirin, and acetaminophen can provide immediate relief.

  • Techniques: Managing stress with yoga, meditation, and deep breathing can also help manage headaches.

  • Therapy: Mental and physical therapy can relieve tension in the neck and shoulder muscles.

Migraines 

Migraines are severe attacks that cause debilitating pain as one of their symptoms. They last from several hours to several days and cause throbbing, one-sided pain, disrupting daily life. 

Symptoms

  • Intense throbbing pain in one side of the head

  • Nausea and vomiting

  • Sensitivity to sound, light, smell, and movements

  • Visual issues like flashing lights or blind spots and other sensory problems 

Causes and Triggers

  • Genetics

  • Hormonal changes

  • Lack of sleep

  • Stress

  • Consumption of certain foods/drinks like alcohol, chocolate, cheese

Treatment Options

  • Preventive medication like beta-blockers, antidepressants, and anticonvulsants

  • Prescription medications such as triptans and antiseizure medications

  • Lifestyle changes include keeping a migraine diary, avoiding trigger foods, and managing stress.

Cluster Headaches

Cluster headaches are extremely painful headaches that affect one side of the head and occur in cyclical patterns or clusters. They can last 15 to 30 minutes and may happen multiple times a day. Cluster headaches can last for weeks and months and then disappear. 

Symptoms

  • Severe sharp burning or stabbing pain

  • Watery and red eyes

  • Droopy eye on the affected side

  • A runny or stuffy nostril

  • Sweating

Causes & Triggers

The actual cause of cluster headaches is still unknown. However, a few possible causes can be:

  • Abnormalities in the hypothalamus of the brain 

  • Dysfunction in body’s circadian rhythms

  • Release of histamine or serotonin near the trigeminal nerve. 

  • Genetics

Treatment Options

. The following treatment options are available for this condition:

  • Preventive Medication: Medicines help to prevent headaches and provide longer-lasting relief. 

  • Oxygen Therapy: Breathing in 100% pure oxygen can also help relieve pain. 

Sinus Headaches

This is a secondary headache caused by inflammation of the sinus cavities. A sinus infection triggers it and causes pain in the cheekbones, forehead, and bridge of the nose. If the pain lasts for more than a week, you should get professional help. 

Symptoms

Sinus headaches are caused by swelling of sinus tissues due to infection. It causes symptoms such as: 

  • Deep throbbing pain around the forehead, cheeks, and eyes

  • Nasal congestion

  • Mucus drainage

  • Fever

  • Achy and tender face

Causes and Triggers:

  • Sinus infections

  • Common cold

  • Allergies

  • Structural sinus issues 

  • Smoking 

  • Weak immune system

Treatment Options:

Sinus infections are diagnosed with physical examinations and imaging. The available treatment options are:

  • Decongestants: To relieve the swelling of the sinuses. 

  • Nasal steroids: To reduce inflammation.

  • Pain relievers: To ease headache pain

  • Antihistamines: To prevent allergies

  • Steam inhalation and warm compresses: To help open nasal passages and ease sinus congestion

  • Antibiotics: To cure bacterial infection 

Rebound Headaches 

Taking medication regularly (2-3 days a week) for chronic headaches causes rebound headaches. They are also known as medication overuse headaches. 

Symptoms

  • These are caused by taking medicine for other headaches like migraine and cluster headaches. Frequently taking medicine provides relief for a while, but when the pain returns, it is often much worse. 

  • These occur almost daily.

  • These are worse after waking up in the morning.

Causes & Triggers

  • These headaches are caused by the overuse of over-the-counter or prescription medications (acetaminophen, ibuprofen, or triptans). 

Treatment Options

The ways to manage and treat rebound headaches are:

  • Gradual reduction of medication use with medical supervision. 

  • Taking preventive measures such as taking antidepressants and anticonvulsants. 

  • Alternative treatments include acupuncture, physical therapy, and biofeedback to treat headaches. 

When to See a Doctor

If your headaches start to get worse and are more frequent than normal, you might want to consider visiting a pain management doctor. The following conditions require immediate medical attention: 

  • Sudden and severe headaches

  • Headache after a head injury

  • Headache with symptoms like vision changes, numbness, or difficulty speaking

The doctor will perform diagnostic tests like physical examination, X-rays, CT Scans, and MRI to detect the type and cause of the headache. They will provide the correct treatment plan for your condition. 

Preventing and Managing Headaches 

Certain initiatives and lifestyle changes can also make a huge difference in preventing and curing headaches. Some of them are: 

  • Regular exercise with a balanced diet and sufficient hydration 

  • Enough rest and sleep can also relieve headaches

  • Managing stress with techniques such as mindfulness, meditation, and relaxation exercises. 

  • Maintaining proper posture, taking regular breaks, and reducing eye strain while working  

Manage Chronic Headaches 

Headaches are fairly common, and it is normal to ignore their symptoms and not pay attention to what can be a bigger problem. With the right approach, even the most severe headaches can be managed with the proper diagnosis. If you experience frequent or severe headaches, you should see a healthcare provider and create a treatment plan immediately. You can also make certain lifestyle changes and adopt healthy practices to prevent and cure headaches in daily life.

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