Different types of headaches. A neurologist explains how they differ and what they mean

A headache can be a symptom of hundreds of conditions, ranging from a cold, arterial hypertension, the effects of a head injury, a manifestation of chronic fatigue syndrome, and a stroke. It should not be tolerated. And if the same symptoms recur, it is necessary to urgently consult a doctor. Why? Let’s understand it clearly. In some cases it helps to https://pillintrip.com/medicine/apireks.

Shingles headache
– Most often this is how tension headaches manifest themselves – muscle type pain (which is usually bilateral) first appears at any age, but more often in 25-30 years.

The sensation is usually pressing, constricting, as if the skull is being pulled down by an invisible hoop. This is the most common type of headache. It is accompanied by tension of the skull muscles.

Causes include:

Emotional (anxiety, depression, stress and conflict situations in the family and at work);
Work and rest disorders (monotonous work or overload at work or study, lack of rest);
sleep disorders;
Sexual problems which provoke headaches;
Temporomandibular joint dysfunction.
Such pain may occur sporadically or every day for many months. Women are more often affected.

Neck and occipital pain

– The cause here is problems of the cervical spine, which, by the way, is often provoked by the forced position of the body for a long time, osteochondrosis and osteoarthritis, less often – neuralgia of the occipital nerve.

A common problem is the so-called text-neck. One of the most common postural dysfunctions is forward displacement of the head relative to the vertical support line. There is an imbalance of the neck muscles, their overload, the formation of trigger points, limitation of movements, compression of nerves and as a consequence – pain! Cause: working at the computer, reading from mobile devices, and so on.

It is important to correct the position of the neck and try to keep the posture.

Effective: acupuncture, trigger point massage, manual therapy, occipital nerve block.

Pain in the temples and/or in the area of the forehead, eye or above the eye

– This is likely to be a pulsating, severe nagging pain which can be classified as migraine or migraine-like pain (depending on its intensity, duration and cause). Associated symptoms may include nausea, vomiting, hypersensitivity to light, sounds and smells.

What is it? A migraine is a bout of intermittent headache accompanied by various neurological and autonomic symptoms. Women of childbearing age suffer more often.

The development of migraine is caused by a combination of environmental and genetic factors. Approximately two-thirds of migraine cases are familial in nature.

Use of medicines to prevent migraine attacks is indicated only in cases of frequent (2 or more per month) and severe attacks. The duration of treatment is several months in most cases.

It is recommended:

Avoid emotional and physical stress and hunger;
find out what foodstuffs cause attacks (usually, those with a high content of biogenic amines (chocolate, cheese, red wine, walnuts, spinach, celery, liver, tuna);
lead a healthy lifestyle;
learn meditation, relaxation and biofeedback techniques.
Less common is wispy (cluster) headache. It is characterized by episodes of severe aching or burning unilateral pain, more often in the eye or behind the eye, but may be localized periorbital or temporal, spreading to the cheek, soft palate, lower jaw, ear, or neck. The attacks begin at the same time of the day, most often at night, and occur in series. They occur several times more frequently in men than in women.

A hereditary predisposition is characteristic. On the side of the pain, there is tearing, redness of the eye, nasal congestion, constriction of the pupil, sweating of the forehead or face, and swelling of the eyelid.

Mental Disorders and Simulation

– Headache, like fatigue, can be a major complaint in patients with mental disorders. Psychogenic headache is seen in depression (including masked depression) and anxiety disorders.

Psychogenic headache is characterized by the fact that it is constant, usually bilateral, squeezing the forehead, temples for weeks and months. Patients often deny the presence of depression and anxiety, so the main role in the diagnosis of psychogenic headache plays a carefully collected anamnesis.

Mental disorders in headaches can develop secondarily: due to fear of a tumor or stroke. This fear is often expressed in the imposition of the doctor’s opinion about the cause of the headache: “we must measure the pressure”, “check the eyes” and conduct other examinations, if necessary.