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Headaches are one of the most common complaints patients present within primary care settings. They are often correlated with stress, tension, and a litany of existing medical conditions. Often, patients will live with headache pain for months or even years before seeking care. Over the counter remedies like aspirin, ibuprofen, and acetaminophen are often used to reduce symptoms of pressure and pain prior to seeking medical advice. The following information is intended for patients that suffer from chronic headache pain and is looking for ways to better manage symptoms, increase function, and improve quality of life. A headache is a headache is a headache…..Right?


There are actually two main types of headache, primary and secondary, and can differ greatly in intensity, frequency, and duration.


Primary: headaches include, but are not limited to, tension-type and migraine headaches and are not caused by other underlying medical conditions. Over 90% of headaches are considered primary.


Secondary: headaches result from other medical conditions, such as infection or increased pressure in the skull due to tumor, disease, etc. These account for fewer than 10% of all headaches.

Types of Headaches


Tension-type Headaches

These headaches are the most common, affecting upwards of 75% of all headache sufferers.

 As many as 90% of adults have had tension-type headache

 These headaches are typically a steady ache rather than a throbbing one and affect both sides of the head

 Distracting but usually not debilitating

 People can get tension-type (and migraine) headaches in response to stressful events or a hectic day

 These headaches may also be chronic, occurring as frequently as every day


Migraine Headaches


Less common than tension-type headaches, migraines affect approximately 25 to 30 million people and cause considerably more disability, lost workdays, and lost revenue.

 As many as 6% of all men and up to 18% of all women experience a migraine headache at some time 

 Roughly three out of four migraine sufferers are female

 Among the most distinguishing features is the potential disability accompanying the headache pain of a migraine

 Migraines are felt on one side of the head by about 60% of migraine sufferers, and the pain is typically throbbing in nature

 Nausea, with or without vomiting, as well as sensitivity to light and sound often accompanies migraines

 An aura --a group of telltale neurological symptoms--sometimes occurs before the head pain begins. Typically, an aura involves a disturbance in vision that may consist of brightly colored or blinking lights in a pattern that moves across the field of vision

 About one in five migraine sufferers experiences an aura

 Usually, migraine attacks are occasional, or sometimes as often as once or twice a week, but not daily Headache Triggers Many things can cause a headache, thus it is important for you to become aware of the factors in your life that may contribute to your suffering, and, if possible, make changes to minimize the chances of continued suffering. Some examples of factors that can cause headache are outlined below:

Emotional Factors: Stress (work, home, family), depression, anxiety, frustration, let down, even positive excitement


Dietary Factors: Alcohol, aspartame, cheese, chocolate, caffeine, monosodium glutamate (MSG), processed meats containing nitrates


Physical Factors: Getting too much or too little sleep, too much physical exertion, injuries, skipping meals


Environmental Factors: Glare from the sun or bright lights, changes in the weather, strong odors, smog

Hormonal Events: Menstruation, oral contraceptives, hormone replacement therapies, menopause Treatment of Headaches There are a number of medications, such as muscle relaxants, analgesics, or antihypertensives can help with migraine and/or tension headaches.

Treatment Tips

  • you can sometimes prevent headaches if you recognize the triggers and avoid them; keeping a headache diary may help you spot triggers

  • pain relief medicines may be effective but rest is also helpful

  • drink plenty of water and eat a healthy diet

  • sinus headaches may require special medicines; check with your pharmacist

  • if your headache is part of a cold and you take multiple medicines containing paracetamol, be careful not to exceed the safe daily dose of paracetamol

  • have your eyes checked if you do a lot of computer work

  • check your posture if you have a desk job, especially if you have shoulder aches and pains


Treatment Options

  • it is important to know what type of headache you have and if you need to see a doctor

  • some pain relievers are not suitable for everyone.

Headache is a symptom and not a diagnosis, visit us and we shall try our best to help you treat the cause of your headache .



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