Types of headaches
Many of us are familiar with some form of the throbbing, uncomfortable, and distracting pain of a headache. There are different types of headaches. This article will explain 10 different types of headaches:
- tension headaches
- cluster headaches
- migraine headaches
- allergy or sinus headaches
- hormone headaches
- caffeine headaches
- exertion headaches
- hypertension headaches
- rebound headaches
- post-traumatic headaches
The World Health Organization points outTrusted Source that nearly everyone experiences a headache once in a while.
Although headaches can be defined as pain “in any region of the head,” the cause, duration, and intensity of this pain can vary according to the type of headache.
In some cases, a headache may require immediate medical attention. Seek immediate medical care if you’re experiencing any of the following alongside your headache:
- stiff neck
- rash
- the worst headache you’ve ever had
- vomiting
- confusion
- slurred speech
- any fever of 100.4°F (38°C) or higher
- paralysis in any part of your body or visual loss
If your headache is less severe, read on to learn how to identify the type of headache you may be experiencing and what you can do to ease your symptoms.
Primary headaches occur when the pain in your head is the condition. In other words, your headache isn’t being triggered by something that your body is dealing with, like illness or allergies.
These headaches can be episodic or chronic:
- Episodic headaches may occur every so often or even just once in a while. They can last anywhere from half an hour to several hours.
- Chronic headaches are more consistent. They occur most days out of the month and can last for days at a time. In these cases, a pain management plan is necessary.
If you have a tension headache, you may feel a dull, aching sensation all over your head. It isn’t throbbing. Tenderness or sensitivity around your neck, forehead, scalp, or shoulder muscles also might occur.
Anyone can get a tension headache, and they’re often triggered by stress.
An over-the-counter (OTC) pain reliever may be all it takes to relieve your occasional symptoms. This includes:
- aspirin
- ibuprofen (Advil)
- naproxen (Aleve)
- acetaminophen and caffeine, like Excedrin Tension Headache
If OTC medications aren’t providing relief, your doctor may recommend prescription medication. This can include indomethacin, meloxicam (Mobic), and ketorolac.
When a tension headache becomes chronic, a different course of action may be suggested to address the underlying headache trigger.
Cluster headaches are characterized by severe burning and piercing pain. They occur around or behind one eye or on one side of the face at a time. Sometimes swelling, redness, flushing, and sweating can occur on the side that’s affected by the headache. Nasal congestion and eye tearing also often occur on the same side as the headache.
These headaches occur in a series. Each individual headache can last from 15 minutes to three hours. Most people experience one to four headaches a day, usually around the same time each day, during a cluster. After one headache resolves, another will soon follow.
A series of cluster headaches can be daily for months at a time. In the months between clusters, individuals are symptom-free. Cluster headaches are more common in the spring and fall. They are also three times more common in men.
Doctors aren’t sure what causes cluster headaches, but they do know some effective ways to treat the symptoms. Your doctor may recommend oxygen therapy, sumatriptan (Imitrex) or local anesthetic (lidocaine) to provide pain relief.
After a diagnosis is made, your doctor will work with you to develop a prevention plan. Corticosteroids, melatonin, topiramate (Topamax), and calcium channel blockers may put your cluster headaches into a period of remission.
Migraine pain is an intense pulsing from deep within your head. This pain can last for days. The headache significantly limits your ability to carry out your daily routine. Migraine is throbbing and usually one-sided. People with migraine headaches are often sensitive to light and sound. Nausea and vomiting also usually occur.
Some migraine is preceded by visual disturbances. About one out of five people will experience these symptoms before the headache starts. Known as an aura, it may cause you to see:
- flashing lights
- shimmering lights
- zigzag lines
- stars
- blind spots
Auras can also include tingling on one side of your face or in one arm and trouble speaking. However, the symptoms of a stroke can also mimic a migraine, so if any of these symptoms are new to you, you should seek immediate medical attention.
Migraine attacks might run in your family, or they can be associated with other nervous system conditions. Women are three times more likely to develop migraine than men. People with post-traumatic stress disorder also have an increased risk for migraine.
Certain environmental factors, such as sleep disruption, dehydration, skipped meals, some foods, hormone fluctuations, and exposure to chemicals are common migraine triggers.
If OTC pain relievers don’t reduce your migraine pain during an attack, your doctor might prescribe triptans. Triptans are drugs that decrease inflammation and change the flow of blood within your brain. They come in the form of nasal sprays, pills, and injections.
Popular options include:
- sumatriptan (Imitrex)
- rizatriptan (Maxalt)
- rizatriptan (Axert)
If you experience headaches that are debilitating more than three days a month, headaches that are somewhat debilitating four days a month, or any headaches at least six days per month, talk to your doctor about taking a daily medication to prevent your headaches.
Research shows that preventative medications are significantly underused. Only 3 to 13 percent of those with migraine take preventive medication, while up to 38 percent actually need it. Preventing migraine greatly improves quality of life and productivity.
Useful preventative medications include:
- propranolol (Inderal)
- metoprolol (Toprol)
- topiramate (Topamax)
- amitriptyline