HEADACHE: When is a Headache more than just a Headache?


Migraines are common in about 8% of men and 18% of women. A headache is usually an underlying headache that has no underlying cause, such as a tumor, injury, or aneurysm. Of the common primary headaches, these can be tension headaches, cluster headaches, and migraines.

As a therapist, we want to reject the red flags first that will tell us that your headache is more of a nuisance. Red flags include fever or weight loss. Knowing that there is an underlying disease, such as cancer, means eliminating the spread of the disease to the brain. Symptoms of confusion or a change in alertness are alarming, such as a sudden headache and the worst headache of your life. In addition, the onset of new and progressive headaches in people over the age of 50 without a history of headaches can alert us to an inflammatory condition that can cause headaches.

Some headaches are chronic headaches. To diagnose a migraine, there are usually 5 or more attacks that last 4 to 72 hours and are usually on one side of the head, palpitations, moderate to severe, and physical. Are spoiled by activity. Nausea and vomiting are common complaints. Light and sound can make it worse. What we call aura may be something that is usually seen and lasts less than an hour. This can happen before the headache starts.

However, tension headaches can last from half an hour to 7 days and do not involve sound or nausea, and vomiting. It does not have the same effect on disability as migraine.

A headache diary can help by making a list of when a headache occurs, how often and severe it occurs, the frequency of medication taken, and whether there are sensory or visual symptoms. Some people get headaches due to the overuse of medicines. These medications are recurring headaches and it is important to stop all medications for three months before any treatment is planned.

Migraine sufferers may identify weather, noise, glare, physical stress such as lack of exercise or sleep, diet and hormonal stimuli such as chocolate, cheese, or menstruation, and emotional stress.

Headache management includes lifestyle changes and non-pharmaceutical measures such as mildness, biofeedback, and cognitive therapy. Riboflavin, coenzyme Q10, and magnesium may be helpful. Medications that are needed are non-specific painkillers and specific medications such as tryptophan. In addition, if the frequency of migraine headaches is frequent, patients can use protective medications on a daily basis. In some cases, Botox is offered.

One of this week’s studies looks at migraine management. The first is a study on acupuncture and as an editorial commentary came out with the study – the more difficult a medical problem is, the more treatment strategies there are. Studies show that acupuncture is beneficial in treating severe migraine attacks. The current study on acupuncture has shown that acupuncture has a more effective effect than sham acupuncture and has a mild preventive effect on migraines.

Headaches and migraines affect the quality of life, so if you have a headache, be sure to see your doctor.

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