There are many types of headaches
There are many types of headaches
Oww… My Head Hurts
Headaches are one of the most common health complaints. Almost every person will experience a headache at some point during their life (imagine being one of the few who never gets a headache!)
The majority of headaches can be classified as vascular (migraine and cluster headaches), tension headaches or a mixture of the two. Less frequent causes of headaches include trauma, dental pain, jaw disorders, neck disorders, sinus pain and tumours.
So, with so many different types of headaches, knowing what kind of headache you have is important for you to understand and will have a big impact on conventional and Naturopathic treatment of your headache.
The Most Common Headaches
The most common headache types seen in clinical practice are (from most to least common):
- Tension Headache
- Chronic Daily Headache
- Migraine
- Cluster Headache
Important Features to Know About Your Headache
When trying to determine what type of headache you have there are a number of features you should consider.
- Onset: Does the headache come on suddenly, or slowly over the course of several hours?
- Regularity: Does the headache start at the same time everyday?
- Laterality: Is the headache on one side, both sides, or everywhere?
- Location: Where is the pain the worst? At the back of the head, top of the head, sides of the head, base of the neck, behind the eyes, or elsewhere?
- Pain characteristic: How would you describe the pain? Dull, band-like, throbbing, pounding, excruciating?
- Associated symptoms: Are there any other symptoms associated with the headache? Any muscle tension, blurred vision, nausea, sensitivity to light, need to move around?
- Aggravations: Have you found anything that makes the headache worse?
- Ameliorations: Have you found anything that makes the headache better?
Determining Your Headache Type
Taking your answers to the questions above you can match the type of headache that most closely matches the features of your headache.
| Migraines | |
| Onset | Sudden, occasionally with an ‘aura’ preceding it (a sense that a headache is coming) |
| Regularity | Not typically at the same time everyday, but exposure to triggers (such as sunlight, odours, fatigue or foods) can cause the migraine to occur with some regularity |
| Laterality | One side, or both sides |
| Location | Behind eyes, top of head, temples, sides of head |
| Pain Characteristic | Throbbing, pounding |
| Associated symptoms | Blurred vision
Lack of appetite, nausea, vomiting Need for avoidance of light (photophobia) and sound (sonophobia) |
| Aggravations | Light, noise, odours |
| Ameliorations | Ergotamine drugs
Caffeine (for some people) |
.
| Cluster Headaches | |
| Onset | Sudden |
| Regularity | Occur in ‘clusters’ – regularly for several weeks or months usually followed by a time with no headaches |
| Laterality | One sided |
| Location | Behind the eyes, at the temples |
| Pain Characteristic | Excruciating, throbbing |
| Associated symptoms | Inability to lie still |
| Aggravations | Very individual – some people have seasonal aggravations (worse in Spring) or time aggravations (worse with no sleep) or foods (alcohol, gluten, etc.) |
| Ameliorations | Rocking, constant movement |
.
| Tension Headaches | |
| Onset | Slowly over the course of hours |
| Regularity | Can be daily or during times of stress |
| Laterality | Depends on location of muscle tension |
| Location | Starts at base of skull or forehead and spreads over the entire head |
| Pain Characteristic | Steady, constant, dull, pressure-sensation |
| Associated symptoms | Muscle tension |
| Aggravations | Stress, tight muscles |
| Ameliorations | Muscle relaxation, massage, stretching |
.
| Chronic Daily Headaches | |
| Onset | Can be migraine-type or tension-type |
| Regularity | Daily |
| Laterality | Depends on type (migraine-type or tension-type) |
| Location | Depends on type (migraine-type or tension-type) |
| Pain Characteristic | Depends on type (migraine-type or tension-type) |
| Associated symptoms | Depends on type (migraine-type or tension-type) |
| Aggravations | Depends on type (migraine-type or tension-type) |
| Ameliorations | Depends on type (migraine-type or tension-type) |
What To Do Now?
So now that you have an idea of what kind of headache you have, where do you go from here? The answer to that is more difficult. Each type of headache has a different cause and a different treatment. And each headache sufferer will respond to different interventions. One person may need additional nutritional support, another person may need relaxation exercises and regular massage therapy, another may respond best to botanical medicine.
This is where Naturopathic Medicine can be extremely helpful for headache sufferers. Each person is treated as an individual. Your Naturopathic Doctor will help you determine the root cause of your headaches, and treat accordingly. A Naturopath will figure out why you have headaches and remove that imbalance, helping you strive for a headache-free life.
Disclaimer
The advice provided in this article is for informational purposes only. It is meant to augment and not replace consultation with a licensed health care provider. Consultation with a Naturopathic Doctor or other primary care provider is recommended for anyone suffering from a health problem.
last week our group held a similar discussion on this subject and you point out something we haven’t covered yet, thanks.
- Laura
Thanks, I know now that I am getting migraines
My head has been hurting for three days, it starts from behind the head. I’m 14. Please help?
Sounds like it could be a stress headache. For a headache that is lasting more than 24 hours you should get in to see your Naturopathic Doctor or Medical Doctor to be sure it’s not something more serious.
Make sure you are well hydrated, well rested and do some relaxation exercises every day.
Yours in health,
Lisa
I have had my headache since Friday March 9, 2012. It starts at base of skull or forehead and spreads over the entire head all the way to my neck. It is amazing constant pain with sharp spurts in various locations similar to lightening bolts. The doctor has ordered a CT Scan and my boyfriend says it is just my allergy to pollen in GA..
It is now going on one week and two days for my headache. The best way to describe it is, every time my heart beats I feel it in my head. It’s worse in the back of my neck but pulsates to the top but just on one side. I’ve been to the ER and all they did was give me blood pressure and muscle spasm meds which both make my head hurt even more. I think I might have something more seriously wrong but don’t know what. Can you please help.
If the headache is constant and very painful you need to get back to the ER. Take charge of your health – keep going back until someone listens. An unremitting headache can be a sign of something serious. I wish you health and wellness. All the best – Lisa
Hello for the last 3 days I
Have been waking up with a headache n it hasn’t went away. Its all over my head n goes down to my neck. The light hurts my eyes as well. It seems as if I get sharp pains at the top of head a lot n sometimes worse pain in different spots. I have taken ibuprofen n Advil but it won’t work. I notice that I also have a throbbing pain n my eyes and when I sniff my nose my head hurts worst as if someone is push ny head together on both sides. This is very painful I can’t even hold my head down without my head hurting. I dont know what to do or what kind of headaches I’m having. Please help me with ne information u may have thank u
the both sides of my head hurts its been tow days and they won’t stop am 18 and am studying and not that much sleep please tell me what do i do DR.Liza
It could be a tension headache, dehydration, lack of sleep or stress. Focus on returning to basics – drink water, get some exercise, find time to sleep. If it doesn’t improve with these measures, get in to a local Naturopathic Doctor for a consult and get to the root of what’s causing your headaches. Yours in health, Lisa.
It sounds like it may be a sinus headache. Try using a Neti Pot or do some steam inhalation to clear your sinuses and see if that helps. If the pain is severe get to your medical doctor or naturopathic doctor for an assessment. Headaches are a sign from our bodies that shouldn’t be ignored. ~Lisa