Headache and Migraine

Headaches are a common medical condition that involves the blood vessels in the head and neck, as well as the tissue and nerves that surround the brain. Headaches can also be caused by the scalp, sinuses, teeth, and muscles and joints of the same area.

What Are Headaches and Migraines?

Headaches and migraines are prevalent forms of head pain that can significantly impact daily life. While headaches vary in intensity and duration, migraines are typically characterized by severe throbbing pain often accompanied by nausea, vomiting, and sensitivity to light and sound. Understanding the differences between these types of pain is crucial for effective management and treatment.

Headaches are a common medical condition that involves the blood vessels in the head and neck, as well as the tissue and nerves that surround the brain. Headaches can also be caused by the scalp, sinuses, teeth, and muscles and joints of the same area.

Primary Headaches

Primary headaches are caused by parts around the head that are pain-sensitive, such as blood-vessels, nerves, and muscles. Examples include migraines, cluster headaches, and tension headaches.

Migraines

Migraines are especially common in this group. They are recurring, pulsing and throbbing headaches that can span a few hours or even days. Sensory disturbances can warn of the oncoming headache, which feels as though it resides on one side of the head.

Migraines have numerous treatments, some over-the-counter, some holistic. A newer approach is the use of Botox to help with migraine relief. A pain management specialist injects Botox into the facial muscles to block signals from the nerves to the muscles, so that they loosen. You would need an injection every 12 weeks, and can need as many as 40 in total, but you can start seeing the migraine symptoms ameliorated in as little as 2 to 3 weeks.

Our headache treatment methods include:

  • IV Therapy
  • Injections – Nerve and Ganglion Blocks (local anesthetic blocking sympathetic nerves on either side of the voice box in the neck), Botox
  • Devices – eNeura, gammaCore — At-home nerve stimulators
  • Wearable Devices – CEFALY (placed on forehead), Nerivio (worn as armband)
Appropirate Patients for Migrane Preventation

Appropirate Patients for Migrane Preventation

Patient Adherence to and Persistence on Migraine Prevention Therapies infographic

Patient Adherence to and Persistence on Migraine Prevention Therapies infographic


Secondary Headaches

Secondary headaches are brought on by other conditions that additionally affect the nerves in the head. The causes of these range from not severe to critical.

Of the less severe:

  • dehydration
  • caffeine-withdrawal
  • lack of sleep
  • stress (bodily and mental)
  • hunger

Of the more severe:

  • overuse of pain medication (rebound headaches)
  • brain-tumor
  • blood clots
  • stroke
  • concussion
  • bleeding in the brain (hemorrhagic stroke)
  • glaucoma
  • carbon monoxide poisoning

While occasional headaches are nothing serious, consistent and chronic headaches can be the mark of a grave condition. If you have persistent headaches, consult your doctor

What Are The Causes of Headaches and Migraines?

Headaches are caused by inflammation and other problems with the blood vessels surrounding the brain. Migraines are really just exponent headaches, accompanied by symptoms such as nausea, vomiting, sensitivity to light and noise. They are both caused by several factors, some of which include modern mundane occurrences such as medication withdrawal and too much exposure to light.

What Are The Signs And Symptoms of Headaches and Migraines?

Signs and symptoms of headaches and migraines may manifest differently from person to person. Common symptoms include throbbing or pulsating pain, nausea, vomiting, sensitivity to light and sound, and visual disturbances. Understanding these symptoms can aid in early recognition and prompt management, potentially reducing the severity and duration of episodes.

What Are The Risk Factors of Headaches and Migraines?

Several factors may increase the risk of developing headaches and migraines. These include a family history of migraines, hormonal fluctuations (more common in women), age, certain medications, and lifestyle factors such as stress and poor sleep habits. Recognizing these risk factors can empower individuals to adopt preventive measures and seek timely medical intervention when needed.

How Are Headaches and Migraines Diagnosed?

The process of diagnosing headaches and migraines usually entails a thorough evaluation conducted by a healthcare professional. This assessment may encompass gathering detailed medical information, conducting a physical examination, and potentially utilizing imaging tests or alternative diagnostic methods. Precise diagnosis is imperative in order to devise a suitable treatment strategy customized to the individual’s requirements and enhancing their overall well-being.

What Are Possible Treatments For Headaches and Migraines?

Treatment options for headaches and migraines encompass a variety of approaches aimed at alleviating pain and reducing symptom severity. These may include over-the-counter or prescription medications, lifestyle modifications such as stress management techniques, relaxation therapies, and physical therapy. In some cases, interventional procedures or alternative therapies may also be considered based on individual preferences and treatment response.

Are There Preventative Steps or Measures To Avoid Headaches and Migraines?

Taking proactive steps to prevent headaches and migraines can significantly reduce their frequency and intensity. Strategies may include staying hydrated, maintaining a balanced diet, getting regular exercise, managing stress effectively, and identifying and avoiding trigger factors. Implementing these preventive measures can empower individuals to regain control over their pain and enhance their overall well-being.

What Are The Risks If Headaches and Migraines Are Left Untreated?

Neglecting to address headaches and migraines may result in various negative outcomes, such as reduced efficiency, diminished life satisfaction, and the possibility of advancing into chronic pain disorders. Moreover, recurring or severe headaches might signal underlying health concerns necessitating medical intervention. Pursuing prompt treatment can help alleviate these risks and enhance overall long-term results.

Are There Other Related Conditions To Headaches and Migraines?

Various other conditions exhibit resemblances to headaches and migraines, such as tension headaches, cluster headaches, sinus headaches, and secondary headaches stemming from underlying medical issues. Despite sharing similar symptoms, these conditions often demand distinct diagnostic and management strategies. Seeking guidance from a healthcare provider can assist in distinguishing among these conditions and selecting the most suitable path forward.

Key Takeaways About Headaches and Migraines

  1. Headaches and migraines can significantly impact daily life and often require tailored treatment approaches for effective management.
  2. Understanding potential triggers and risk factors can help individuals take proactive steps to prevent or reduce the frequency and severity of headaches and migraines.
  3. Prompt diagnosis and appropriate treatment are essential for improving symptoms and preventing long-term complications.
  4. Treatment options range from medications to lifestyle modifications and may vary depending on individual needs and preferences.
  5. Seeking professional medical advice is crucial for accurate diagnosis, personalized treatment plans, and optimal outcomes in managing headaches and migraines.

Recommended Next Steps

If you’re experiencing frequent or severe headaches or migraines, don’t hesitate to reach out to Manhattan Pain Medicine for expert evaluation and personalized treatment options. Our team of specialists is dedicated to providing comprehensive care to help you find relief and regain control over your life. Schedule an appointment today to take the first step towards a pain-free future.

Meet Manhattan Pain Medicne, PLLC

Jason W. Siefferman, MD is board-certified in Physical Medicine and Rehabilitation (PM&R) and Interventional Pain Medicine. He is trained to offer a comprehensive diagnostic evaluation and treatment for anyone experiencing pain or a disability. He has published articles, book chapters, and persuasive essays surrounding many... Learn More »