Alternative medicine (2)
- Chiropractic adjustment
- Biofeedback
Lifestyle and home remedies (3)
- Headaches: Reduce stress to prevent the pain
- Migraines: Simple steps to head off the pain
- Tension-type headaches: Self-care measures for relief
Risk factors (1)
- Stress symptoms: Effects on your body, feelings and behavior
Treatments and drugs (1)
- Headaches: Treatment depends on your diagnosis and symptoms
continued:
Headaches: Treatment depends on your diagnosis and symptoms
Do you take pain medication more than two or three days a week?
Medication overuse headaches can affect anyone who has migraines, tension-type headaches or other chronic headaches and uses pain relievers several times a month. Sometimes called rebound headaches, medication overuse headaches:
- Are often described as dull, achy, throbbing or pounding
- May awaken you early in the morning and continue throughout the day
- May be most severe at first, when the medication begins to wear off
- Occur daily, or nearly daily
- May involve nausea or irritability
Treatment
The only way to stop medication overuse headaches is to reduce or stop taking the medication that's contributing to these headaches.
Do the headaches follow a specific activity?
Uncommon primary headaches can occur as a result of exercise, sex, bouts of coughing or other activities. Before diagnosing a primary headache, your doctor may recommend tests, such as an MRI, in order to determine nothing serious is causing your headaches. Each type of these headaches has its own set of characteristics.
Exercise-induced headaches:
- Are often described as throbbing
- Affect both sides of your head
- May last from five minutes to 48 hours
Sex headaches
- May begin as a dull ache, with the pain escalating just prior to orgasm
- May be explosive and throbbing, occurring just at the moment of orgasm
- Can last from a few minutes to a few hours, depending on what type you experience
Cough headaches
- Are typically sharp and stabbing in quality
- Affect both sides of your head
- May last from a few seconds to a few minutes
Treatment
Uncommon primary headaches are unusual, but if your headaches are predictable or chronic, your doctor may prescribe preventive medicine.
Recognize emergency symptoms
Seek emergency evaluation if any of the following features are present.
- Sudden onset of severe headache
- Onset after a head injury, fall or bump
- Fever, stiff neck, rash, confusion, seizure, double vision, weakness, numbness or difficulty speaking
- Pain worsens despite rest and over-the-counter pain medication
These symptoms suggest a more serious underlying condition, so it's important to get prompt diagnosis and treatment.
Take control
Most headaches are nothing to worry about. But if headaches are disrupting your daily activities, work or personal life, it's time to take action. Headaches can't always be prevented, but your doctor can help you manage the symptoms.
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- Headache: Hope through research. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/headache/detail_headache.htm#142883138. Accessed Feb. 7, 2010.
- Taylor FR. Tension-type headache in adults: Pathophysiology, clinical features, and diagnosis. http://www.uptodate.com/home/index.html. Accessed Feb. 8, 2010.
- Bajwa ZH, et al. Pathophysiology, clinical manifestations, and diagnosis of migraine in adults. http://www.uptodate.com/home/index.html. Accessed Feb. 8, 2010.
- Arne M. Cluster headache: Epidemiology, clinical features, and diagnosis. http://www.uptodate.com/home/index.html. Accessed Feb. 8, 2010.
- Arne M. Cluster headache: Acute and preventive treatment. http://www.uptodate.com/home/index.html. Accessed Feb. 8, 2010.
- Garza I. Overview of chronic daily headache. http://www.uptodate.com/home/index.html. Accessed Feb. 8, 2010.
- Goadsby PJ, et al. Headaches. In: Fauci AS, et al. Harrison's Principles of Internal Medicine. 17th ed. New York, N.Y.: The McGraw-Hill Companies; 2008. http://www.accessmedicine.com/content.aspx?aID=2890365. Accessed Feb. 9, 2010.
- Garza I. Medication overuse headache: Etiology, clinical features, and diagnosis. http://www.uptodate.com/home/index.html. Accessed Feb. 8, 2010.
- Cutrer FM. Primary exertional headache. http://www.uptodate.com/home/index.html. Accessed Feb. 8, 2010.
- Cutrer FM. Primary headache associated with sexual activity. http://www.uptodate.com/home/index/html. Accessed Feb. 9, 2010.
- Cutrer FM. Primary cough headache. http://www.uptodate.com/home/index.html. Accessed Feb. 9, 2010.
- Goetz CG. Headache. In: Goetz CG. Textbook of Clinical Neurology. 3rd ed. Philadelphia, Pa.: Saunders Elsevier; 2007.
- Chronic daily headache: An overview. American Headache Society. http://www.achenet.org/education/patients/ChronicDailyHeadacheAnOverview.asp. Accessed Feb. 18, 2010.

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