Orlando Sentinel

Understand­ing headache types is key to treatment

- Mayo Clinic News Network

We have all experience­d the annoying, relentless and throbbing pain associated with headaches. They can slow us down or even bring us to a complete stop. Headache sufferers should know that there are several different types of headaches, and knowing the type you’ve got can be the first step in effectivel­y treating it.

Mayo Clinic Health System nurse practition­er Erin Pokorny takes a look at different types of headaches and shares what you can do to fight them.

Tension-type headaches: These are considered to be the most common types of headaches. They are often described as dull and achy and are often brought on by stress, neck pain, missing meals and a variety of other things.

Tension-type headaches can often be treated by over-the-counter medication, such as aspirin, ibuprofen or acetaminop­hen.

You may also want to try alternativ­e treatments, including meditation, relaxation training and massage.

Migraines: We’ve all heard about migraines, and we know that they’re not to be taken lightly. The pain associated with migraines is often described as throbbing and severe. Migraines are often associated with nausea, vomiting or increased sensitivit­y to light and sound. Pain may worsen with increased activity. Untreated, migraines can typically last anywhere from 4 to 72 hours.

Treatment options include avoiding any known triggers for your migraines; using over-the-counter medication­s; prescripti­on medication­s; rest in a quiet, dark room; and a hot/cold compress to the head or neck.

Cluster headaches: These are rare but occur on and off for weeks at a time. Cluster periods can last for days or months, and you may experience one or more cluster headaches a day. Typically, these headaches begin quickly and reach maximum intensity within minutes. They usually affect one side of the head and can be accompanie­d by tearing/redness in one eye or drooping of that eyelid, and a runny or stuffy nose.

For treatment, over-thecounter medication won’t help cluster headaches because of their short duration. Preventive medication can help, as well as injections of sumatripta­n for quick relief. Inhalation of 100 percent oxygen through a mask and prescripti­on triptan nasal sprays also can help.

Chronic daily headaches: These headaches occur 15 days or more a month. The different types are characteri­zed by their frequency and duration. The signs, symptoms and time frame also vary depending on the headache type.

Treatment for chronic daily headaches often focuses on underlying diseases and conditions to stop them. If no underlying conditions are found, preventive medication becomes the focus of treatment.

“Nobody wants their days hindered by annoying and painful headaches,” Pokorny said. “It’s important to be able to identify the type of headache you’re experienci­ng in order to execute the best treatment options.

“Make sure to schedule a visit with your healthcare provider if symptoms persist.”

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