Types of Headaches
Accounts for 80% of all headaches. Characteristics found with this type of headache:
- Starts as a tight feeling over the sub-occipital muscles.
- Usually follows stressful situations and/or related to ergonomics coupled with food allergies.
- Acute tension headaches generally clear initially with over the counter analgesics or with rest.
- Chronic tension headaches may persist through the night and may continue beyond any definable stress period.
- Typically insistence of co-workers or family is a good indicator of serious chronic tension headaches.
- Slight dizziness, decreased concentration, tightness throughout the para-spinal musculature and scalp.
Adjustments of the cervical spine are known to treat this type of headache. Many times we see our chiropractor for neck pain, which is also commonly associated with headache symptoms.
Migraine (Classic V.S. Common)
Common accounts for 90% of migraine headaches-Classic 10%. Classic is a neurological migraine with aura. Aura is a disturbance of nervous function, such as: spots, waves, areas of incomplete vision. In addition these headaches are pulsitile and hemicranial or one sided. Common migraine typically is hemicranial without any aura.
Dietary intake such as chocolate, cheese, fatty foods, oranges, tomatoes, and onions can also lead to migraines. These foods are high in tyramine the amino acid that has been proven to trigger a migraine (allergy type reaction).
Alcohol, exposure to glare, sudden jarring and rapid change in the barometric pressure will trigger these headaches. Basilar migraine-uncommon variant of a migraine.
Blindness, visual disturbances through both visual fields, poor articulated speech, equilibrium difficulties, ringing in the ears, confusion, loss of consciousness, throbbing and occipital in nature.
Cluster or Horton’s Cephalgia
- Most common in men and alcohol always precipitates no matter how much is consumed.
- 20-40 years of age, individuals are usually awakened by this headache and the duration is approximately an 1.5 hours.
- Starts as a rapid onset of tingling in one nostril followed by a sensation of a red-hot poker feeling up the nostril and/or acid being poured into the eye.
- Occurs 2-3 times per night, 2-3 times per year, daytime attacks less frequent.
Headaches from Withdrawal
Headaches that are the result of illegal drugs, prescription medication, alcohol (hangover), and caffeine.
Intracranial Hematoma and/or Sub-arachnoid hemorrhage*
No trauma with insidious onset. Sudden onset of back, neck and head pain.
Progression of an acute condition with a change in pattern over several weeks. Changes in personality, continuous incapacitating headaches. Anyone with night pain/sweats or headaches should rule out an intracranial lesion.
Congenital herniation of the brainstem and lower cerebellum through the foramen magnum.
*Note: 5, 6, and 7 are ruled in/out with magnetic resonance imaging.
Supplements and self-help for headaches
- Magnesium, 250 to 500 milligrams up to 3 (t.i.d.) times per day.
- 5-hydroxytryptophan (5-HTP)-100mg 3 (t.i.d.) times per day. Tension/Migraine headaches cause an increase in the breakdown of serotonin this results in a decreased pain threshold. The precursor to the production of serotonin is 5-HTP.
- Vitamin B6: 25 mg 3 (t.i.d.) 3 times per day.
- Fever-few-herb plant that has vasoconstrictor properties.
- Fish or Flax seed oils.
- Place a cold pack over ones head and submerge your hands in warm water during an acute headache.
Dietary and Lifestyle Recommendations
- Consume a diet that focuses on whole, unprocessed foods (whole grains, legumes, vegetables, fruits, nuts, and seeds).
- Eliminate alcohol, caffeine, and sugar.
- Identify and control food allergies.
- Get regular exercise.
- Perform a relaxation exercise (deep breathing, meditation, visualization) 10 to 15 minutes each day.
- Drink at least 48 ounces of water per day.
Evaluation of ergonomics, lifestyle, food allergies, and postural complications with recommendations resolve these issues. Treatment utilizing ischemic compression, strain counter-strain, massage, ultrasound therapy, interferential current therapy, mobilization/adjustments to the cervical and thoracic spine, and exercise tailored to correct ones posture provide regional stabilization.
Adjustments help relieve paraspinal musculature/zygapophysial joint tension and adhesions that occur to allow improved inter-segmental motion and decrease nociception. The muscles and vertebral joints have nociceptive fibers where pain is transmitted through or to each spinal nerve for that respective muscle and/or vertebral level.
Let Dr. Brooke Iwanski Eagle be your headache specialist here in beautiful Fort Myers!