Types of headaches
Are there different types of headaches? Yes!
Headaches sufferers know that it can be extremely debilitating, and detrimental to their quality of life. As a migraine headache sufferer myself, it can be super annoying knowing that one small trigger can ruin my day.
There are 3 main types of headaches:
- Tension type headache
- Cervicogenic headache
- Migraine headaches
Each one of these headache types have their own specific traits that clinicians use to categories and diagnose. It is also possible to have more than one type of headache.
Tension type headaches are the most common primary headache experienced. Symptoms of tension headaches to be a throbbing, tight band across either side of their head, that is mild to moderate intensity. It is usually not associated with nausea, and is not exacerbated by routine physical activity. (3)
Cervicogenic headaches are a secondary headache, meaning that they’re brought on as a result of joint related issues in the neck region. They are often associated with a decrease in range of motion in the neck, and can be reproduced when the neck is placed in specific positions. There is a relationship between the neck pain felt and the intensity of the headache. (2)
Migraine headaches are a recurrent disorder manifesting in attacks lasting from 4-72 hours. They are usually felt on one side of the head, pulsating in quality, and with a moderate or severe intensity. Unlike tension type headaches, migraines are aggravated by routine physical activity and are associated with nausea and/or photophobia (inability to tolerate bright lights) and phonophobia (inability to tolerate loud noises). (4)
Tips at home to manage headaches would be to have a headache diary. By understanding why, how, and when your headaches occur will help you manage or even avoid the headaches in the future. This headache diary should include:
When it comes to managing headaches, manual therapy is recommended for the management of all 3 headaches. Each headache is treated differently, with cervicogenic and migraine headaches being more suited for chiropractic adjustments, and tension type headaches responding greater with low load mobilisation.(1)
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(1)Evidence-Based Guidelines for the Chiropractic Treatment of Adults With Headache
(2) Martelletti, P., van Suijlekom, H. Cervicogenic Headache. CNS Drugs 18, 793–805 (2004). https://doi.org/10.2165/00023210-200418120-00004
(3)Fumal, Arnaud, and Jean Schoenen. “Tension-type headache: current research and clinical management.” The Lancet Neurology 7.1 (2008): 70-83.
(4)Ruschel, Marco A. Pescador, and Orlando De Jesus. “Migraine Headache.” StatPearls [Internet]. StatPearls Publishing, 2022.
(5)César Fernández-de-las-Peñas & Carol A. Courtney (2014) Clinical reasoning