Showing posts with label headache types. Show all posts
Showing posts with label headache types. Show all posts

Saturday, 22 August 2009

Day 244 - Headache Types

Photograph: Nick Veasy/Getty Images
“We all know what it's like to have a headache. They can turn the best of occasions into a form of torture. Four out of five people get tension headaches. One in seven experience migraines. Headaches cost the economy around £1.5bn a year through lost work days.

Trouble is, while some causes of headaches are obvious – such as when you've had too many glasses of wine the night before – others are more tricky to call. And how can you tell what's serious and what isn't? A good starting point is knowing what type of headache you have.”*

*http://www.guardian.co.uk/lifeandstyle/2009/aug/18/headache-migraine-treatment

As I write this post, I feel like my head is going to split. This morning I came across the Organization for the Understanding of Cluster Headache (OUCH), who I contacted for more information on hemicrania continua and New Daily Persistent Headache (NDPH). It was the first time I have spoken to someone who has heard about these conditions.

The above extract was taken from an article in the Guardian that I recently read. Headaches, therefore, seem to be the most ‘popular’ form of pain, despite the fact that so little is known about them. Vast amounts of research continue to be conducted in this field, but little remains known as to the causes, and indeed how best to cure, these headaches.

What I find curious is that almost all webpages (including that of this article) that talk about headaches categorize these into tension headaches, cluster headaches and migraines. They do not mention any other forms of headache, despite telling us that ‘a good starting point is knowing what type of headache you have’. How can we, if no one tells us about the other types of headache? Some would argue that these conditions are subdivisions of cluster, tension and migraine headaches, but little - if anything, even under the subdivision of these headaches - is mentioned about the lesser known types of headaches such as hemicrania continua and NDPH.

It surely is no coincidence I didn’t come across hemicrania continua or NDPH, because I have spent hours on the internet reading and researching about different types of headache, and indeed even speaking to neurologists about them, both of whom failed to even mention the two conditions!

Although there is not much known about hemicrania continua and NDPH, why are these hardly ever mentioned, in particular on some neurologists’ webpages and in other comprehensive medical journals? Is it because science is nearly embarrassed, should we say, by the little that is known about these two conditions? Would it not help if scientists, and indeed the media, gave them more coverage so that more people can learn about these, thus possibly be diagnosed with them which would, in its turn, enable more studies to be conducted on these conditions?

Wednesday, 18 March 2009

Day 86 - Headache Specialist


"There are several different types of headache. The main types are:

* Tension headaches (also called stress headaches, muscular headaches) - a mild to moderate headache that may last minutes or days and tends to recur. The pain is fairly constant and felt in both sides of the head and neck as a pressure or tension. Most importantly, exercise doesn't make it worse and there are no additional symptoms such as nausea.


* Migraine (see
Day 4 - Migraine post.) - symptoms can be variable, and there are several different types of migraine , but this is usually a moderate to severe one-sided headache that pulsates or throbs. Importantly, it gets worse with activity and there are additional symptoms, particularly nausea and vomiting, diarrhoea and an increased sensitivity to noise, light or smells. Some people experience an aura (symptoms such as flashing lights) before the headache.

* Cluster headaches - frequent, short-lived (less than an hour), one-sided headaches across the temple or around the eye and occurring once or more a day, and often disrupting sleep. Headaches recur for several weeks then subside, although another cluster may develop months later.


* Chronic daily headaches - these may be of any of the above types, and occur for at least 15 days a month for at least three months.


Headaches are generally divided into either primary (not related to another disorder) or secondary (caused by other things such as head injuries, high blood pressure or a brain tumour). With secondary headaches, it's essential to treat the underlying cause as this may prove fatal."*

*http://www.bbc.co.uk/health/conditions/headache1.shtml

This afternoon I went to see one of the best neurologists in the UK, who has been ‘a full time headache specialist for the last 12 years’, according to his website.

I described my headache to him in depth, emphasizing that I have already ruled out the possibility of the pain being related to my eyes, my sinuses, tropical diseases, low blood pressure, etc. etc.

As I recounted all the details, the doctor took notes, and explained that at the end of the session he would write a complete description of my symptoms, thereafter sending a copy to myself and to my GP with details of what medication I should take.

The doctor asked me where the pain is centred. I pointed to a specific location on my right temple. What I found very bizarre was that he did not reach out to touch the part of my head which is causing the pain. He immediately jotted down ‘right side temple headache’.

He advised taking steroid or botox injections to alleviate the symptoms.

“Botox?” I asked inquisitively. “But that’s for women who have plastic surgery”, I said. He explained that recent studies in the U.S. have demonstrated that women who suffer from headaches and who have undergone plastic surgery are no longer afflicted with headaches post surgery. As such, doctors now prescribe botox for headaches and migraines.

He thereafter told me that I will always have to carry drugs on me and take them whenever I feel the headache coming on (I guess I didn’t make myself clear when I explained that the headache doesn’t ‘come on’ - it is always there).

Needless to say, I will not be taking neither botox, nor steroids. As I believe I have a secondary headache, I need to find the underlying cause of the pain as opposed to temporarily concealing it with harmful drugs.

Once again, I am back at square one, this time £160 shorter.