Headache / Migraine

Male with Head / Facial Pain

Headaches
There are four types that we typically treat.
Tension headaches, the pain begins at the back of the head and then progresses forward on either side.  Pain is described as dull or squeezing and typically does not change with activity.
Migraines typically cause severe pain and are often associated with additional symptoms, such as photophobia, nausea, or visual disturbances.  Pain is described as throbbing or pulsating and typically gets worse with activity.
Cluster headaches usually affect one side at a time and originate behind the eye or in the temple.  Pain is described as very sharp and drilling.
Rebound headaches result from chronic use of headache medication.  In order to minimize the frequency or severity of the headaches, medications are either reduced or rotated.

Myofascial Pain
Muscle pain, aches, spasms, or tightness may result from damage to the muscles or nearby soft tissue.  This pain may be perceived at a location other than the original stimulus (referred pain).  Pain caused in the face, neck, or upper back region may result in headaches.

Occipital Neuralgia
Nerve damage resulting in pain behind the eyes, back of the head, and in the upper neck.  Trauma, excessive flexion and extension of the neck or compression of soft tissue can aggravate the nerve.  Symptoms may mimic the intense pain of tension headaches on either side and over the top of the head that feels sharp, jabbing, or shock-like pain.

Trigeminal Neuralgia
Nerve disorder that causes very painful, stabbing or electric shock-like pain in parts of the face, usually as a result of pressure on the trigeminal facial nerve.  Pain is often located on one side of the face and may be triggered by everyday normal activities and by either touch or sound.

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