Factors to consider for typical headaches

The occasional headaches most of us get typically have a clear reason, such as a hangover from a night out with friends or a sinus headache due to allergies. When headaches become a recurrent theme it hinders functioning, particularly for working professionals. There are patterns and factors to consider in recurrent cases since they pertain to management.

• One side (cluster) or both sides (tension)
• Preferring dark room (migraines)vs. not sensitive to light
• Gradual pulsating (migraines) vs. sudden and continuous (cluster)
• Constant pressure like a band around the head (tension)
• Light sensitive, nausea, aura (migraine)
• Pure headache without any other symptoms (tension)
• Affected side eye-watering, stuffy nose, sweating, restless (cluster)

https://www.uptodate.com/contents/evaluation-of-headache-in-adults

Triggers for migraine headache in order of significance

• Stress > menstruation > skip meals > weather changes > sleep hygiene > odors > neck pains > bright lights > alcohol > smoking > foods (aspartame)

https://www.ncbi.nlm.nih.gov/books/NBK560787/#article-22614.s3

Triggers for tension-type headaches

• Stress, eye strain, alcohol, caffeine (excessive), dental issues, smoking
• Poor posture (looking down for a prolonged time) --> weak neck muscles

https://emedicine.medscape.com/article/792384-overview#a5

While medications are available for headaches, the factors mentioned can help identify triggers. Once a pattern and triggers are identified behavioral modifications can help prevent recurring headaches.

• Stress management (workbook)
• Avoid excessive alcohol/caffeine
• A migraine diet (workbook)
• Avoid smoking or quit
• Good sleep hygiene
• Minimize fasting
• Work posture
• Eye care

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