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Distinguishing Migraines from Headaches: Key Differences to Be Aware Of

Migraines from Headaches

Have you experienced a throbbing sensation in your head and hastily concluded, “It’s just a headache”? It could, at times, be more significant. The spectrum of headaches and migraines is extensive, and although they may appear to be closely related, they are more akin to distant relatives in medical terms. Knowing the difference is crucial, not just for the sake of knowledge but for proper diagnosis and treatment.

 

Understanding Common Headaches

First off, let’s decipher headaches. A headache is essentially any head pain or discomfort in any region of the head. Sounds simple, right? But there’s more to it and there are different types of headaches.

  • Tension headaches: The most common of the lot. Imagine a tight band around your head. That’s what a tension headache feels like. Often due to stress or muscle strain, these headaches can last for hours but usually don’t come with other symptoms.
  • Sinus headaches: Ever had a stuffy nose, nasty drainage, fever and a headache? That’s probably a sinus headache. They’re caused by sinus inflammation, infection and usually come with a fever or nasal discharge. Be careful though, most “sinus headaches” are actually migraine since migraine also causes sinus symptoms.
  • Cluster headaches: These are the bullies of the headache world. Cluster headaches are intensely painful and occurring in groups or “clusters,” they can strike several times a day for weeks or even months. They occur on only one side of the head (although migraine can also do this).

 

Understanding the Complexities of Migraines

Now, onto migraines. Migraine attacks aren’t just intense headaches. They’re a neurological disease, and they pack a punch. Unlike regular headaches, migraines come with a host of other symptoms besides severe throbbing, pulsating, pounding migraine pain.

  • Nausea: It’s not just about the head. Many migraine sufferers also feel like they’re about to throw up, and many do.
  • Sensitivity: Lights too bright? Can’t stand the sound of the TV? Can’t be around strong smells? With migraines, your senses go into overdrive.
  • Dizziness: It’s not uncommon to feel off-balance or even spinny during a migraine.
  • Extreme fatigue: A migraine can drain you, making you feel like you’ve run a marathon.
  • Brain Fog: Brain fog is a common complaint of patients in the midst of a migraine or in the aftermath of a migraine called the postdrome.

 

What are the differences between migraine and tension type headache? Since these are the two most common headache disorders, let’s clarify how to tell them apart. Tension type headache is basically the opposite of migraine characteristics. So, tension type headache is a non-throbbing pain (usually dull achy pressure), there can be no nausea, and there can be only one of either sensivity to light or sound (not both).

 

Phases of a Migraine Episode

Migraines are like stories; they have a beginning, middle, and end. Each phase has its own set of symptoms.

  • Prodrome phase: This is the calm before the storm. You might feel irritable, thirsty, or even have food cravings.
  • Aura phase: Some people see flashing lights and zigzag patterns or even lose vision. Sensation changes or speech disturbances may also happen. This phase is a sensory disturbance that signals the headache phase is near.
  • Headache phase: This is the main event. Intense pain, either on one side or both, can last for hours or even days.
  • Postdromal phase: Think of this as the aftermath. Once the headache subsides, you might feel drained, sore or even euphoric. It’s the body’s way of recovering and regrouping.

 

Triggers and Causes of Migraines

While headaches and migraines might seem random, there’s often a method to the madness. Migraines, especially, can be triggered by a variety of factors.

  • Gender and hormonal shifts: Women are more prone to migraines, especially around their menstrual cycle, pregnancy, or menopause.
  • Allergies: Yes, what you’re allergic to may trigger a migraine. It’s the body’s way of sounding an alarm.
  • Genetic factors: If your family has a history of migraines, you might be more susceptible. It’s all in the genes.
  • Environmental factors: Ever noticed more headaches during a particular season? Or after a stressful week? External factors like weather changes, high stress, or even lack of sleep can be triggers.

 

Exploring Treatment for Headaches and Migraines

Dealing with headaches and migraines can feel overwhelming, but take heart. There’s hope. You can manage and potentially curb these distressing episodes with tailored treatments.

 

1. Over-the-Counter Solutions

Over-the-counter remedies can be a quick relief for those occasional, less intense headaches. However, a word to the wise: always touch base with a healthcare expert before popping any pills.

 

2. Prescribed Paths

When migraines become a frequent uninvited guest, or their intensity becomes unbearable, it’s time to consider prescription medications. Every migraine patient needs to have a migraine management plan which includes an effective abortive (acute) treatment, and a preventive treatment if they are frequent enough. Physicians often recommend drugs specifically designed to either diminish the occurrence or ease the severity of migraines.

 

3. Embracing Lifestyle Tweaks

Often, it’s the subtle shifts in our daily routines and lifestyle changes that yield the most significant results:

  • Physical Activity: A consistent exercise routine can be a game-changer. Studies have shown that exercise can be as effective as some of the medications used for migraine prevention.
  • Dietary Choices: Opting for a balanced diet nourishes not just the body but the brain. Watching for dietary triggers is also important.
  • Restorative Sleep: Prioritizing quality sleep is like giving your brain a mini-vacation.
  • Mindful Practices: Techniques like meditation or deep breathing exercises can shield you against stress, a notorious migraine culprit.

 

With these strategies in hand, you’re better equipped to tackle the challenges of headaches and migraines head-on.

 

Tracking Patterns

There’s a saying: “What gets measured gets managed.” Chronicling your headaches and migraines in a headache diary can truly transform your approach to them. By diligently recording their frequency, severity, and potential catalysts, you begin to see patterns emerge. This treasure trove of data isn’t just beneficial for you; it’s a goldmine for healthcare practitioners aiming to tailor a treatment strategy just for you.

 

Virtual Headache Specialist Is Your Ally in Relief

Peeling back the layers of headaches and migraines is the beginning of your path to a more comfortable life. And here’s the good news: you’re not trekking this path solo. Virtual Headache Specialist is your dedicated co-traveler. We’re here to help you rediscover a life where pain doesn’t call the shots. So, shake off that weight of discomfort.

 

IF YOU HAVE HEADACHE, MIGRAINE, OR FACIAL PAIN AND ARE LOOKING FOR ANSWERS ON ANYTHING RELATED TO IT, A HEADACHE SPECIALIST IS HERE TO HELP, FOR FREE!

FIRST, LET’S DECIDE WHERE TO START:

IF YOU HAVE AN EXISTING HEADACHE, MIGRAINE, OR FACIAL PAIN DIAGNOSIS AND ARE LOOKING FOR THE LATEST INFORMATION, HOT TOPICS, AND TREATMENT TIPS, VISIT OUR FREE BLOG OF HOT TOPICS AND HEADACHE TIPS HERE. THIS IS WHERE I WRITE AND CONDENSE A BROAD VARIETY OF COMMON AND COMPLEX  MIGRAINE AND HEADACHE RELATED TOPICS INTO THE IMPORTANT FACTS AND HIGHLIGHTS YOU NEED TO KNOW, ALONG WITH PROVIDING FIRST HAND CLINICAL EXPERIENCE FROM THE PERSPECTIVE OF A HEADACHE SPECIALIST.

IF YOU DON’T HAVE AN EXISTING HEADACHE, MIGRAINE, OR FACIAL PAIN DIAGNOSIS AND ARE LOOKING FOR POSSIBLE TYPES OF HEADACHES OR FACIAL PAINS BASED ON YOUR SYMPTOMS, USE THE FREE HEADACHE AND FACIAL PAIN SYMPTOM CHECKER TOOL DEVELOPED BY A HEADACHE SPECIALIST NEUROLOGIST HERE!

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Last Updated on November 18, 2023 by Dr. Eric Baron

Dr. Eric Baron

Dr. Eric P. Baron is a staff ABPN (American Board of Psychiatry and Neurology) Board Certified Neurologist and a UCNS (United Council for Neurologic Subspecialties) Diplomat Board Certified in Headache Medicine at Cleveland Clinic Neurological Institute, Center for Neurological Restoration – Headache and Chronic Pain Medicine, in Cleveland, Ohio. He completed his Neurology Residency in 2009 at Cleveland Clinic, where he also served as Chief Neurology Resident. He then completed a Headache Medicine Fellowship in 2010, also at Cleveland Clinic, and has remained on as staff. He is also a Clinical Assistant Professor of Neurology at Cleveland Clinic Lerner College of Medicine of Case Western Reserve University. He has been repeatedly recognized as a “Top Doctor” as voted for by his peers in Cleveland Magazine, and has been repeatedly named one of "America's Top Physicians". He is an author of the popular neurology board review book, Comprehensive Review in Clinical Neurology: A Multiple Choice Question Book for the Wards and Boards, 1st and 2nd editions, and has authored many publications across a broad range of migraine and headache related topics. To help patients and health care providers who do not have easy access to a headache specialist referral due to the shortage in the US and globally, he created and manages the Virtual Headache Specialist migraine, headache, and facial pain educational content, blog, and personalized headache and facial pain symptom checker tool. You can follow his neurology, headache, and migraine updates on Twitter @Neuralgroover.