Identify the Pain in Your Head The 14 Kinds of Headaches - Article Health

It's critical to identify which type of headache you suffer from——tension, cluster, sinus, rebound, or migraine——so that the correct treatment can be prescribed. For example, patients with a history of self-described or doctor-diagnosed sinus headaches— but none of the signs of sinus infection— might actually meet the criteria for migraine. In one study, two-thirds of those patients expressed dissatisfaction with the medications they were using to treat their headaches.

“We know a lot more than we did 20 years ago about what causes headaches,” says Charles Flippen, MD, associate professor of neurology at the David Geffen School of Medicine at UCLA. “We know what areas of the brain are generating pain, but we don’t have the whole picture.”

Tension headaches
Tension headaches, the most common type, feel like a constant ache or pressure around the head, especially at the temples or back of the head and neck. Not as severe as migraines, they are not usually accompanied by nausea and vomiting, and they rarely stop someone from continuing their regular activities.

Cluster headaches
Cluster headaches, which affect men more often than women, are headaches that occur in groups or cycles. Cluster headaches recur regularly, even multiple times daily, over a certain period of time and then may be followed by a headache-free period of months or even years.

Sinus headaches
When a sinus becomes inflamed, usually through an infection, it can cause pain. It usually comes with a fever, and can—–if necessary–—be diagnosed by MRI or CT scan (which can both detect changes in fluid levels), or by the presence of pus viewed through a fiber-optic scope.

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