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Headaches & Migraines: Understanding People with Headaches

Sabine Schneider
Editor-in-Chief

Most people are familiar with headaches and migraines. They can last just a few minutes, or even days. Severe headache episodes are also possible. The causes of headaches are very diverse. Rest or various home remedies often help, but if you have chronic headaches, you should see a doctor. Headaches are among the most common neurological complaints worldwide, although their frequency varies significantly depending on the type of headache, age, and lifestyle. Here you’ll find further information as well as a selection of headache specialists and centers.

ICD codes for this disease: G44, G44.0, G44.2, R51

Quick Overview:

Headaches are among the most common health complaints and can vary greatly in their characteristics. There are primary headaches and secondary headaches, which differ significantly in terms of cause, intensity, and course. The causes of headaches range from harmless triggers such as stress or dehydration to medical conditions that require treatment. If headaches occur regularly or persist over a longer period of time, it is advisable to consult a doctor to determine the appropriate treatment.

Article Overview

Definition & Causes of Headaches

There are many different causes of headaches. The types of headaches differ not only in their cause but also in their location, intensity, and duration.

Stress-related headaches are caused by restlessness or constant tension—whether at work or in one’s personal life.

Eye strain can certainly affect the head and nerves. For some people, these headaches occur, for example, when they work in front of a computer screen for too long. In these cases, the headaches are often tension-type headaches, which are exacerbated by improper muscle strain and sustained tension.

Another common cause of headaches is muscle tension. These occur, for example, when the neck muscles are affected or there is a blockage of the vertebrae in that area. Insufficient blood flow or compressed nerves then trigger the symptoms.

Woman with a headache
Most people have experienced headaches at some point © goodluz | AdobeStock

Other causes of headaches include:

  • Dehydration due to insufficient fluid intake
  • Inhalation of certain fumes
  • Noise
  • Heat or
  • Poor air quality

However, headaches can also be a sign of serious underlying conditions, such as a brain tumor. Severe migraines are also often accompanied by intense headaches.

A summary of the possible causes of headaches:

  • Muscle tension
  • Blockages
  • Stress
  • Dehydration
  • Heat
  • Poor air quality
  • Noise

Headaches, medically known as cephalgia, are very common.

The pain can affect almost any part of the head. Some types of headaches are more pronounced at the temples or around the eyes. Others tend to occur in the upper part of the head or at the back of the head. A precise description of the headache helps doctors determine the underlying type of headache.

The head contains organs sensitive to pain, such as:

  • cranial nerves
  • meninges, or
  • blood vessels in the brain

These become irritated during a headache. Those affected then experience this pain as mild or severe.

A man is stressed out at work
Stress is a common cause of headaches © WavebreakmediaMicro | AdobeStock

Types of Headaches

There are 200 different types of headaches, which vary significantly in cause, progression, and treatment. These include tension headaches, migraine attacks, severe headaches, and cluster headaches. The type can be identified, among other things, by the symptoms. In addition to the headache, nausea or vomiting, dull, pressing, or throbbing headache attacks, visual disturbances, and dizziness may occur. 

Medically, these symptoms are classified into different types of headaches to enable targeted treatment. It is important to correctly identify the cause of the headache and distinguish between different types, as not every type is treated the same way. Headaches can also occur as a side effect of medications. Headaches are among the most common neurological complaints. 

Treatment of Headaches

To relieve headaches, a doctor must identify and address the underlying cause of the symptoms.

For stress-related headaches, the following often help:

  • Stress reduction
  • Exercise or
  • Physical therapy for tense muscles or blockages

If tension in the neck or back muscles is the cause, specific stretching exercises can provide quick relief.

Those affected should also make sure to stay well-hydrated. It’s recommended to drink at least two liters of water a day. If dehydration might be the cause of your headaches, drink water—this can often help.

A glass of water
Always drink enough, because dehydration can cause headaches © alter_photo | AdobeStock

Home remedies that help with headaches include:

  • Rest breaks
  • cold compresses and peppermint oil on the forehead, or
  • deep heat
  • Caffeinated beverages can also relieve pain because they dilate blood vessels. However, they are not a substitute for water!

Frequent use of pain relievers can, over time, lead to medication-overuse headaches, which further exacerbate the symptoms. In many cases, patients turn to pain-relieving medications such as:

  • acetaminophen
  • ibuprofen, or
  • acetylsalicylic acid-based medications

These headache medications are available over the counter at pharmacies. After taking them, the symptoms may indeed subside or even disappear completely.

However, pain relievers only address the symptoms and not the underlying cause. To truly eliminate the headaches, doctors must treat the root cause. Otherwise, a vicious cycle can develop with pain relievers, in which those affected become overly reliant on medication.

If the headaches have underlying causes, these medications do not provide long-term relief. If the pain is severe, over-the-counter medications quickly reach their limits. Especially in cases of migraines or cluster headaches, such medications are only of limited help.

Possible remedies for headaches:

  • Relieving tension and blockages
  • Cold compresses or deep heat
  • Peppermint oil
  • Stress reduction
  • Fluid intake
  • Medications

Pills
Pain relievers often help with headaches, but they don’t address the underlying cause © neirfy | AdobeStock

What are cluster headaches?

Cluster headaches often occur on one side of the head, around the eye. They occur in episodes that can last up to several hours. Cluster headaches frequently occur a few hours after falling asleep, upon waking, or around noon. Cluster headaches are described as stabbing, drilling, and burning.

Medically, cluster headaches are classified as trigeminoautonomic headaches, which are characterized by involvement of the autonomic nervous system. What distinguishes cluster headaches from migraine attacks: While migraine patients often seek rest and retreat to bed, cluster headache patients experience an increased urge to move.

However, symptoms typically associated with migraines may also be present in cluster headaches. These include, among others, nausea and sensitivity to light and sound.

Typical accompanying symptoms of cluster headaches include:

  • a runny nose
  • reddened conjunctiva of the eye, or
  • a drooping eyelid

The causes of cluster headaches are unknown. However, there are several known triggers that can set off this condition or worsen the headaches:

  • Alcohol
  • Certain types of light, as well as
  • Certain foods

As a preventive measure, the patient is prescribed certain medications. In acute cases, inhalations or special nasal sprays have proven effective.

Frequent headaches—should I see a doctor?

A visit to the doctor is recommended if:

  • Headaches occurring at regular intervals
  • Frequent headaches, as well as
  • Headaches that last for several days

In unclear or severe cases, a neurological examination may be necessary to rule out serious underlying causes.

If a serious condition is present, the doctor can initiate appropriate treatment. Self-treatment in the form of taking pain relievers could prove fatal in such a case.

Doctors refer to headaches as chronic when patients experience symptoms:

  • on at least 15 days per month or
  • for three consecutive months

Important: If the condition is indeed chronic, the person affected must see a doctor immediately! For most patients, the number of attacks is fewer than 15 days per month, in which case it is referred to as episodic migraine.

Which doctor treats headaches?

The first point of contact for headaches is the family doctor. The doctor will ask the patient detailed questions about their symptoms, their severity, and their frequency.

The family doctor can easily treat mild cases without any problems.

In more severe cases, however, referral to another doctor is necessary. 

Other specialists include:

FAQ

1. What types of headaches are there?
Generally, headaches are classified as primary or secondary, including tension headaches, migraines, and cluster headaches, among others. Overall, there are numerous different types of headaches that vary significantly in terms of cause, progression, and treatment.
2. When should you see a doctor about headaches?
If you experience headaches that are frequent, persistent, or unusually severe, you should undergo a medical examination.
3. What can trigger headaches?
Possible triggers include stress, muscle tension, dehydration, lack of sleep, or certain environmental factors.
4. How can headaches be prevented?
Regular exercise, staying well-hydrated, and reducing stress can help prevent headaches.

Recommended Doctors for Headaches