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There are many ways to manage headaches.

* Stop what you are doing and begin treatment. Don’t wait for the headache to get worse.
* Apply a cold, moist cloth or ice pack to your forehead and temples.
* Rest in a quiet, comfortable, dark room.
* Take drugs to stop your headache (abortive medication) as needed.
* Take drugs exactly as prescribed by your doctor.
* Begin stress management therapy as soon as your headache starts.
* Have a massage to relax tense muscles in your head, neck, temples, face, or jaw.

There are things you can do every day to help prevent headaches.

* Reduce stress.
* Identify and avoid headache triggers by keeping a headache diary
* Maintain good posture to avoid muscle tension.
* Live a healthy lifestyle. Get regular sleep, eat nutritious foods regularly, avoid alcohol and drugs, and avoid foods that may trigger your headaches.
* Avoid overexertion. Some headaches can be triggered by intense physical activity.
* Avoid taking nonprescription pain relievers more than 3 times a week because you may get rebound headaches. Rebound headaches are usually triggered after pain medicine has worn off, prompting you to take another dose. Eventually, you get a headache whenever you stop taking the medicine.

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By identifying and avoiding tension headache triggers, you can help reduce the frequency and severity of your headaches. While some triggers may be out of your control, others are easily avoidable. The following points can help you prevent a tension headache:

* Keep a headache diary to identify your tension headache triggers.
* Manage stress.
* Seek treatment for any underlying depression or anxiety.
* Sleep, exercise, and eat on a regular schedule.
* Practice good posture to reduce neck strain.
* Reduce eyestrain from computers at work and at home.
* Stop clenching your jaw to reduce muscle tension in your face.

What are common tension headache triggers?

Tension headaches can result from muscles tightening in the back of the neck or head because of stress, anxiety, fatigue, hunger, anger, poor posture, or overexertion.

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Could that nagging headache and painful jaw be tied to your oral health? Many headache sufferers might want to consult their dentist as well as their doctor since headaches and dental pain have a lot in common, says Director of the Orofacial Pain and Oral Medicine Graduate Program at the USC School of Dentistry Glenn Clark.

Pain centered in the nerves and muscles running throughout the face and neck, as well as poor habits the discomfort may cause, can trap sufferers in a painful feedback loop, with head pain triggering jaw and neck pain and vice versa.

“Headaches and toothaches all transmit through the trigeminal nerve, the largest sensory nerve in the head that supplies the external face, scalp, jaw, teeth and much of the intra-oral structures,” Clark says. “Pain in one branch of the nerve has the potential to activate other branches of the nerve, and when that pain is chronic and sustained, it is more likely to trigger a sequence of events that might lead to a headache. In people who have headaches, a continuous, sustained toothache can easily trigger one of the episodic headaches such as migraines.”

Besides the close anatomical links between head, face and jaw pain, reflexive behaviors caused by pain and tension such as jaw clenching and muscle tightening can exacerbate and transfer pain.

“There is a good deal of interconnectivity between the orofacial and craniocervical systems; for example, when you clench your teeth you contract your neck muscles inadvertently,” Clark says. “When patients have an acute neck injury they often start holding tension in their teeth, and jaw muscle pain will occur. When you have a chronic toothache or bad temporomandibular joint, this may also cause bracing and guarding in the muscles on the same side of the jaw and in the neck.”

When head and face pain spring from tooth or jaw joint injury, such as when a patient unknowingly clenches or grinds their teeth for long periods of time and damages tissue inside and below the teeth, it can be difficult for a physician to decipher the cause of the pain, he says. That’s where a dentist with a trained eye for the medical and behavioral causes of orofacial pain comes in.

“In general, headaches don’t have physical signs, and diagnosis is all related to the history and pattern of the pain,” Clark says. “If the patient is being treated for the migraines, tension headaches or sinus pains and the medications or other methods of treatment given by the physician are not effective, they are often referred to a dentist for evaluation. At the Orofacial Pain and Oral Medicine Center, we actually receive a number of patients from physicians who want us to check the teeth and the jaw joints for problems.”

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Your head hurts. Again. You rub your eyes, twist your neck around and listen to the cracking and snapping noises in your neck. Why do you have another headache?

Headaches can happen for many reasons. You may have eyestrain from spending too much time on your laptop, you could have an inflammation of your sinus cavities or it could be a life-threatening condition like a tumor, brain cancer, or encephalitis. You can also get a headache if you’re dehydrated or hungry.

More than likely it’s simply a tension headache.

Tension headaches are caused by tightening in the muscles in shoulders, neck, scalp and jaw. I’ll bet you didn’t realize that you had muscles in your scalp, much less that they could contract. These are tension headaches. The contractions of these muscles are often due to stress, depression or anxiety. If you’re working too much, not getting enough rest, not eating properly or using alcohol or drugs you’re probably more prone to getting tension headaches. Migraines and cluster headaches appear to be related to swelling of blood vessels. The pain comes from the blood vessel walls, membrane coverings of the brain and the muscles in the scalp and neck. Your brain itself actually cannot feel pain. Inflammation of your sinuses is also a common cause of headaches.

In your quest to determine the cause of your headaches, it’s a good idea to keep a headache journal. Get a little notebook and write down every time every time you get a headache. What did you eat before it happened? What activities were you engaged in? Did your vision change? Did you become sensitive to light? You’ll be able to see patterns of what may bring on your pain, like stress, food triggers, medications, and menstrual cycles. Foods that have been found to trigger certain headaches are chocolate, cheese and MSG (monosodium glutamate). Your mileage may vary in what triggers your headaches.

Your tension headache can be caused by engaging in an activity that requires you to keep your head in the same position for an extended period of time—like using a computer or a microscope or any other repetitive action. It could also be caused by sleeping in an odd position, clenching your jaw, grinding your teeth while asleep or sleeping in a cold room.

Once you know what causes your headaches, you’re more likely to be able to avoid them in the future.

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