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The following healthy habits can lessen stress and reduce your chance of getting headaches:

* Getting adequate sleep
* Eating a healthy diet
* Exercising regularly
* Stretching your neck and upper body, especially if your work involves typing or using a computer
* Learning proper posture
* Quitting smoking
* Learning to relax using meditation, deep breathing, yoga, or other techniques
* Wearing proper eyeglasses, if needed

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According to the American Chiropractic Association, nine out of ten Americans suffer from headaches. Dr. Janelle Havelka is using chiropractic to successfully stop migraine headaches in patients who previously had little help from traditional medicine.

“Many headache sufferers feel like there was no hope for them,” says Dr. Havelka. “There is a large segment of our population who suffer silently with headache pain almost every day. They often turn to pain killers to temporarily stop the pain. But drugs only provide short-term relief, it doesn’t fix the core problem at hand. We are using chiropractic to fix the source of the migraines and we are having excellent results.” Is there evidence that chiropractic can stop headache pain? New research shows that spinal adjustments - the primary form of care provided by doctors of chiropractic - may be an effective treatment option for tension headaches and headaches that originate in the neck.

A report released in 2001 by researchers at the Duke University Evidence-Based Practice Center in Durham, NC, found that spinal manipulation resulted in almost immediate improvement for those headaches that originate in the neck, and had significantly fewer side effects and longer-lasting relief of tension-type headache than a commonly prescribed medication.

Dr. Havelka says that in recent years the medical community has embraced chiropractic because it offers treatment without the use of drugs or surgery. “In treating headache pain, most experts agree that conservative care should be tried before more invasive treatments are considered. That’s what chiropractic offers.”

“It has a long history of effectively stopping pain yet doesn’t require the use of prescription or over the counter painkillers that can have negative consequences. Chiropractic is all-natural and frequently is more affordable than other options. We say why suffer when you don’t have to? We invite people to come on down and explore if chiropractic might work for them.”

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Since the brain itself feels no pain, headache pain comes from the tissues around the brain, the attaching structures at the base of the brain, and the muscles and blood vessels of the scalp, face and neck. Cluster headache pain may be related specifically to blood vessel dilation or to inflammation of nerves behind the eye.

The pattern of cluster headache attacks earn their name: episodic cluster headaches consist of active periods that may last days or even months, during which headaches occur in “clusters” every other day or as frequently as eight times per day. Headache-free remissions can last months or years.

During active periods, factors that may trigger attacks include alcohol, high altitude, air travel, bright sunlight, exertion or foods, especially foods high in nitrites. Drugs that dilate the blood vessels, such as nitroglycerine and various blood pressure medications, can also set off an attack. When the cycle is inactive, these triggers usually have no effect.

Cluster headache pain generally resides on one side, behind or around the eye or in the temples, and may be accompanied by hyperactivity, congestion, swelling and eyelid drooping or swelling. The pain may fluctuate before it subsides. Care focuses on controlling pain in acute attacks, preventing recurrences and minimizing the impact on daily functioning. Treatment usually consists of pain relief and headache prevention medications, but may include nerve injection, radio-frequency therapy or oxygen therapy.

Cluster Headaches most commonly occur in men from 20 to 40. People with cluster headaches tend to be sociable, active and responsible, so cluster headaches are sometimes called “the executive headache.” Because these headaches can be very disruptive, patient education and support groups are often helpful and comforting.

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If you have a sinus headache, typically you will feel the effects when you get out of bed in the morning. The typical symptoms include uncomfortable pressure, pain, heaviness in the cheeks and your brow as well as your forehead. The pain from sinus headaches usually increases due to bending in a forward position or by lying down. A major sign that you are experiencing a chronic sinus headache is experiencing a continual headache that is somewhat dull in nature.

You might develop a sore throat, a fever, coughing might occur and you may experience fatigue. Migraine headaches show some of the same symptoms but a migraine headache is typically associated with a pounding feeling which is intensified by bright lights and loud noises and nausea typically occurs.

Causes of Sinus Headaches

Some typical causes of sinus headaches include colds, an improperly functioning immune symptom, problems with the nasal cavities as well as allergies. People who are candidates for chronic sinusitis are people with asthma, certain types of allergies, people with growths located in the nasal area and people with a weakened immune system. If your headaches are very intense and you are experiencing other symptoms such as a fever that is above 100.5, dealing with a stiff neck, experiencing confusion, pain, swelling on the face or in the area near your eyes you might want to consult you doctor.

Treatment for Sinus Headaches

If you have sinusitis your physician will probably recommend antibiotics. Even if your symptoms diminish take all the antibiotics that the doctor prescribed for you. This is necessary in order to eliminate the bacteria that were causing the problem. Doctors might recommend corticosteroid pills or nasal spray for patients who are having sinusitis symptoms due to allergies or from inflammation.

Eventually as your sinus problems go away the sinus headaches should be eliminated. To help reduce the uncomfortable feelings, decongestants and over the counter types of pain medication as well as saline nasal sprays may be recommended by your doctor. If structural problems in the nasal cavities are contributing to your sinus headaches, surgery might be considered by your doctor.

To lower the risks of acquiring sinusitis keep your sinuses in good shape. Washing your hands with soap can help reduce the chances of acquiring upper respiratory infections that can produce sinusitis. You might want to consider purchasing a humidifier since a moist air environment can help to stop sinusitis from occurring. If you have a sinus headache you might want to consult with your doctor.

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Most headaches are minor, and you can treat them with a pain reliever. Some head pain, however, signals a dangerous or serious medical problem. Don’t ignore unexplained head pain or head pain that steadily worsens. Get medical attention right away if your head pain:

* Develops suddenly and severely
* Accompanies a fever, stiff neck, rash, mental confusion, seizures, changes in vision, dizziness, weakness, loss of balance, numbness or difficulty speaking
* Is severe and follows a recent sore throat or respiratory infection
* Begins or worsens after a head injury, fall or bump
* Is a new pain, and you’re older than 50
* Is excruciating and affects just one, reddened eye
* Progressively worsens over the course of a single day, or persists for several days

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Get Headache Pain Relief with Esgic Plus

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Esgic Plus is combination fever reducer (Acetaminophen), relaxant barbiturate (Butalbital) and blood vessel dilator (caffeine) used to treat tension headaches and other forms of pain.

Headaches Caused by Muscle Contraction (Tension Headaches)

This type of headache begins in the back of the NECK or head and develops into what is usually described as a non-throbbing, tight, cranial band that puts pressure on the head. Health professionals agree that these headaches are the result of excessive tone or contraction of the muscles in the face, head and NECK areas. They are by far the most common type of headache and Esgic Plus is often prescribed. This condition varies from mild severe discomfort in pain levels and afflicts men and women equally.

There are a number of underlying causes of the muscle contraction and tension that lead to these headaches. They can be related to spinal misalignment that often starts with poor posture that comes from sitting in uncomfortable positions for long periods. Other causes include fatigue or stress that causes contraction or excess tone in various muscle groups. Pelvic irritation, poor dental health, misaligned mastication or anything else that results in stress in the muscles of the face, skull, shoulders and upper back can all lead to chronic tension headaches. Any of these things can lead to muscles that are constantly contracted and suffering from a reduced oxygen supply. Muscles with low oxygen levels become fatigued, which leads to a buildup of histamines and other chemicals, which accumulate and trigger neurons, creating pain.

Smoking, irregular sleep patterns, bitterness, grief, anger, depression, fear and heightened levels of anxiety can all trigger tension headaches. Poor diets, high caffeine intakes, strong light, or illness can also play a role and sufferers know that once tension headaches start, Esgic Plus or other therapies are often needed to stop the cycle.

That’s because at the first sign of a tension headache, patients develop heightened levels of fear, producing muscle tension that creates anxiety and so on. That’s why it is important to take Esgic Plus at the first sign of a headache.

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Headaches Caused by Muscle Contraction (Tension Headaches)

This type of headache begins in the back of the neck or head and develops into what is usually described as a non-throbbing, tight, cranial band that puts pressure on the head. Health professionals agree that these headaches are the result of excessive tone or contraction of the muscles in the face, head and neck areas. They are by far the most common type of headache and Esgic Plus is often prescribed. This condition varies from mild severe discomfort in pain levels and afflicts men and women equally.

There are a number of underlying causes of the muscle contraction and tension that lead to these headaches. They can be related to spinal misalignment that often starts with poor posture that comes from sitting in uncomfortable positions for long periods. Other causes include fatigue or stress that causes contraction or excess tone in various muscle groups. Pelvic irritation, poor dental health, misaligned mastication or anything else that results in stress in the muscles of the face, SkULL, shoulders and upper back can all lead to chronic tension headaches. Any of these things can lead to muscles that are constantly contracted and suffering from a reduced oxygen supply. Muscles with low oxygen levels become fatigued, which leads to a buildup of histamines and other chemicals, which accumulate and trigger neurons, creating pain.

Smoking, irregular sleep patterns, bitterness, grief, anger, depression, fear and heightened levels of anxiety can all trigger tension headaches. Poor diets, high caffeine intakes, strong light, or illness can also play a role and sufferers know that once tension headaches start, Esgic Plus or other therapies are often needed to stop the cycle.

That’s because at the first sign of a tension headache, patients develop heightened levels of fear, producing muscle tension that creates anxiety and so on. That’s why it is important to take Esgic Plus at the first sign of a headache.

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Here’s what you should do

In today’s world, almost anything could give a person a headache. The term “headache” is used and often overused to describe a reaction to life’s general frustrations. For those people who suffer from headache-related pain, identifying it as “I have a headache” is not specific enough to find relief. To find the appropriate treatment to alleviate headache pain, it is critical to delve deeper and identify a specific headache type.

Determining what type of headache a person suffers from is the first step to finding appropriate treatment. According to a recent survey by the National Headache Foundation, 73 percent of headache sufferers reported experiencing more than one type of headache. For this majority, it is essential to determine headache type to develop a specific treatment regimen. While migraine was the most common and well-known type of headache in the survey, with 60 percent of respondents claiming it as a type they suffer from, it is important to get a diagnosis by a healthcare professional to determine what type of headache you actually have.

Seventy-three percent of NHF survey respondents reported taking initiative to determine their headache type and learn more about their condition. Of this group, 57 percent took matters into their own hands, and conducted personal research via the Internet and reading healthcare magazines. Of the 86 percent of respondents who consulted a healthcare professional on this issue, 59 percent were successful in gaining a diagnosis of a specific headache type.

“Educating yourself on different types of headache is important,” said Dr. Lisa Mannix, NHF board member and practicing physician. “However, it is best to make an appointment with your healthcare professional to obtain an accurate diagnosis and to establish the appropriate treatment plan.”

Healthcare professionals can educate the 41 percent of survey respondents who reported not knowing that medication and non-medication treatment options are available for headache symptoms. Thirty-eight percent of respondents use the simplest non-medication treatment available to alleviate their headaches: sleep. Massage is another example of a non-traditional treatment option used by 16 percent of the survey participants. Healthcare professionals may also recommend medication treatments such as the over-the-counter pain relievers used by 48 percent of respondents or prescription medications used by 15 percent of the respondents.

Additional survey results:

* After migraine headaches (60 percent), the next most common type among respondents was tension-type headaches with 37 percent.

* 28 percent of the survey participants suffer from chronic daily headache.

* 23 percent of respondents reported suffering from sinus headaches.

The 21 percent of survey respondents who reported not knowing what type of headache they suffer from represent headache sufferers nationwide who could benefit from prevention and treatment options that come from determining their headache type.

The following list of characteristics of common headaches can help keep you keep track of your symptoms, which you can share with your healthcare professional.

Characteristics of common headaches:

* Migraine headache is characterized by any or all of the following symptoms: pulsating or throbbing pain typically on one side of the head, nausea or vomiting, sensitivity to light or sound, and visual disturbances. The attacks may last 4-72 hours.

* Tension-type headache is the most common form of headache with symptoms of dull, aching and non-pulsating pain that affect both sides of the head, and can vary in frequency and severity.

* Chronic daily headache is often characterized by a headache that occurs more than 15 days a month for a period of at least three months.

* Sinus headache symptoms may include tenderness over the sinus, a deep dull ache exaggerated by head movements or straining accompanied by nasal discharge, ear sensation or fullness, and facial swelling.

NHF suggestions to determining headache type:

* Keep a headache diary. Identifying patterns among headache triggers, timing, duration, pain level and location offers useful information to share with your healthcare professional to help determine the headache type you are dealing with.

* Educate yourself about headache.

* Educate yourself about treatment options; both medication and non-medication. Treatments can have varying results from patient to patient so it is important that a sufferer understands how each option may work for them on an individual basis.

* See your healthcare professional. Make an appointment to specifically discuss your headaches with your healthcare professional.

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The exquisite skin pain and sensitivity of severe cutaneous allodynia during headaches may be more common with transformed migraine, researchers found.

Cutaneous allodynia affected three to four times more patients with transformed or episodic migraine than those with other chronic daily headaches or severe tension headaches, reported Marcelo E. Bigal, M.D., Ph.D., of Albert Einstein College of Medicine here and Merck Research Laboratories in Whitehouse Station, N.J.

“Our data suggest that cutaneous allodynia maps onto the migraine biology,” Dr. Bigal and colleagues in the American Migraine Prevalence and Prevention Group wrote in the April 22 issue of Neurology, on the basis of a population study.

Aside from shedding light on pathophysiology of the condition, which may trigger pain by the touch of a single strand of hair, these findings might have some impact on preventive treatment, Dr. Bigal and colleagues noted.

“Identifying factors that map onto disease biology as well as risk factors for clinical and anatomic progression for diseases have emerged as a very important public health priority because it may provide a foundation for more aggressive preventive intervention,” they wrote.

Most patients in clinical trials have reported allodynia during migraine attacks, and oversensitivity appears to be a risk factor for migraine progression as well.

To determine the relative prevalence with headache types, the researchers analyzed allodynia responses in the study, which was designed mainly to determine risk factors for progression to chronic daily headache.

The analysis included 16,573 respondents who reported at least one severe headache over the prior year in the nationally representative general population survey.

Among them, 11,094 had episodic migraine (15 or fewer days a month), 1,491 had probable migraine, 1,151 had severe episodic tension-type headaches, 643 had transformed migraine (15 or more days a month), 152 had other chronic daily headache, and 2,042 had unclassified headaches.

Allodynia prevalence during headache, defined as a score of three or higher on the 12-item Allodynia Symptom Checklist, was highest with transformed migraine compared even with the next runner up, episodic migraine (68.3% versus 63.2%, P<0.01).

Both types of migraineurs were more likely to report allodynia than those with probable migraine (42.6%, P<0.001), other chronic daily headache (36.8%, P<0.001), or severe tension-type headache (36.7%, P<0.001).

Mild and moderate allodynia were “remarkably similar” in frequency across headache type.

However, severe allodynia defined by an Allodynia Symptom Checklist score of nine or greater varied by headache group. Transformed migraine patients again had the highest prevalence at 28.5% followed by episodic migraine (20.4%), probable migraine (12.3%), other chronic daily headaches (6.2%), and finally severe episodic tension-type headache (5.1%).

Cutaneous allodynia was more common among women than men in all the groups except those with non-migraine chronic daily headache.

The prevalence ratios for women versus men were:

* 1.7 for episodic migraine (95% CI 1.55 to 1.82)
* 2.95 for probable migraine (95% CI 1.98 to 4.4)
* 2.68 for severe tension-type headache (95% CI 1.37 to 5.22)
* 1.71 for transformed migraine (95% CI 1.00 to 2.91)

Patients with higher disability scores were also significantly more likely to have allodynia with prevalence ratios of 1.98 to 2.87 for Midas IV versus I in the transformed, episodic, and probable migraine groups. Allodynia prevalence also rose with headache frequency and body mass index.

Allodynia scores were also higher for patients with major depression across headache types even after accounting for headache frequency. The impact rose with depression severity from a prevalence ratio of 1.22 in mild depression (95% CI 1.10 to 1.35) to a ratio of 1.62 in severe depression (95% CI 1.34 to 1.96).

The authors noted that the data must be interpreted with caution for several reasons.

“Although we used a questionnaire that has been validated for the assessment of cutaneous allodynia in the population, the validation happened in migraineurs only.”

“The Allodynia Symptom Checklist classification of severity of cutaneous allodynia has not been compared with classification based on quantitative sensory testing. Although quantitative sensory testing is the gold standard for determining whether a patient has allodynia at a particular point in time, it is subject to temporal sampling error.”

The study was sponsored by the National Headache Foundation through a grant from Ortho-McNeil Neurologics (OMP). Dr. Bigal and a co-author reported grant support from OMP for research projects other than this study, being on the advisory board for the company, and giving lectures supported by it. Dr. Bigal reported current employment with Merck Research Laboratories.

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Do you take aspirin or acetaminophen for all your headaches? For some types of headaches, that’s not the best approach. Here’s why.

Your head hurts. Again. The first step in developing a plan to combat your recurring headaches is to determine what type of headaches you have. Sometimes headaches are a symptom of another disease or condition. In other cases, no clear cause can be found. To better understand your headaches, take a closer look at your signs and symptoms.

Are the headaches dull and achy?

Tension headaches — the most common variety of headache — often feel like a tight band around your head. Sometimes triggered by neck strain or eyestrain, tension headaches can last from 30 minutes to an entire week.

Nearly 90 percent of women and about 70 percent of men experience tension headaches at some point. Most tension headaches are easily treated with over-the-counter medications, including aspirin, ibuprofen (Advil, Motrin, others) and acetaminophen (Tylenol, others).

Are the headaches throbbing and severe?

Migraines often are accompanied by nausea, vomiting, or sensitivity to light or sound. In six out of 10 cases, migraines affect only one side of your head. The pain may worsen with routine activity. A migraine typically lasts from four to 72 hours.

Migraines are more common in women. Prescription medications are often needed to treat migraines. When a migraine strikes, rest in a quiet, dark room if possible. Hot or cold compresses to your head or neck can be soothing. Massage and small amounts of caffeine may help, too.

Do the headaches recur for weeks at a time?

Cluster headaches, as the name implies, are repetitive — occurring off and on for weeks at a time. The pain typically begins quickly without warning and reaches maximum intensity within minutes. These headaches always affect just one side of your head, and they often are accompanied by a teary eye and stuffed nose.

During a cluster period, which can last for several months, you may experience one or more cluster headaches a day. A typical cluster headache lasts from 15 minutes to three hours. Most people feel restless during a cluster headache, preferring to pace or rock rather than lie quietly in a dark room.

Cluster headaches are rare, affecting less than 1 percent of adults. Because the pain of a cluster headache strikes suddenly and may subside quickly, over-the-counter pain relievers aren’t effective. Preventive medications are typically prescribed instead. During a cluster headache, injecting medication or inhaling 100 percent oxygen through a mask may help.

Do you have headaches nearly every day?

Headaches that occur more than 15 days a month are considered chronic daily headaches. You may feel steady pain on one or both sides of your head. Sometimes the pain is described as a dull ache or a tight band of pressure around the head. The signs, symptoms and time frame vary depending on the specific type of chronic daily headache.

Chronic daily headaches affect up to 5 percent of adults. Treatment for any underlying diseases or conditions often stops chronic daily headaches. When no underlying diseases or conditions are present, treatment focuses on preventive medication.

Do you take pain medication more than two or three days a week?

If you’ve been taking pain medication often, the headaches may be caused by medication overuse. These are known as rebound headaches. The pain may be dull, achy, throbbing or pounding. A rebound headache may awaken you early in the morning and continue throughout the day. The pain may be most severe at first, when the medication begins to wear off.

Anyone who has migraines, tension-type headaches or other chronic headaches is at risk of developing rebound headaches from the overuse of pain relievers. The only way to stop rebound headaches is to reduce or stop taking the medication that’s causing the headaches.

Do the headaches follow a specific activity?

Sometimes exercise, sex, bouts of coughing or other activities trigger headaches. An exercise-induced headache may last from five minutes to 48 hours. Most sex headaches last a few minutes, but others may linger for a few hours. Primary cough headaches typically last a few seconds to a few minutes.

These types of headaches are unusual. They’re usually short-lived, making treatment unnecessary. When acute treatment is needed, nonsteroidal anti-inflammatory drugs — such as aspirin and ibuprofen — may be effective. Your doctor may recommend various tests to help detect any underlying conditions.

Recognize emergency symptoms

Sometimes a headache signals a serious underlying condition. Seek emergency evaluation if any of the features below are present.

* Sudden onset of severe headache
* Fever, stiff neck, rash, confusion, seizure, double vision, weakness, numbness or difficulty speaking
* Onset after a head injury, fall or bump
* Pain worsens despite rest and over-the-counter pain medication

Take control

Most headaches are nothing to worry about. But if headaches are disrupting your daily activities, work or personal life, it’s time to take action. Headaches can’t always be prevented, but your doctor can help you manage the signs and symptoms.

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