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Rebound headaches are also called medication overuse headaches.

These types of headaches tend to:

* Occur every day, often waking you in the early morning
* Hurt worst at the beginning of the headache, as your medication wears off
* Persist throughout the day

Other signs and symptoms may include:

* Nausea
* Anxiety
* Restlessness, irritability and difficulty concentrating
* Memory problems
* Depression
* Trouble sleeping

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Taking good care of yourself can help prevent chronic daily headaches.

* Avoid headache triggers. If you’re not sure what triggers your headaches, keep a headache diary. Include details about every headache. When did it start? What were you doing at the time? What did you eat that day? How did you sleep the night before? What’s your stress level? How long did the headache last? What, if anything, provided relief? Eventually, you may begin to see a pattern — and be able to take steps to prevent future headaches.
* Get enough sleep. Go to bed and wake up at the same time every day — even on weekends. If you’re not tired at bedtime, read or watch television until you become drowsy and fall asleep naturally.
* Don’t skip meals. Start your day with a healthy breakfast. Eat lunch and dinner at about the same time every day. Avoid any food or drinks, such as those containing caffeine, that seem to trigger headaches.
* Exercise regularly. Physical activity causes your body to release chemicals that block pain signals to your brain. With your doctor’s OK, choose activities you enjoy — such as walking, swimming or cycling. To avoid injury, start slowly.
* Stop smoking. Smoking can trigger chronic migraine and chronic tension-type headaches. Higher levels of nicotine are also associated with increased anxiety and depression.
* Reduce stress. Get organized. Simplify your schedule. Plan ahead. Stay positive.
* Relax. Try yoga, meditation or relaxation exercises. Set aside time to slow down. Listen to music, read a book or take a hot bath.

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A cluster headache strikes quickly, usually without warning. Within minutes, excruciating pain develops. The pain typically develops on the same side of your head throughout a cluster period, and often the headaches remain on that side throughout your life. Less frequently, the pain may switch to the opposite side of your head in the next cluster period. Rarely, the pain switches sides from one attack to another.

The pain of a cluster headache is often described as sharp, penetrating or burning. People with this condition say that the pain feels like a hot poker being stuck in the eye or that the eye is being pushed out of its socket.

Restlessness

People with cluster headache appear restless, preferring to pace or sit and rock back and forth to soothe the attack. They may press a hand against the eye or scalp or apply ice or heat over the painful area. In contrast to people with migraine, people with cluster headache usually avoid lying down during an attack because this position seems to only increase the pain.

Most people with a cluster headache prefer to be alone. They may remain outdoors, even in freezing weather, for the duration of an attack. They may scream, bang their heads against a wall or hurt themselves in some way as a distraction from the unbearable pain. Some may find relief by exercising, such as jogging in place or doing sit-ups or push-ups.

If cluster headache attacks regularly occur at night, some people try to remain awake for as long as possible to forestall the onset of a headache they know is coming. Unfortunately, doing so only speeds up the sleep cycle. The headache may occur within minutes of falling asleep in a compressed sleep cycle. In the worst cases, a vicious cycle of head pain and sleep deprivation develops. This can lead to depression and thoughts of suicide.

Teary eye and stuffed nose

Cluster headache always triggers a response from your autonomic nervous system. This system controls many vital activities without your consciously having to think about them. For example, your autonomic nervous system regulates blood pressure, heartbeat, sweating and body temperature. The most common autonomic response to a cluster headache is excessive tearing and redness of the eye on the side of your head affected by the pain.

Other signs and symptoms that may accompany cluster headache include:

* Stuffy or runny nasal passage in the nostril on the affected side of your face
* Flushing on the affected side of your face
* Sweaty, pale skin (pallor)
* Swelling around the eye on the affected side of your face
* Reduced pupil size
* Drooping eyelid

Most of the time, these signs and symptoms last only as long as the headache lasts. In some people, however, a drooping eyelid and reduced pupil size persist after long periods of attacks. Some migraine-like symptoms, including nausea, sensitivity to light and sound, and aura, may occur with a cluster headache.

Cluster period characteristics

A cluster period generally lasts from two to 12 weeks. Chronic cluster periods may continue for more than a year. The starting date and the duration of each cluster period often are amazingly consistent from period to period. For many people, cluster periods occur seasonally, such as every spring or every fall. It’s common for clusters to begin soon after one of the solstices — the longest and shortest days of the year. Over time, cluster periods may become more frequent, less predictable and longer lasting.

During a cluster period, headaches typically occur every day, sometimes several times a day. A single attack may last from 15 minutes to three hours. The attacks happen often at the same time within each 24-hour day. Nighttime attacks are more frequent than daytime attacks, often beginning during rapid eye movement (REM) sleep, the period of sleep during which most dreaming occurs. The majority of attacks occur between 9 p.m. and 9 a.m.

Cluster headache can be frightening to you and to your family and friends. The debilitating attacks may seem unbearable. But the pain usually ends as suddenly as it begins, with rapidly decreasing intensity. After attacks, most people are completely free from pain but exhausted. Temporary relief during a cluster period may be only a matter of hours or may last as long as a day before the next attack.

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Self-care measures can help ease the pain of a migraine. Try these headache helpers:

* Keep a diary. A diary can help you determine what triggers your migraines. Note when your headaches start, how long they last and what, if anything, provides relief. Be sure to record your response to any headache medications you take. Also pay special attention to foods you ate in the 24 hours preceding attacks, any unusual stress, and how you feel and what you’re doing when headaches strike. If you’re under stress, tell your doctor.
* Try muscle relaxation exercises. Progressive muscle relaxation, meditation and yoga don’t require any equipment. You can learn them in classes or at home using books or tapes. Or spend at least a half-hour each day doing something you find relaxing — listening to music, gardening, taking a hot bath or reading.
* Get enough sleep, but don’t oversleep. The average adult needs seven to nine hours of sleep a night.
* Rest and relax. If possible, rest in a dark, quiet room when you feel a headache coming on. Place an ice pack wrapped in a cloth on the back of your neck and apply gentle pressure to painful areas on your scalp.

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Although much about headaches still isn’t understood, some researchers think migraines may be caused by functional changes in the trigeminal nerve system, a major pain pathway in your nervous system, and by imbalances in brain chemicals, including serotonin, which plays a regulatory role for pain messages going through this pathway.

During a headache, serotonin levels drop. Researchers believe this causes the trigeminal nerve to release substances called neuropeptides, which travel to your brain’s outer covering (meninges). There they cause blood vessels to become dilated and inflamed. The result is headache pain.

Migraine triggers

Whatever the exact mechanism of headaches, a number of things may trigger them. Common migraine triggers include:

* Hormonal changes. Although the exact relationship between hormones and headaches isn’t clear, fluctuations in estrogen seem to trigger headaches in many women with known migraines. Women with a history of migraines often report headaches immediately before or during their periods, and this corresponds to a major drop in estrogen. Others have an increased tendency to develop migraines during pregnancy or menopause. Hormonal medications, such as contraceptives and hormone replacement therapy, also may worsen migraines.
* Foods. Certain foods appear to trigger headaches in some people. Common offenders include alcohol, especially beer and red wine; aged cheeses; chocolate; fermented, pickled or marinated foods; aspartame; overuse of caffeine; monosodium glutamate — a key ingredient in some Asian foods; certain seasonings; and many canned and processed foods. Skipping meals or fasting also can trigger migraines.
* Stress. A hard week at work followed by relaxation may lead to a weekend migraine. Stress at work or home also can instigate migraines.
* Sensory stimuli. Bright lights and sun glare can produce head pain. So can unusual smells — including pleasant scents, such as perfume and flowers, and unpleasant odors, such as paint thinner and secondhand smoke.
* Changes in wake-sleep pattern. Either missing sleep or getting too much sleep may serve as a trigger for migraine attacks in some individuals.
* Physical factors. Intense physical exertion, including sexual activity, may provoke migraines.
* Changes in the environment. A change of weather, season, altitude level, barometric pressure or time zone can prompt a migraine.
* Medications. Certain medications can aggravate migraines.

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Cause:

Headaches are a neurological condition with symptoms ranging from mild to severe and disabling. More than 23 million people in the United States suffer from migraine, corresponding to over 17% of all females and 6% of all males living in the U.S.

There are two main types of headache?

Primary and secondary. Primary Headaches include tension-type, migraine and cluster headaches and are not caused by other underlying medical conditions. More than 90% of headaches are primary.

Secondary Headaches result from other medical conditions, such as infection or increased pressure in the skull due to a tumor. These account for fewer than 10% of all headaches.

What May Help?

Watkins Superfood Multiple (Super Multi), Female Formula and Osteogen

Why?

Contain magnesium and calcium. Daily supplements of calcium and magnesium are recommended for those who suffer from Migraines. These minerals help to maintain healthy blood vessels, and low levels of magnesium are common in people who suffer from migraines. Superfood Multiple (Super Multi) also contains riboflavin (B-2) which may help to reduce the frequency of migraines.

What May Help?

Watkins Rezist Plus

Why?

Ingredients help to block harmful invaders from entering the body which may help to reduce the triggers that lead to headaches.

What May Help?

Watkins Peppermint Foot Cream

Why?

Research has shown that peppermint applied to the forehead and temples may help to ease headache pain and compares favorably with acetaminophen in its ability to reduce headache symptoms.

What May Help?

Foods high in omega 3 fatty acids, such as salmon, may help prevent migraines.

Why?

They may help to reduce blood vessel spasms.

Helpful Hint:

Certain foods and beverages are known to trigger migraines. If you suffer from migraines, try to avoid the following: Aged cheeses, onions, pickles, cured meats, chocolate, red wine, beer, sour cream, nuts, freshly baked yeast products, eggs, tomatoes, citrus fruits and caffeinated beverages.

Try This:

At the outbreak of a headache, apply Watkins Peppermint Foot Cream, Icy Blue Ointment or Menthol Camphor Ointment (Medicated Ointment) onto the temples, forehead and back of neck. Rub in circular motion. Repeat at least 2 times at 15-minute intervals.

If you experience chronic headaches, before going to bed, rub Watkins Menthol Camphor Ointment (Medicated Ointment) or Icy Blue Ointment onto feet. Put on a pair of cotton socks over the ointment. According to Naturopaths and personal testimonials, this may help to ward off headaches.

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Disturbances such as sleep deprivation, too much sleep, poor quality of sleep, and frequent awakening at night are associated with both migraine and tension headaches, whereas improved sleep habits have been shown to reduce the frequency of migraine headaches. Sleep also has been reported to shorten the duration of migraine headaches.

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Examples of triggers include stress, sleep disturbances, fasting, hormones, bright or flickering lights, odors, cigarette smoke, alcohol, aged cheeses, chocolate, monosodium glutamate, nitrites, aspartame, and caffeine.

For some women, the decline in the blood level of estrogen during the onset of menstruation is a trigger for migraine headaches.

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Important-Before labeling the headache as Migraine, one should rule out any ENT causes, eye pathology, Dental causes or any Neurological problems presenting as headache.

Migraine headache is a severe pain felt on one, and sometimes, both sides of the head. Migraine headache is a form of vascular headache.

The pain is mostly in the front around the temples or behind one eye or ear. Besides pain, you may have nausea and vomiting, and be very sensitive to light and sound.

During a migraine attack, the temporal artery enlarges. Enlargement of the temporal artery stretches the nerves that coil around the artery and causes the nerves to release chemicals. The chemicals cause inflammation, pain, and further enlargement of the artery. The increasing enlargement of the artery magnifies the pain.

What triggers migraine?

• lack of food or sleep
• bright light or loud noise
• hormone changes during the menstrual cycle
• stress and anxiety
• weather changes
• chocolate, alcohol, or nicotine
• some foods and food additives, such as MSG or nitrates

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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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