What causes headaches that won’t go away. How to identify different types of lingering headaches. When should you see a doctor for a persistent headache. What are the most effective treatments for long-lasting headaches.

Understanding Persistent Headaches: More Than Just a Nuisance

Headaches that linger for extended periods can significantly impact daily life, making even simple tasks challenging. While most headaches eventually subside, persistent ones warrant closer attention. Let’s explore the various causes and types of headaches that refuse to go away, along with effective strategies for relief.

The Prevalence of Headaches: A Common Neurological Condition

Headaches are remarkably common, affecting a vast majority of adults at some point in their lives. According to the National Institute of Neurological Disorders and Stroke, nearly 90% of adults will experience a headache. But what happens when these headaches persist beyond the usual timeframe?

How long do typical headaches last?

Most headaches last for several hours and can range from mild to severe in intensity. While rest and over-the-counter pain relievers often provide relief, some individuals experience headaches that persist for days or even weeks.

Intractable Migraine: When Migraine Attacks Refuse to Relent

Intractable migraine, also known as status migrainosus, is a severe form of migraine that lasts longer than 72 hours. This persistent headache type shares symptoms with typical migraines but doesn’t respond to standard treatments.

What are the symptoms of intractable migraine?

• Intense, throbbing pain on one or both sides of the head
• Sensitivity to light and sound
• Nausea and vomiting
• Fatigue
• Dizziness
• Changes in mood or behavior
• Confusion

Unlike regular migraines, intractable migraines don’t respond to typical treatments such as sleep or medication, making them particularly challenging to manage.

Rebound Headaches: When Pain Relief Becomes the Problem

Ironically, frequent use of pain relief medications can lead to what’s known as rebound headaches or medication overuse headaches. These occur when individuals regularly take over-the-counter or prescription pain relievers for their headaches.

How do you identify a rebound headache?

The International Headache Society defines a rebound headache as one that occurs on 15 or more days per month in individuals with a preexisting primary headache disorder and a history of medication overuse. These headaches typically follow the same pattern as the original headache but tend to develop in the morning after waking.

Cervicogenic Headaches: When Your Neck is the Culprit

Cervicogenic headaches are secondary headaches resulting from structural problems in the head, neck, and spine. These can be particularly persistent and may worsen over time if left untreated.

What causes cervicogenic headaches?

• Degenerative conditions of the spine
• Whiplash injuries
• Fractures
• Tumors
• Infections

The pain typically begins in the neck and back of the head, spreading to the front. Some cervicogenic headaches recur regularly, while others persist until treated.

Head Injuries and Persistent Headaches: The Long-lasting Impact of Trauma

Traumatic brain injuries (TBIs) or concussions can lead to long-term complications, including new or worsening headaches. These injuries usually result from blunt force or penetrating injuries to the head.

What are common causes of TBIs?

1. Sports injuries
2. Falls
3. Motor vehicle accidents
4. Gunshot wounds

According to research published in NeuroRehabilitation, persistent headaches are among the most common symptoms following a mild TBI. In cases of moderate or severe TBIs, these headaches may not go away or might even worsen over time.

Post-Stroke Headaches: A Lingering Reminder

Strokes, caused by sudden interruptions in blood flow to the brain, can lead to persistent headaches in up to 23% of survivors. These headaches often develop in the eyes or on the side of the head where the stroke occurred.

How long can post-stroke headaches last?

According to the International Headache Society, some individuals may experience headaches that persist for longer than 3 months after recovering from a stroke. These long-lasting headaches can significantly impact quality of life and require specialized management.

When to Seek Medical Attention for Persistent Headaches

While most headaches are not serious, certain symptoms warrant immediate medical attention. It’s crucial to recognize these red flags to ensure timely intervention.

What are the warning signs that require immediate medical care?

• Sudden, severe headache often described as the “worst headache of your life”
• Headache accompanied by fever, stiff neck, confusion, or rash
• Headache following a head injury, especially if accompanied by loss of consciousness
• Headache with neurological symptoms like weakness, numbness, or speech difficulties
• Chronic headaches that worsen over time or don’t respond to treatment

If you experience any of these symptoms, it’s essential to seek medical attention promptly. Early diagnosis and treatment can prevent complications and improve outcomes.

Effective Strategies for Managing Persistent Headaches

While dealing with persistent headaches can be challenging, several strategies can help manage symptoms and improve quality of life.

What are some effective ways to manage persistent headaches?

1. Identify and avoid triggers: Keep a headache diary to track potential triggers like certain foods, stress, or sleep patterns.
2. Practice stress management: Techniques like meditation, deep breathing, or yoga can help reduce stress-related headaches.
3. Maintain a consistent sleep schedule: Aim for 7-9 hours of quality sleep each night.
4. Stay hydrated: Dehydration can trigger or worsen headaches.
5. Exercise regularly: Moderate exercise can help reduce the frequency and intensity of headaches.
6. Consider alternative therapies: Acupuncture, massage, or chiropractic care may provide relief for some individuals.
7. Work with a healthcare provider: A neurologist or headache specialist can develop a tailored treatment plan.

Remember, what works for one person may not work for another. It’s essential to work closely with your healthcare provider to find the most effective management strategy for your specific situation.

The Role of Medication in Treating Persistent Headaches

While medication overuse can lead to rebound headaches, proper use of medications under medical supervision can be an effective part of managing persistent headaches.

What types of medications are used to treat persistent headaches?

• Preventive medications: These are taken regularly to reduce the frequency and severity of headaches. Examples include beta-blockers, antidepressants, and anticonvulsants.
• Abortive medications: These are taken at the onset of a headache to stop it from progressing. Triptans and ergotamines are common examples.
• Pain relievers: Over-the-counter or prescription pain medications can help manage pain, but should be used cautiously to avoid rebound headaches.
• Botox injections: For chronic migraine sufferers, Botox injections can help reduce headache frequency.

It’s crucial to use these medications as directed by your healthcare provider. Overuse or misuse can lead to complications or reduced effectiveness over time.

Lifestyle Modifications for Long-term Headache Management

In addition to medical treatments, lifestyle modifications can play a significant role in managing persistent headaches and improving overall quality of life.

What lifestyle changes can help manage persistent headaches?

1. Dietary adjustments: Identify and avoid food triggers, maintain regular meal times, and stay hydrated.
2. Stress management: Incorporate relaxation techniques, mindfulness practices, or cognitive-behavioral therapy.
3. Sleep hygiene: Establish a consistent sleep schedule and create a relaxing bedtime routine.
4. Exercise routine: Engage in regular, moderate exercise to reduce headache frequency and severity.
5. Posture improvement: Practice good posture, especially if you spend long hours at a desk.
6. Screen time management: Take regular breaks from screens and consider using blue light filters.
7. Environmental adjustments: Manage lighting, noise levels, and scents in your environment to reduce triggers.

Implementing these lifestyle changes gradually and consistently can lead to significant improvements in headache management over time.

The Importance of a Multidisciplinary Approach to Persistent Headaches

Managing persistent headaches often requires a comprehensive, multidisciplinary approach. This involves collaboration between various healthcare professionals to address all aspects of headache management.

Who should be part of your headache management team?

• Neurologist or headache specialist: To diagnose and oversee treatment
• Primary care physician: For ongoing general health management
• Physical therapist: To address musculoskeletal issues contributing to headaches
• Psychologist or psychiatrist: To manage stress, anxiety, or depression related to chronic pain
• Nutritionist: To help identify dietary triggers and ensure proper nutrition
• Pain management specialist: For advanced pain control techniques
• Complementary medicine practitioners: Such as acupuncturists or massage therapists, if appropriate

Working with a diverse team of professionals can provide a more holistic approach to managing persistent headaches, addressing not just the symptoms but also the underlying causes and associated lifestyle factors.

Emerging Treatments and Research in Persistent Headache Management

The field of headache research is continually evolving, with new treatments and approaches being developed to provide better relief for those suffering from persistent headaches.

What are some promising new treatments for persistent headaches?

1. Neuromodulation devices: These non-invasive devices use electrical or magnetic stimulation to reduce headache pain.
2. CGRP inhibitors: A new class of drugs specifically designed for migraine prevention and treatment.
3. Cognitive behavioral therapy (CBT): Increasingly recognized as an effective non-pharmacological approach to headache management.
4. Precision medicine: Tailoring treatments based on an individual’s genetic profile and specific headache characteristics.
5. Virtual reality therapy: Using VR technology for pain management and relaxation techniques.
6. Mindfulness-based stress reduction (MBSR): Structured programs combining mindfulness meditation and yoga for chronic pain management.

While some of these treatments are already available, others are still in various stages of research and development. Staying informed about these advancements and discussing them with your healthcare provider can help you access the most current and effective treatments for your persistent headaches.

The Psychological Impact of Persistent Headaches

Living with persistent headaches can take a significant toll on mental health and overall well-being. It’s crucial to address these psychological aspects as part of a comprehensive headache management plan.

How do persistent headaches affect mental health?

• Anxiety: Constant worry about when the next headache will occur
• Depression: Feelings of hopelessness or sadness due to chronic pain
• Social isolation: Withdrawing from social activities due to unpredictable symptoms
• Sleep disturbances: Difficulty sleeping due to pain or worry
• Cognitive changes: “Brain fog” or difficulty concentrating
• Stress: Increased stress levels from managing chronic pain

Addressing these psychological aspects is crucial for effective headache management. Mental health professionals can provide valuable support and strategies to cope with the emotional impact of persistent headaches.

The Role of Support Groups and Patient Advocacy

Connecting with others who experience persistent headaches can provide valuable emotional support, practical advice, and a sense of community. Support groups and patient advocacy organizations play a crucial role in this aspect of headache management.

How can support groups benefit those with persistent headaches?

1. Sharing experiences and coping strategies
2. Accessing up-to-date information on treatments and research
3. Reducing feelings of isolation and misunderstanding
4. Providing a platform for emotional support
5. Empowering patients to advocate for better care
6. Raising awareness about the impact of persistent headaches

Many national and international organizations offer resources, support groups, and advocacy opportunities for individuals dealing with persistent headaches. Engaging with these communities can be an invaluable part of your headache management journey.

Navigating Work and Social Life with Persistent Headaches

Managing persistent headaches while maintaining a career and social life can be challenging. However, with the right strategies and support, it’s possible to find a balance.

What strategies can help balance work and social life with persistent headaches?

• Open communication: Discuss your condition with employers and close friends to foster understanding
• Workplace accommodations: Explore options like flexible hours or reduced lighting
• Time management: Prioritize tasks and schedule breaks to manage energy levels
• Self-care: Make time for relaxation and stress-reducing activities
• Social planning: Choose activities and environments that are less likely to trigger headaches
• Emergency kit: Keep medication and comfort items readily available

By implementing these strategies and working closely with your healthcare team, it’s possible to maintain a fulfilling work and social life while managing persistent headaches effectively.

Headache that won’t go away: Causes and treatments

When a headache lasts for a long time or does not go away after taking medication for it, daily tasks can become difficult or even impossible. However, most lingering headaches will clear up eventually and are not serious.

Headaches are common neurological conditions. In fact, the National Institute of Neurological Disorders and Stroke estimate that nearly 90% of adults will experience a headache at some point in their life.

Headache pain can range from mild to severe and may last for several hours. Although resting and taking over-the-counter (OTC) pain relievers can treat most headaches, some people experience headaches that last for longer than a day.

In this article, we discuss what causes headaches that do not go away, when to see a doctor, and how to get relief.

Migraine, head injuries, and medication misuse can cause head pain that lasts for several hours or days.

Types of lingering headache can include:

Intractable migraine

Share on PinterestIf a person has a persistent headache, they may be experiencing intractable migraine.

Migraine is a type of headache.

Intractable migraine, also known as status migrainosus, is a severe migraine headache that lasts for longer than 72 hours.

The defining characteristic of this type of migraine is its duration. Intractable migraine causes the same symptoms of a typical migraine, but the pain does not improve with standard migraine treatment.

Migraine episodes usually follow a predictable pattern. People can experience prodromes, or auras — which can manifest as visual, physical, auditory symptoms — before the onset of an intense, throbbing headache on one or both sides of the head.

Other symptoms of migraine include:

• sensitivity to light and sound
• nausea and vomiting
• fatigue
• dizziness
• changes in mood or behavior
• confusion

Typical migraine treatments, such as sleep and medication, may not be able to stop an episode of intractable migraine.

Learn how to tell the difference between headache and migraine here.

Rebound headaches

People who regularly take OTC or prescription pain relief drugs for their headaches can develop medication overuse headaches, otherwise known as rebound headaches.

Rebound headaches tend to occur on a recurring basis. The International Headache Society (IHS) describe a rebound headache as one that occurs on 15 or more days per month in people with a preexisting primary headache disorder and a history of medication overuse.

The symptoms vary from person to person, but they usually follow the same pattern as the preexisting primary headache.

Rebound headaches usually develop in the morning, after waking. Although pain relievers can reduce headache pain, the relief is temporary. It often returns once the medication wears off.

Cervicogenic headaches

Cervicogenic headaches are secondary headaches that result from structural problems in the head, neck, and spine.

These structural issues may be due to:

Typically, people with cervicogenic headaches experience pain that begins in the neck and back of the head and spreads to the front of the head.

Cervicogenic headaches can worsen over time, potentially resulting in damage to the central nervous system.

Some cervicogenic headaches recur regularly, while others linger until a person receives treatment.

Head injury

A traumatic brain injury (TBI), or concussion, can lead to many long term complications, such as the development of new or worsening headaches.

TBIs usually develop after a person sustains a blunt force or penetrating injury to the head. This can occur from:

• sports injuries
• falls
• motor vehicle accidents
• gunshot wounds

Persistent headaches are among the most common symptoms following a mild TBI, according to a recent article in the journal NeuroRehabilitation.

Moderate or severe TBIs can cause lingering headaches that do not go away or worsen over time.

Additional TBI symptoms may include:

• enlargement of the pupil in one or both eyes
• nausea or vomiting
• slurred speech
• numbness or tingling in the arms or legs
• dizziness or loss of coordination
• behavior or personality changes
• changes in mental status, such as confusion or memory loss
• temporary or prolonged loss of consciousness
• tinnitus, or ringing in the ears
• sensitivity to light or sound

People should seek immediate medical care if they experience a head injury, even if they do not notice any symptoms right away.

Stroke

Stoke is a serious neurological condition that results from a sudden interruption in blood flow to the brain, such as blood clots or a ruptured blood vessel.

Up to 23% of people develop a persistent headache following a stroke.

Post-stroke headaches often develop in the eyes or on the side of the head where the stroke occurred.

According to the IHS, people can experience headaches that persist for longer than 3 months after recovering from a stroke.

Share on PinterestA person should talk to their doctor if they experience headache “red flags.”

People may want to contact their doctor if they experience the same type of headache many times in 1 month, or if their headaches last for longer than a day.

See a doctor for a headache that never goes away, and for a constant headache that keeps occurring in the same area of the head.

People should seek immediate medical attention if they experience the following:

• a sudden, severe headache
• a headache accompanied by neck stiffness
• a migraine headache that has persisted for several days
• the onset of new symptoms, such as vision loss, confusion, or fever

The American Migraine Foundation provide guidelines on headache “red flags,” which indicate when a person should see a doctor.

People can use a combination of medical treatments and lifestyle changes to treat a lingering headache. Some potential treatment options are as follows:

Medication

A wide variety of OTC and prescription medications can help reduce headache symptoms.

People should only take medication as indicated by the manufacturer or a doctor. Overusing mediation, even OTC pain relievers, can cause rebound headaches.

Common types of medication to treat or prevent lingering headaches include:

• OTC treatments, such as acetaminophen or Excedrin
• nonsteroidal anti-inflammatory drugs, such as aspirin or ibuprofen
• prescription migraine medications, such as triptans, ergotamine, beta-blockers, or calcitonin gene-related peptide antagonists
• antiseizure drugs, such as topiramate (Topamax) or gabapentin (Neurontin)
• antidepressants, such as tricyclics antidepressants (TCAs) or selective serotonin reuptake inhibitors (SSRIs)

Botulinum toxin, or Botox, injections offer a safe and effective treatment for people who have chronic migraine headaches that do not respond to traditional medication.

Although most studies used 12-week treatment intervals, the effects of this treatment vary from person to person.

Cognitive behavioral therapy

Cognitive behavioral therapy is a form of psychotherapy that focuses on addressing behaviors and thoughts that may negatively impact a person’s mental and physical health.

With the help of a trained mental health practitioner, people can develop effective strategies to manage their symptoms and prevent future headaches.

Biofeedback

This mind-body technique uses electrical sensors to monitor brain waves, body temperature, heart rate, and muscle tension.

Using the information gained from one or more biofeedback session, people can gain a greater awareness of how their body responds to various things.

For example, a person might learn that the muscles in the head and neck tighten in response to stress, which may contribute to their headaches.

Over time, people can learn to control their physical responses to reduce the intensity or duration of their headache. Some people may even be able to prevent headaches altogether.

Lifestyle changes

Factors such as sleep deprivation, caffeine or alcohol consumption, and dehydration can cause frequent headaches. Smoking tobacco can also cause headaches.

A doctor might suggest making the following lifestyle changes to help a person manage their symptoms and prevent headaches in the future:

• getting enough sleep
• limiting caffeine intake
• drinking plenty of water
• quitting smoking, or not starting
• exercising regularly
• lowering stress

A lingering headache that lasts for several hours or days can be debilitating and significantly reduce a person’s ability to function.

People who have a headache that does not respond to typical treatment methods, such as resting and taking OTC pain relievers, may want to consider discussing other treatment options with their doctor.

A variety of medical treatments and lifestyle changes can help people manage their symptoms and prevent headaches in the future.

Headache that won’t go away: Causes and treatments

When a headache lasts for a long time or does not go away after taking medication for it, daily tasks can become difficult or even impossible. However, most lingering headaches will clear up eventually and are not serious.

Headaches are common neurological conditions. In fact, the National Institute of Neurological Disorders and Stroke estimate that nearly 90% of adults will experience a headache at some point in their life.

Headache pain can range from mild to severe and may last for several hours. Although resting and taking over-the-counter (OTC) pain relievers can treat most headaches, some people experience headaches that last for longer than a day.

In this article, we discuss what causes headaches that do not go away, when to see a doctor, and how to get relief.

Migraine, head injuries, and medication misuse can cause head pain that lasts for several hours or days.

Types of lingering headache can include:

Intractable migraine

Share on PinterestIf a person has a persistent headache, they may be experiencing intractable migraine.

Migraine is a type of headache.

Intractable migraine, also known as status migrainosus, is a severe migraine headache that lasts for longer than 72 hours.

The defining characteristic of this type of migraine is its duration. Intractable migraine causes the same symptoms of a typical migraine, but the pain does not improve with standard migraine treatment.

Migraine episodes usually follow a predictable pattern. People can experience prodromes, or auras — which can manifest as visual, physical, auditory symptoms — before the onset of an intense, throbbing headache on one or both sides of the head.

Other symptoms of migraine include:

• sensitivity to light and sound
• nausea and vomiting
• fatigue
• dizziness
• changes in mood or behavior
• confusion

Typical migraine treatments, such as sleep and medication, may not be able to stop an episode of intractable migraine.

Learn how to tell the difference between headache and migraine here.

Rebound headaches

People who regularly take OTC or prescription pain relief drugs for their headaches can develop medication overuse headaches, otherwise known as rebound headaches.

Rebound headaches tend to occur on a recurring basis. The International Headache Society (IHS) describe a rebound headache as one that occurs on 15 or more days per month in people with a preexisting primary headache disorder and a history of medication overuse.

The symptoms vary from person to person, but they usually follow the same pattern as the preexisting primary headache.

Rebound headaches usually develop in the morning, after waking. Although pain relievers can reduce headache pain, the relief is temporary. It often returns once the medication wears off.

Cervicogenic headaches

Cervicogenic headaches are secondary headaches that result from structural problems in the head, neck, and spine.

These structural issues may be due to:

Typically, people with cervicogenic headaches experience pain that begins in the neck and back of the head and spreads to the front of the head.

Cervicogenic headaches can worsen over time, potentially resulting in damage to the central nervous system.

Some cervicogenic headaches recur regularly, while others linger until a person receives treatment.

Head injury

A traumatic brain injury (TBI), or concussion, can lead to many long term complications, such as the development of new or worsening headaches.

TBIs usually develop after a person sustains a blunt force or penetrating injury to the head. This can occur from:

• sports injuries
• falls
• motor vehicle accidents
• gunshot wounds

Persistent headaches are among the most common symptoms following a mild TBI, according to a recent article in the journal NeuroRehabilitation.

Moderate or severe TBIs can cause lingering headaches that do not go away or worsen over time.

Additional TBI symptoms may include:

• enlargement of the pupil in one or both eyes
• nausea or vomiting
• slurred speech
• numbness or tingling in the arms or legs
• dizziness or loss of coordination
• behavior or personality changes
• changes in mental status, such as confusion or memory loss
• temporary or prolonged loss of consciousness
• tinnitus, or ringing in the ears
• sensitivity to light or sound

People should seek immediate medical care if they experience a head injury, even if they do not notice any symptoms right away.

Stroke

Stoke is a serious neurological condition that results from a sudden interruption in blood flow to the brain, such as blood clots or a ruptured blood vessel.

Up to 23% of people develop a persistent headache following a stroke.

Post-stroke headaches often develop in the eyes or on the side of the head where the stroke occurred.

According to the IHS, people can experience headaches that persist for longer than 3 months after recovering from a stroke.

Share on PinterestA person should talk to their doctor if they experience headache “red flags.”

People may want to contact their doctor if they experience the same type of headache many times in 1 month, or if their headaches last for longer than a day.

See a doctor for a headache that never goes away, and for a constant headache that keeps occurring in the same area of the head.

People should seek immediate medical attention if they experience the following:

• a sudden, severe headache
• a headache accompanied by neck stiffness
• a migraine headache that has persisted for several days
• the onset of new symptoms, such as vision loss, confusion, or fever

The American Migraine Foundation provide guidelines on headache “red flags,” which indicate when a person should see a doctor.

People can use a combination of medical treatments and lifestyle changes to treat a lingering headache. Some potential treatment options are as follows:

Medication

A wide variety of OTC and prescription medications can help reduce headache symptoms.

People should only take medication as indicated by the manufacturer or a doctor. Overusing mediation, even OTC pain relievers, can cause rebound headaches.

Common types of medication to treat or prevent lingering headaches include:

• OTC treatments, such as acetaminophen or Excedrin
• nonsteroidal anti-inflammatory drugs, such as aspirin or ibuprofen
• prescription migraine medications, such as triptans, ergotamine, beta-blockers, or calcitonin gene-related peptide antagonists
• antiseizure drugs, such as topiramate (Topamax) or gabapentin (Neurontin)
• antidepressants, such as tricyclics antidepressants (TCAs) or selective serotonin reuptake inhibitors (SSRIs)

Botulinum toxin, or Botox, injections offer a safe and effective treatment for people who have chronic migraine headaches that do not respond to traditional medication.

Although most studies used 12-week treatment intervals, the effects of this treatment vary from person to person.

Cognitive behavioral therapy

Cognitive behavioral therapy is a form of psychotherapy that focuses on addressing behaviors and thoughts that may negatively impact a person’s mental and physical health.

With the help of a trained mental health practitioner, people can develop effective strategies to manage their symptoms and prevent future headaches.

Biofeedback

This mind-body technique uses electrical sensors to monitor brain waves, body temperature, heart rate, and muscle tension.

Using the information gained from one or more biofeedback session, people can gain a greater awareness of how their body responds to various things.

For example, a person might learn that the muscles in the head and neck tighten in response to stress, which may contribute to their headaches.

Over time, people can learn to control their physical responses to reduce the intensity or duration of their headache. Some people may even be able to prevent headaches altogether.

Lifestyle changes

Factors such as sleep deprivation, caffeine or alcohol consumption, and dehydration can cause frequent headaches. Smoking tobacco can also cause headaches.

A doctor might suggest making the following lifestyle changes to help a person manage their symptoms and prevent headaches in the future:

• getting enough sleep
• limiting caffeine intake
• drinking plenty of water
• quitting smoking, or not starting
• exercising regularly
• lowering stress

A lingering headache that lasts for several hours or days can be debilitating and significantly reduce a person’s ability to function.

People who have a headache that does not respond to typical treatment methods, such as resting and taking OTC pain relievers, may want to consider discussing other treatment options with their doctor.

A variety of medical treatments and lifestyle changes can help people manage their symptoms and prevent headaches in the future.

Headache that won’t go away: Causes and treatments

When a headache lasts for a long time or does not go away after taking medication for it, daily tasks can become difficult or even impossible. However, most lingering headaches will clear up eventually and are not serious.

Headaches are common neurological conditions. In fact, the National Institute of Neurological Disorders and Stroke estimate that nearly 90% of adults will experience a headache at some point in their life.

Headache pain can range from mild to severe and may last for several hours. Although resting and taking over-the-counter (OTC) pain relievers can treat most headaches, some people experience headaches that last for longer than a day.

In this article, we discuss what causes headaches that do not go away, when to see a doctor, and how to get relief.

Migraine, head injuries, and medication misuse can cause head pain that lasts for several hours or days.

Types of lingering headache can include:

Intractable migraine

Share on PinterestIf a person has a persistent headache, they may be experiencing intractable migraine.

Migraine is a type of headache.

Intractable migraine, also known as status migrainosus, is a severe migraine headache that lasts for longer than 72 hours.

The defining characteristic of this type of migraine is its duration. Intractable migraine causes the same symptoms of a typical migraine, but the pain does not improve with standard migraine treatment.

Migraine episodes usually follow a predictable pattern. People can experience prodromes, or auras — which can manifest as visual, physical, auditory symptoms — before the onset of an intense, throbbing headache on one or both sides of the head.

Other symptoms of migraine include:

• sensitivity to light and sound
• nausea and vomiting
• fatigue
• dizziness
• changes in mood or behavior
• confusion

Typical migraine treatments, such as sleep and medication, may not be able to stop an episode of intractable migraine.

Learn how to tell the difference between headache and migraine here.

Rebound headaches

People who regularly take OTC or prescription pain relief drugs for their headaches can develop medication overuse headaches, otherwise known as rebound headaches.

Rebound headaches tend to occur on a recurring basis. The International Headache Society (IHS) describe a rebound headache as one that occurs on 15 or more days per month in people with a preexisting primary headache disorder and a history of medication overuse.

The symptoms vary from person to person, but they usually follow the same pattern as the preexisting primary headache.

Rebound headaches usually develop in the morning, after waking. Although pain relievers can reduce headache pain, the relief is temporary. It often returns once the medication wears off.

Cervicogenic headaches

Cervicogenic headaches are secondary headaches that result from structural problems in the head, neck, and spine.

These structural issues may be due to:

Typically, people with cervicogenic headaches experience pain that begins in the neck and back of the head and spreads to the front of the head.

Cervicogenic headaches can worsen over time, potentially resulting in damage to the central nervous system.

Some cervicogenic headaches recur regularly, while others linger until a person receives treatment.

Head injury

A traumatic brain injury (TBI), or concussion, can lead to many long term complications, such as the development of new or worsening headaches.

TBIs usually develop after a person sustains a blunt force or penetrating injury to the head. This can occur from:

• sports injuries
• falls
• motor vehicle accidents
• gunshot wounds

Persistent headaches are among the most common symptoms following a mild TBI, according to a recent article in the journal NeuroRehabilitation.

Moderate or severe TBIs can cause lingering headaches that do not go away or worsen over time.

Additional TBI symptoms may include:

• enlargement of the pupil in one or both eyes
• nausea or vomiting
• slurred speech
• numbness or tingling in the arms or legs
• dizziness or loss of coordination
• behavior or personality changes
• changes in mental status, such as confusion or memory loss
• temporary or prolonged loss of consciousness
• tinnitus, or ringing in the ears
• sensitivity to light or sound

People should seek immediate medical care if they experience a head injury, even if they do not notice any symptoms right away.

Stroke

Stoke is a serious neurological condition that results from a sudden interruption in blood flow to the brain, such as blood clots or a ruptured blood vessel.

Up to 23% of people develop a persistent headache following a stroke.

Post-stroke headaches often develop in the eyes or on the side of the head where the stroke occurred.

According to the IHS, people can experience headaches that persist for longer than 3 months after recovering from a stroke.

Share on PinterestA person should talk to their doctor if they experience headache “red flags.”

People may want to contact their doctor if they experience the same type of headache many times in 1 month, or if their headaches last for longer than a day.

See a doctor for a headache that never goes away, and for a constant headache that keeps occurring in the same area of the head.

People should seek immediate medical attention if they experience the following:

• a sudden, severe headache
• a headache accompanied by neck stiffness
• a migraine headache that has persisted for several days
• the onset of new symptoms, such as vision loss, confusion, or fever

The American Migraine Foundation provide guidelines on headache “red flags,” which indicate when a person should see a doctor.

People can use a combination of medical treatments and lifestyle changes to treat a lingering headache. Some potential treatment options are as follows:

Medication

A wide variety of OTC and prescription medications can help reduce headache symptoms.

People should only take medication as indicated by the manufacturer or a doctor. Overusing mediation, even OTC pain relievers, can cause rebound headaches.

Common types of medication to treat or prevent lingering headaches include:

• OTC treatments, such as acetaminophen or Excedrin
• nonsteroidal anti-inflammatory drugs, such as aspirin or ibuprofen
• prescription migraine medications, such as triptans, ergotamine, beta-blockers, or calcitonin gene-related peptide antagonists
• antiseizure drugs, such as topiramate (Topamax) or gabapentin (Neurontin)
• antidepressants, such as tricyclics antidepressants (TCAs) or selective serotonin reuptake inhibitors (SSRIs)

Botulinum toxin, or Botox, injections offer a safe and effective treatment for people who have chronic migraine headaches that do not respond to traditional medication.

Although most studies used 12-week treatment intervals, the effects of this treatment vary from person to person.

Cognitive behavioral therapy

Cognitive behavioral therapy is a form of psychotherapy that focuses on addressing behaviors and thoughts that may negatively impact a person’s mental and physical health.

With the help of a trained mental health practitioner, people can develop effective strategies to manage their symptoms and prevent future headaches.

Biofeedback

This mind-body technique uses electrical sensors to monitor brain waves, body temperature, heart rate, and muscle tension.

Using the information gained from one or more biofeedback session, people can gain a greater awareness of how their body responds to various things.

For example, a person might learn that the muscles in the head and neck tighten in response to stress, which may contribute to their headaches.

Over time, people can learn to control their physical responses to reduce the intensity or duration of their headache. Some people may even be able to prevent headaches altogether.

Lifestyle changes

Factors such as sleep deprivation, caffeine or alcohol consumption, and dehydration can cause frequent headaches. Smoking tobacco can also cause headaches.

A doctor might suggest making the following lifestyle changes to help a person manage their symptoms and prevent headaches in the future:

• getting enough sleep
• limiting caffeine intake
• drinking plenty of water
• quitting smoking, or not starting
• exercising regularly
• lowering stress

A lingering headache that lasts for several hours or days can be debilitating and significantly reduce a person’s ability to function.

People who have a headache that does not respond to typical treatment methods, such as resting and taking OTC pain relievers, may want to consider discussing other treatment options with their doctor.

A variety of medical treatments and lifestyle changes can help people manage their symptoms and prevent headaches in the future.

Headache that won’t go away: Causes and treatments

When a headache lasts for a long time or does not go away after taking medication for it, daily tasks can become difficult or even impossible. However, most lingering headaches will clear up eventually and are not serious.

Headaches are common neurological conditions. In fact, the National Institute of Neurological Disorders and Stroke estimate that nearly 90% of adults will experience a headache at some point in their life.

Headache pain can range from mild to severe and may last for several hours. Although resting and taking over-the-counter (OTC) pain relievers can treat most headaches, some people experience headaches that last for longer than a day.

In this article, we discuss what causes headaches that do not go away, when to see a doctor, and how to get relief.

Migraine, head injuries, and medication misuse can cause head pain that lasts for several hours or days.

Types of lingering headache can include:

Intractable migraine

Share on PinterestIf a person has a persistent headache, they may be experiencing intractable migraine.

Migraine is a type of headache.

Intractable migraine, also known as status migrainosus, is a severe migraine headache that lasts for longer than 72 hours.

The defining characteristic of this type of migraine is its duration. Intractable migraine causes the same symptoms of a typical migraine, but the pain does not improve with standard migraine treatment.

Migraine episodes usually follow a predictable pattern. People can experience prodromes, or auras — which can manifest as visual, physical, auditory symptoms — before the onset of an intense, throbbing headache on one or both sides of the head.

Other symptoms of migraine include:

• sensitivity to light and sound
• nausea and vomiting
• fatigue
• dizziness
• changes in mood or behavior
• confusion

Typical migraine treatments, such as sleep and medication, may not be able to stop an episode of intractable migraine.

Learn how to tell the difference between headache and migraine here.

Rebound headaches

People who regularly take OTC or prescription pain relief drugs for their headaches can develop medication overuse headaches, otherwise known as rebound headaches.

Rebound headaches tend to occur on a recurring basis. The International Headache Society (IHS) describe a rebound headache as one that occurs on 15 or more days per month in people with a preexisting primary headache disorder and a history of medication overuse.

The symptoms vary from person to person, but they usually follow the same pattern as the preexisting primary headache.

Rebound headaches usually develop in the morning, after waking. Although pain relievers can reduce headache pain, the relief is temporary. It often returns once the medication wears off.

Cervicogenic headaches

Cervicogenic headaches are secondary headaches that result from structural problems in the head, neck, and spine.

These structural issues may be due to:

Typically, people with cervicogenic headaches experience pain that begins in the neck and back of the head and spreads to the front of the head.

Cervicogenic headaches can worsen over time, potentially resulting in damage to the central nervous system.

Some cervicogenic headaches recur regularly, while others linger until a person receives treatment.

Head injury

A traumatic brain injury (TBI), or concussion, can lead to many long term complications, such as the development of new or worsening headaches.

TBIs usually develop after a person sustains a blunt force or penetrating injury to the head. This can occur from:

• sports injuries
• falls
• motor vehicle accidents
• gunshot wounds

Persistent headaches are among the most common symptoms following a mild TBI, according to a recent article in the journal NeuroRehabilitation.

Moderate or severe TBIs can cause lingering headaches that do not go away or worsen over time.

Additional TBI symptoms may include:

• enlargement of the pupil in one or both eyes
• nausea or vomiting
• slurred speech
• numbness or tingling in the arms or legs
• dizziness or loss of coordination
• behavior or personality changes
• changes in mental status, such as confusion or memory loss
• temporary or prolonged loss of consciousness
• tinnitus, or ringing in the ears
• sensitivity to light or sound

People should seek immediate medical care if they experience a head injury, even if they do not notice any symptoms right away.

Stroke

Stoke is a serious neurological condition that results from a sudden interruption in blood flow to the brain, such as blood clots or a ruptured blood vessel.

Up to 23% of people develop a persistent headache following a stroke.

Post-stroke headaches often develop in the eyes or on the side of the head where the stroke occurred.

According to the IHS, people can experience headaches that persist for longer than 3 months after recovering from a stroke.

Share on PinterestA person should talk to their doctor if they experience headache “red flags.”

People may want to contact their doctor if they experience the same type of headache many times in 1 month, or if their headaches last for longer than a day.

See a doctor for a headache that never goes away, and for a constant headache that keeps occurring in the same area of the head.

People should seek immediate medical attention if they experience the following:

• a sudden, severe headache
• a headache accompanied by neck stiffness
• a migraine headache that has persisted for several days
• the onset of new symptoms, such as vision loss, confusion, or fever

The American Migraine Foundation provide guidelines on headache “red flags,” which indicate when a person should see a doctor.

People can use a combination of medical treatments and lifestyle changes to treat a lingering headache. Some potential treatment options are as follows:

Medication

A wide variety of OTC and prescription medications can help reduce headache symptoms.

People should only take medication as indicated by the manufacturer or a doctor. Overusing mediation, even OTC pain relievers, can cause rebound headaches.

Common types of medication to treat or prevent lingering headaches include:

• OTC treatments, such as acetaminophen or Excedrin
• nonsteroidal anti-inflammatory drugs, such as aspirin or ibuprofen
• prescription migraine medications, such as triptans, ergotamine, beta-blockers, or calcitonin gene-related peptide antagonists
• antiseizure drugs, such as topiramate (Topamax) or gabapentin (Neurontin)
• antidepressants, such as tricyclics antidepressants (TCAs) or selective serotonin reuptake inhibitors (SSRIs)

Botulinum toxin, or Botox, injections offer a safe and effective treatment for people who have chronic migraine headaches that do not respond to traditional medication.

Although most studies used 12-week treatment intervals, the effects of this treatment vary from person to person.

Cognitive behavioral therapy

Cognitive behavioral therapy is a form of psychotherapy that focuses on addressing behaviors and thoughts that may negatively impact a person’s mental and physical health.

With the help of a trained mental health practitioner, people can develop effective strategies to manage their symptoms and prevent future headaches.

Biofeedback

This mind-body technique uses electrical sensors to monitor brain waves, body temperature, heart rate, and muscle tension.

Using the information gained from one or more biofeedback session, people can gain a greater awareness of how their body responds to various things.

For example, a person might learn that the muscles in the head and neck tighten in response to stress, which may contribute to their headaches.

Over time, people can learn to control their physical responses to reduce the intensity or duration of their headache. Some people may even be able to prevent headaches altogether.

Lifestyle changes

Factors such as sleep deprivation, caffeine or alcohol consumption, and dehydration can cause frequent headaches. Smoking tobacco can also cause headaches.

A doctor might suggest making the following lifestyle changes to help a person manage their symptoms and prevent headaches in the future:

• getting enough sleep
• limiting caffeine intake
• drinking plenty of water
• quitting smoking, or not starting
• exercising regularly
• lowering stress

A lingering headache that lasts for several hours or days can be debilitating and significantly reduce a person’s ability to function.

People who have a headache that does not respond to typical treatment methods, such as resting and taking OTC pain relievers, may want to consider discussing other treatment options with their doctor.

A variety of medical treatments and lifestyle changes can help people manage their symptoms and prevent headaches in the future.

When a Headache Won’t Go Away

The average tension headache — the most common type of headache — lasts about four hours. But for some people, severe headaches drag on much longer, sometimes for several days. And these “never-ending headaches” can even cause anxiety.

“Typically, headaches that are longer than a day and disabling are migraines,” says headache expert Peter Goadsby, a neurologist at the University of California San Francisco. “The median duration for migraines is about a day.” In fact, some migraines can last up to 72 hours, according to the American Migraine Foundation.

Severe Headache and Your Quality of Life

Although a long headache may be tiring and frustrating, it’s likely not fatal, says Dr. Goadsby. “Having an attack that’s longer than a day doesn’t necessarily mean anything dreadful,” he says. But a headache that persists can take a real toll on your quality of life.

For example, migraineurs know that when their headache begins they may lose a day of productive work or family time. According to the Migraine Research Foundation, 90 percent of migraine sufferers can’t work or function during a migraine. Arranging for strategies to deal with that one day might be bearable, but being out of commission for two or even three days can be more difficult. Even the worry over an impending migraine, especially for those whose headaches are long or severe, can interfere with daily life.

Here are some possible causes for a headache that never seems to end:

• Rebound headache If you’ve been taking a lot of over-the-counter medications to relieve headache pain, you may experience another kind of low-grade headache every time the medication wears off. These kinds of headaches may seem to come and go.
• Depression It can be a contributing factor to long-term headaches in a number of ways. Generalized aches and pains are often among the symptoms of depression, and depression may also interfere with your ability to maintain a healthy routine, such as getting enough sleep and maintaining a healthy diet, which can help prevent migraines and headaches. A study published in October of 2017 in the International Review of Psychiatry showed that people with migraines were two to four times more likely to develop a major mood disorder in their lifetime.

How to Cope

Here are ways to cope with a headache that never seems to end:

• Treat the pain. If you don’t have a prescription and are relying on over-the-counter (OTC) medications, follow the dose recommendations carefully. If you find yourself taking these more than two days a week, prescription medication may be a better option. Bear in mind, too, that taking OTC pain medication more than three days per week may trigger rebound headaches. If you have been prescribed a medication for headache or migraine pain, take the amount your doctor has recommended. But check in with your medical team before you take more than the prescribed amount, even if that dose doesn’t appear to be working.
• Treat related problems. Attend to other health concerns, such as sleep disturbances, and get any needed depression treatment, such as antidepressants.
• Rest and relax. Sleep disorders and migraine appear to have a bidirectional relationship, according to a paper published in Therapeutic Advances in Neurological Disorders in December 2017. Insomnia is more likely if you have migraines, and migraines are more likely if you aren’t getting enough sleep. Even if you can’t fall asleep, resting and using relaxation techniques may help you feel better.
• Get the support you need. If your headache lasts for two (or more) days, you may need to enlist some help from family and friends while you recover.

Preventing Long Headaches

The best strategy for headaches is to avoid them if you can. Here are some prevention tips:

• Maintain a healthy weight. Although being overweight doesn’t cause migraines, it can increase your chances of developing a migraine, according to the American Migraine Foundation.
• Try preventive medications. Talk to your doctor about medications that can prevent migraines, rather than treating the pain when it comes. While preventative treatments rarely eliminate migraine, they can reduce the frequency and severity of attacks.
• Avoid triggers. Pay attention to the things that seem to set off a headache. Triggers can include certain foods, drinking too much alcohol or not getting enough sleep. Migraines can also be triggered by change, says Goadsby, so it’s a good idea to stay well-balanced and make healthy choices.
• Seek depression treatment. If depression or anxiety is a problem for you, therapy may help. Cognitive behavioral therapy (CBT) is an approach that can help with headache prevention and coping. A metanalysis published in the British Journal of Pain in November 2015 showed that CBT can improve some headache-related outcomes.

Though it’s rare, a severe headache can indicate a life-threatening emergency, such as an infection, or bleeding in or around the brain. According to the Mayo Clinic, you should seek immediate medical attention if your headache comes on all of a sudden, appears after an injury, or is accompanied by any of these signs or symptoms:

• Fever
• Stiff neck
• Confusion
• Seizure
• Double vision
• Difficulty speaking
• Weakness and numbness

What To Do When Headache Medicine Doesn’t Work

Head won’t stop pounding? Don’t give up hope.

If you get one headache or migraine after another and over-the-counter (OTC) pain relief doesn’t help, you do have options.

Headaches are tricky. Most of the time, there isn’t a single cause. They result from many different things going on inside and around you. These can range from lack of sleep to foods you eat or changes in the weather.

It can take time to figure out what makes your head throb. Patience is key when it comes to finding a treatment that works. But you can get relief. A headache specialist can help.

When to See a Doctor

If your headaches get in the way of daily life, it’s time to talk to a doctor. You should also seek medical advice if:

• Your headaches are severe or come on quickly.
• Your headache never fully goes away.
• You take pain relievers more than twice a week.
• You take a higher dose of medicine than what’s advised on the label.
• Actions like bending over, coughing, sneezing, or having sex bring on a headache or migraine.
• Your head pain started after a head trauma.
• You have new headache pain and are over the age of 50.

What Kind of Doctor Should You See?

Your primary care doctor is a good starting point, but headaches are complex.

Neurologists and headache specialists have special training to help them figure out the type of headache you have and its causes. They can come up with a treatment plan to manage your symptoms.

How Are Headaches Treated?

There isn’t a one-size-fits-all approach. Your doctor will likely suggest one or more of the following:

Immediate treatment: Some drugs can put a quick end to a headache or migraine. Your doctor might have you inhale oxygen through a mask to relieve cluster headaches. Doctors might refer to this type of treatment as abortive therapy. Ibuprofen or naproxen may relieve migraines or tension headaches. But, for more severe migraines, prescription triptans are often recommended.

Preventive treatment: Prescription drugs can stop pain before it starts. It can make what you do feel less severe.

Nondrug treatments: Many natural therapies can be useful, too. Your headache specialist may suggest:

Lifestyle Changes Can Help

Small tweaks in your daily routine can lower the number of headaches or migraines you have:

• Drink plenty of water.
• Don’t skip meals.
• Watch your caffeine intake.
• Limit alcohol.
• Manage other health problems. Conditions like anxiety or high blood pressure can trigger headaches if you don’t keep them under control.
• Watch your use of medicines. Taking OTC pain relievers too often, or at a higher dose than advised, could cause more problems. Once the drug wears off, withdrawal symptoms start. This leads to more head pain and the need for more medicine. Doctors call this a rebound headache.
• Stick to a sleep schedule. Too little or too much rest can trigger headaches.
• Get to a healthy weight. A high body mass index (BMI) can lead to more migraines.
• Track your headaches. Write down when you get one and what you were doing right before. Make sure to include what, if anything, helped ease your pain.

If You Go to the ER

Most headaches can be treated at home. However, if you have any of the following symptoms, you should go to the ER:

Remember, an ER doctor isn’t a headache specialist. Their focus will be to rule out serious health issues that cause head pain, like meningitis or a stroke. They may suggest some imaging tests, such as a CT scan that takes a picture of the inside of your head.

They’ll probably give you a drug to ease your pain, but it may only work for a short time. See a headache specialist. It’s the best way to get your headaches under control and come up with a long-term treatment plan.

My brain tumor: A headache that won’t go away

I have a headache … or not.

I was in elementary school when I started having headaches. The headaches seemed to hurt mostly when I was reading, so my parents took me to the eye doctor.

My parents and brother wear glasses and contacts, so we just assumed that my headaches were caused by vision problems. I was prescribed reading glasses. The glasses helped for a while, but in middle school my headaches started occurring more frequently.

Everyone thought I was faking a headache so I could go home and get out of school work, which was aggravating. I also started playing football, a hard-hitting sport, which we thought may have been why, at times, my headaches were so bad.

Placing blame on football and allergies
In high school, I continued playing football. Often, I played against teams with guys twice my size. One of the last games of my ninth grade season, I had to compete against a guy who weighed about 250 pounds, I weighed just 150 pounds. So, naturally, as my headaches persisted, I thought once again it was due to the head-to-head contact in football.

In late November 2009, my headaches became more severe and I began vomiting. Not knowing the cause, I blamed it on allergies, “my sinuses are flared,” I thought.

Unbearable pain
One morning in early December I was at school when I got another massive headache. I called my mom, who was at work, and asked her to bring me some aspirin. A couple hours later, I had to call her again to say that I could no longer take the pain and needed her to pick me up.

The next morning she told me to stay home from school and she would call the doctor. It was Friday, I told her that I had a test and did not want to have to make it up. I went to school, but an hour later called her to come get me. She immediately called the doctor and scheduled an appointment for the following week.

Yet, my headache was unbearable, so my mom called the 24-hour nurse hotline with our insurance company to ask questions. The next day she called the doctor to get some more advice.

On Sunday, I had to go to urgent care. I told the doctor I was fine except that my head hurt, badly. He prescribed medicine for a migraine. It didn’t work.

On Monday, Dec. 7, my mom called the doctor and said she wanted a CT scan of my head done right away. We went in that same day and the doctor called about three hours later with the results.

The diagnosis
We were told that I had a brain tumor, a little larger than a golf ball on top of my brain stem. The next day I was admitted to MD Anderson Cancer Center in Houston.

The doctors at MD Anderson diagnosed me with a pilocytic astrocytoma and said that it was very serious — possible death, blindness, paralysis and/or I could be left with the mind of a 3- or 4-year-old.

On Dec. 14, 2009, Dr. Nicholas Levine, a neurosurgeon, and his staff were able to remove more than 99% of the tumor. Fortunately, I did not need chemotherapy or radiation — my tumor was benign! However, I did spend several months in physical and occupational therapy.

Back in action
Today, I have some slight double vision and parts of my left side tingle and are numb. I’m keeping on track in school with above-average grades.

I took one year off from playing football, but began playing full time again my junior year.

I will be entering my senior year this fall and I am looking forward to being a leader on my football team, the Sam Houston Broncos, in Moss Bluff, La.

90,000 Causes of headache, headache treatment, appointment in Nizhny Novgorod

“Spasm of cerebral vessels”
Some patients mistake a headache of a compressing, pressing character for “spasm of cerebral vessels.” However, this is how the most common type of primary headache manifests itself – tension headache.
What is the reason for the effect of the antispasmodic No-shpa in this case? If you carefully read the instructions for use of this drug, you can make sure that it is tension headache, and not vascular headache, that is the indication for taking it.In addition to the fact that No-shpa relaxes the smooth muscles of the gastrointestinal tract, biliary tract and genitourinary system, it effectively relieves muscle tension.
As for the short-term relief of headache while taking vascular drugs – the placebo effect, i.e. self-hypnosis, has not been canceled.

“Bad vessels”
The concept of “bad vessels” does not exist in medicine. What the average man means by “bad blood vessels” is hypertensive angiopathy, atherosclerosis of the vessels (loss of elasticity, thickening of the walls, the formation of atherosclerotic plaques), etc.are risk factors for the development of cerebrovascular accident, i.e. stroke. But it has nothing to do with the headache.

Vegetative-vascular dystonia
The autonomic nervous system is responsible for the work of the heart, vascular tone, thermoregulation, sweating, urination, gastrointestinal tract and much more. An imbalance in the work of the autonomic nervous system leads to fluctuations in blood pressure, “interruptions” in the work of the heart, sweating, diarrhea and even vegetative crises (panic attacks).However, autonomic dystonia cannot be the cause of the headache. Even such a phenomenon as the lability of the vascular tone (narrowing or expansion), which is extremely important for adaptation to environmental conditions, can cause dizziness, but not headache.

Intracranial hypertension
Since Soviet times, “increased intracranial pressure” has been considered almost the main cause of headache. From early childhood, the child was diagnosed with such a diagnosis and a “sentence” was passed that in the future he would definitely have a headache.The head really hurt, but for a completely different reason, and the ICH label remained.
An increase in intracranial pressure is indeed accompanied by a characteristic headache (see secondary (symptomatic) headaches). But is intracranial hypertension so common in practice? Fortunately – extremely rare!

Red flags of headache | Articles of the clinic Medservice

One can hate not only Yershalaim, as was the case with the prosecutor’s office of Judea Pontius Pilate, but also the whole world and the universe, when the head explodes from within from a headache.Sometimes it is flattering to be in the same company with Caesar, Freud, Chakovsky and Marx, but it is better to turn to professionals for help. It may turn out that a headache is not a harmless ailment that can be easily dealt with with the help of analgin and citramone, but a messenger of irreversible processes in the body.

A neurologist at the Medservice clinic shares some professional secrets with our readers. They can help you stay healthy or get qualified help if you need medical attention.

Some headaches are caused by taking painkillers

– In life, we are used to treating our bodies quite carelessly, although a spare is not expected. My head hurts – I ate it with analginum, washed it down with water and everything will go away by itself. But pain is a signal of some pathology. How safe is it to bring down the pain and do nothing to address the root cause?

– In fact, there are two types of headaches – primary and secondary. The former include tension headaches.These also include migraines, which I would like to talk about especially. Secondary causes are due to specific causes, including brain tumors or aneurysms. I also note the headaches caused by abuse, oddly enough, the use of painkillers – analgesics.

If we proceed from the statistics of those who applied to medical institutions, then 80% are people with primary headaches.

– That is, taking pain medications can lead to headaches?

– And there is.It is believed that without harm to the body, analgesics can be used no more than twice a week or eight times a month. Especially when it comes to combined drugs containing, for example, both caffeine and anti-inflammatory agents.

– Primary headaches or tension headaches, as the name suggests, are associated with muscle tension, spasms? When I have a headache, I feel my neck, ears, shoulders and find pain points. This is it?

– Regarding your case, in order to answer this question with complete confidence, it is necessary to carry out diagnostics.But, most likely, this is it. Primary headaches are caused by tension in the muscles of the base of the skull, neck, cervical collar zone, caused in some cases by the same cervical osteochondrosis. They need to be relaxed either with the help of drug therapy or medical and drug blockades.

– These are not analgesics and other painkillers?

– Of course not. In almost all cases, muscle relaxants and antidepressants, as well as psychotherapy, should be used.In Russia, unfortunately, they are very critical of this. Although both domestic and European experts note that antidepressants and psychotherapy are the main methods of dealing with headaches. But this does not mean that you can independently prescribe the same muscle relaxants and antidepressants to yourself. It is more correct to contact a competent specialist.

– Is psychotherapy important for primary headaches?

– In fact, any headaches, the same secondary ones, lead to the development of depression.It can be subclinical. The person will not complain about it, but the quality of life decreases.

– About 80% of calls, as you said above, are associated with primary headaches. 20% are secondary, tumors, aneurysms?

– Actually less. The literature indicates that there are only 2-4% of all cases of headache. The rest of the cases are both associated with migraines and cluster headaches.

– Migraines are associated with great emperors and conquerors, as well as ladies from the novels of the XIX-XX centuries.What are her signs?

– Migraine is really typical for women. Men are more likely to have so-called cluster headaches.

Migraine is accompanied by an intense throbbing headache. More often localized in one of the hemispheres of the head. This is evidenced by the very name of the disease, if translated from Greek. A headache attack is accompanied by nausea, vomiting, light and sound phobia. I want to go into a dark room, be in silence, sit or sleep.Migraine is simple, and sometimes combined. In the first case, it is just a characteristic headache. A combined or complex migraine is associated with the presence of an aura. Usually, before an attack, its precursors appear – visual effects in the form of an aura, flashes, loss of some visual areas. All this may be accompanied by drowsiness, decreased or increased appetite, fatigue, irritability. This usually happens 15 – 60 minutes immediately before the attack itself, and many people who suffer from migraines are well aware of these signs.During the headache itself, all these manifestations completely disappear. There are factors that provoke migraine attacks: red wine, beer, champagne, cheeses, smoked meats, and in general all products containing monosodium glutamate, as well as changing weather. Sometimes migraines are associated with the menstrual cycle.

In fact, all many of these signs are characteristic of aneurysmal brain disease. The same vomiting, movement disorders, loss of sensitivity, weakness in the leg, arm. There is such a feeling, as if not your fingers or your leg was sitting out.The difference is very subtle and not always clear. But if migraine is just an unpleasant disease that reduces the quality of life, then aneurysm has lethal, critical consequences for a person. Therefore, such cases require a serious diagnostic study to exclude the presence of aneurysmal brain disease.

Red flags headache

– Could you name the key signs of a headache that require urgent medical attention?

– There are red flags of headaches or signs of serious pathologies that must be taken very seriously and contact a medical institution as soon as possible.

• First of all, it is an acute, severe headache.
• The second red flag is a first-time headache.
• Third – severe and continuously increasing headache.
• Fourth – headache, which is worse when lying down.

This also includes a headache provoked by coughing, sneezing, physical exertion, headache in people over 50, as well as accompanied by fever or epileptic seizures.

– Convulsive, foam at the mouth?

– And this too, although in fact epileptic seizures have many other, not so obvious manifestations.

– Are red flags signs of a secondary headache?

– And there is. For example, a headache that worsens while lying down may be due to intracranial pressure or due to a brain tumor. A high fever accompanied by a headache can be a sign of meningitis.

– What is included in the diagnosis of headaches in order to accurately determine their root cause? And what are the opportunities in this area for the Medservice clinic?

– Headache diagnostics includes a consultation with a neurologist or therapist. It is imperative to consult an ophthalmologist, and in some cases to an ENT doctor. It is necessary to conduct a computed tomography of the sinuses.

An MRI scan of the brain is necessary to rule out or detect brain tumors.In some cases, magnetic resonance arteriography and magnetic resonance venography are needed. The first will determine the presence or absence of aneurysmal arterial dilatation, and the second – vascular thrombosis. Ultrasound of the vessels of the neck and head will help identify the presence of atherosclerotic plaques and changes in the vertebral arteries. Sometimes headaches are caused by pathologies of the cervical spine, which can be detected with an MRI. All these diagnostic tests can be done at the Medservice clinic.

– All these studies are not ordered in bulk?

– The approach is always differentiated.The patient is never referred for all of these diagnostic tests. Of course, for secondary headaches, a more serious examination is required. But in any case, there is a clinical minimum, which includes a complete blood count, consultations with an ophthalmologist and a neurologist, after which a decision can be made on the need for further diagnostic studies.

– What can a study by an ophthalmologist show?

– In the fundus, there may be indirect signs of increased intracranial pressure or even the presence of brain tumors.In general, at the first stage, the most important thing is to collect anamnesis, that is, a set of information by questioning the subject himself. It is great if the patient keeps a diary of headaches.

– How to keep a diary of headaches correctly?

– It is necessary to mark the day, the time of the onset of the headache, accompanied by signs – vomiting, temperature, the number and type of pills taken, after which manipulations the pain passed. It is important to indicate the provoking factors.

– Are there signs of a real doctor – a professional?

– Much becomes clear from the questions that the doctor asks when taking anamnesis. If the patient is asked about what kind of pain, presses, pulsates, compresses, what is accompanied, how it passes, what is the duration, what precedes, when it passes, is it accompanied by vomiting, fever, light and sound fear, then this is a big plus for the doctor. If you were not asked this and immediately sent for tests, then, most likely, the doctor does not quite understand what he is trying to find.

– Doctors often talk to people suffering from any disease about the benefits of a healthy lifestyle. What do you think about it? And do you lead yourself

– Perhaps my choice of profession is due to the fact that from time to time I have migraine attacks. And a healthy lifestyle, including physical activity, work and rest, sleep patterns, food restrictions, friendliness, sports – I run regularly, have become the norm for me. The main thing is to make it a habit of how to brush your teeth in the morning, so that you feel joy while doing it.Then there will be a result and there will be no violence over oneself. Otherwise, it will become another cause of stress, which leads to the same primary headaches.

(PDF) Headache. Free yourself and forget. Forever and ever.

I.G. Malkina-Pykh. “Headache. Free yourself and forget. Forever ”

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do we consume with the body or do not notice it, but do not treat it like a devoted friend or

an equal partner? Why do we impose our power on the body in the same way as the environment dictates our

way of life? The origins of the formation of our way of living in our body are numerous and

are diverse.They lie in the real experiences we have received and the underlying beliefs and beliefs that have prevailed in the family, culture and educational system.

According to the Swiss child psychologist Jean Piaget, in the first two years of life

we think with the body, since we do not yet speak speech. Before we can begin to speak and understand

speech, we go through the sensory-motor stage of learning. We get to know the world, taste it

when we grab, crawl, fall, twist.And all this with the help of the body.

What we learn at this moment forms the basis of the subsequent emotional

life. How were we looked after as infants? If our needs were not met, then in

we ended up closing for them ourselves. If we have been mistreated, we have learned

to mistreat ourselves. If we were protected and lovingly cared for, we learned that

deserves a good attitude and attention. From what we see and hear, we teach effective or destructive ways of being in our body.Parents or

those who cared for us are the first example of the attitude to the body.

But often the family interferes in every aspect of development and leaves little room for

for a natural reaction. If we are prompted or forced to sit, stand, or walk until

when we are ready for it, then muscle clamps can develop, affecting movement

and distorting posture. If the child has to finish the game according to the schedule

or wake up before he gets enough sleep, then he is thereby shown that the internal

rhythm that can be followed does not exist or does not exist.We lose the sense of harmony with ourselves and with our environment, we begin to make mistakes and doubt the ability to think

with our body and stop believing it.

When we stop listening to the body, we gradually forget how to listen. And how many of us live with such physical problems as constantly clenched jaws, heads –

pains, ulcers, back pains or asthma – all because we have learned to restrain our feelings!

Maybe we turned off the sensations because we didn’t want to know what is really wrong

? Are we really convinced that if we do not feel something, then this something does not exist?

Remember, our body is our first classroom.From the first

days of life, physical sensations create patterns of emotional life,

–

set patterns of relationships and provide us with resources and opportunities.

Working with the body now, we get the opportunity to notice that we have learned something

well, but we have not learned something, and it is necessary to learn again.

At the beginning of life, we do not recognize ourselves as separate from the world or the world as separate from ourselves. But

our “I” is gradually formed. Since the boundaries of the body separate us from our environment,

our first identification is identification with the body.This “I” is the somatic, corporeal

ny, fleshly, material “I” – the “I” of the body.

Thus, the image of “I” is, first of all, the image of the body, because through the body we learn

who we are when we physically feel it and see it. The image of “I” is connected with how the body is oriented in time and space, with the contours of the body, bodily sensations and visual perception.

However, the image of the body or the image of “I” is not only what we see when we look

at ourselves, but also how we feel and control parts of the body.It includes mental, emotional and historical aspects –

rationale and historical aspects – what we feel, what we think about our appearance and

how all previous experience shaped us: both painful and pleasant, filled

90 000 How I live with migraines – Wonderzine

I guess the beginning of the attack accurately. I have a migraine with and without aura: if an attack with an aura, then a photopsy begins – this is such a flash before the eyes, which looks like a bright speckled letter C. It gradually increases in size and within thirty minutes becomes huge: obscures everything in front of my eyes so that you do not see anything at all, as if you were looking at the sun for a very long time without glasses.Once the photopsy is over, pain begins. If an attack is without an aura, then it begins immediately with pain, which gradually increases and after a few hours becomes unbearable – sometimes I lie on the bed with my face in the pillow and just scream.

In my case, migraine pain is always one-sided and very hard on the face: it feels like blood is about to pour out of the nose and the eyes will burst. I do not have photophobia and fear of noise, but nausea is always present; vomits only if the attack is very severe.Sometimes disorientation happens, several times this happened in supermarkets – I was abruptly lost in what was happening, and after a while I came to my senses between washing powder and diapers.

On YouTube, beauty bloggers talk about what they don’t leave the house without – lipstick, perfume, hairbrush, wallet – I don’t go outside without pills. In this case, it is best, of course, to take them at home; after eating the medicine, I lie down on the bed and wait for the war to start. At first, blood pressure rises very strongly, it seems that the head will burst; then tachycardia begins – a painful rapid heartbeat.The catch of the last attacks is a swelling of the throat: once it was so strong that I began to choke. This usually lasts an hour, after which I get out of bed as a different person. A migraine attack can last up to three days – the worst day in your life.

Due to ignorance, many call migraines a common headache: even my grandmother, when she just has a headache, says that she has a migraine. An excellent test, by the way: if ibuprofen helps you, then most likely you don’t have a migraine. Fortunately, I did not come across unpleasant comments in my address, but, probably, because I did not tell anyone about my diagnosis.If during the working day I feel that I am having a seizure, then I simply say that I will finish working from home and leave. I have a good relationship in the team, and no problems have ever arisen. The real hero of my seizures is Seryozha: he always has a pill of sumatriptan in his car, he is ready at any time of the day or night to pick me up and take me home, make strong black tea or just be around and pat my head – this is no less important than triptans …

90,000 Psychosomatics of headaches.Self-help methods

All people, one way or another, are familiar with such ailment as headache.

Headache , and sometimes migraine, can be the answer to many very different malfunctions in the body (sinusitis, sinusitis, high and low blood pressure, colds, etc.), including, can also have a psychosomatic nature .

Often headache occurs in response to internal stress , due to difficulty making a decision, making a choice, getting out of conflict, fear of performing an overly difficult task, or performing an action against desire.Such difficulties are usually called “internal conflict” , and in this case the headache indicates an overload of the psyche, as if the brain asks “do not think.”

Similarly, headache can occur in response to intense emotions that cannot be given an outlet . It can be anxiety, panic, aggression, horror, a premonition of danger, a feeling of humiliation, helplessness, resentment, etc.

How does it work?

The origin of headache lies in the receptors of spasmodic blood vessels, receptors of the meninges.The brain does not feel pain directly. The vessels spasm in response to an increase or decrease in blood pressure, when the vessels begin to work in a mode dangerous for the body, it tries to regulate the rhythm of blood flow necessary to maintain health, and can narrow or dilate the vessels to complete this task. And, as we know, the cause of a sharp change in blood pressure can be emotional reactions that are not always perceived by us as stressful, the body recognizes them earlier.

Fortunately, headaches can be quickly relieved with medication. But, as usual, the effect is eliminated, not the cause.

It is known that nothing hurts just like that. Pain is designed to inform us about problems and malfunctions in the body. A headache informs about the possible damage that can be caused to the body due to a sharp drop in blood pressure (heart attack, stroke, hypertensive crisis, etc.). She calls for attention to those psychological factors that contribute to the development of diseases, including headaches.It follows that, while relieving pain with drugs, we ignore the body’s needs in normalizing the threat situation, exploiting it in an extreme mode, and this cannot but affect the general well-being, health, and, ultimately, life expectancy …

Many of us take great care of our cars and know that maintenance must be done in time for the duration and efficient operation of the machinery systems. But we often deny ourselves the “maintenance”.Sometimes, because it is a pity for time, sometimes, there is no opportunity, sometimes, we simply do not pay attention to the needs of the body, because there are more important tasks, etc.

Naturally, you and only you decide how to dispose of your own body. This is your life and your health. Nietzsche, at one time, refused to treat the most terrible multi-day migraines, because he noticed that when he was not in pain, he did not write. There is some truth in this.There is a hypothesis that the most talented people have all sorts of problems, from real somatic diseases to neurotic complex structures of internal conflicts, and place inner pain in their work. Nietzsche himself expressed this idea as follows: “The artist is born of exceptional circumstances, they are deeply related to painful phenomena and are connected with them; so, apparently, it is impossible to be an artist and not be sick. ” Thus, it can be assumed that migraine was his muse.

Who is affected by headaches?

People suffering from headaches, as a rule, are highly educated, intellectually developed, responsible, independent, often creative individuals, striving for knowledge and understanding of the world around them and themselves in it . These are the people for whom “the meaning of life” is not an empty phrase. Often, these are people of high moral standards, rather strict about themselves and their achievements, and demanding of others.

What to do?

It is possible to try to find the cause of the headache on your own. Is it enough to try to understand what is unpleasant, what causes discomfort? You may be forcing yourself to do what you don’t want. Perhaps you are looking for a way out of a difficult or conflict situation, and cannot find it. Or maybe your internal attitudes dictate one thing to you, but in fact you want something completely different. Having found the reason, you should take care of yourself, eliminate the cause of stress, or, if it does not work, agree with yourself about a deferral , or use the services of a specialist.

Let’s take a look at some of the possible headache triggers and self-help strategies.

Let’s start with the simplest one. Woman was doing general cleaning in the apartment, is tired, she really wants to please herself with some cakes for tea. Let’s try to see here variants of internal conflict. Here is an internal dialogue: “I did so much, I’m tired, I deserve a cake. But it’s necessary to get ready, go, but I don’t have the strength.Where am I so disheveled and scruffy I will go, I will scare those around … But I really want that pretty berry cake !!! No, this pleasure is not worth spending a lot of time on training camps … And in general, my husband said that you need to lose weight … And my friend said that I was rounded … No, I won’t go … But I really want to … “And the most interesting thing is that the more arguments against, the more you want to. It is unlikely that such an internal conflict will cause a stroke, but if you butt yourself with yourself for a long time, you can easily get a headache, and your mood will deteriorate, and your husband, when he comes home from work, will “fall under the distribution”, because he also contributed to that voice, what is against the cake.

Such an internal conflict can help a woman to think of it to such an extent that she becomes incredibly sorry for herself, and when her husband comes, he will be shown that he does not love at all, does not help, does not support, and generally a bastard … And no one will understand what is the matter , and even the wife herself will not remember that it all started with a cake … She will just feel unhappy.

Our needs arise in order to be satisfied, and if they are not satisfied, then we must satisfy the reasons “Why not?” In this case, the first argument about fees was more or less acceptable, and the second was clearly critical, and therefore caused anger and resentment.

What could have been done in this situation?

For example, call your spouse and say: “ Today I was doing general cleaning, I’m very tired, and I really want to pamper myself with something. I’ll go to the bath, clean up a little. I can ask you to go to the store and buy us something for tea. For me, please buy that beautiful cake with berries … “ A husband must be an absolute” cracker “to refuse his wife such a request.And if you are for a healthy lifestyle and cannot afford such a luxury as a cake, then look for what argument will be the most acceptable for you . It can be the number of calories and the negative effect of carbohydrates on the body and the desire to live happily ever after in good health, offer yourself an alternative, something no less tasty, but more useful, for example, a pear, mango, pineapple, something that suits you … The main thing is to exclude from the internal dialogue any criticism addressed to you or addressed to your desires. Any criticism causes resistance and internal conflict. You should avoid the categories good – bad, right – wrong, condemn yourself for your weakness and evaluate your appearance. Start from phrases, such as I want to be healthy, beautiful, rather than from phrases, how an unplanned cake will affect your appearance. In general, any of your needs deserves respect. And the more in contact you are with yourself, and the more attentively you treat your needs, the less chances you will get into a situation of internal conflict.Try not to put pressure on yourself, but to negotiate. Do not appeal to “must”, but rely on real desires and opportunities.

Let’s look at another situation.

Very often an internal conflict is built on the principle: “I don’t want to, but I must”. For example, a person wants to be nice and pleasant, and when asked for a favor, he practically always answers with consent, without taking into account the real circumstances and his capabilities. There are many chances of getting a headache, both literally and figuratively, especially when his desire to help others concerns not only him. The family may not be happy with the fact that he is spending time with strangers that he could spend with her. In addition, such selfless people often have to make a choice, who to help? Since no one can be in several places at the same time, it means that there is no ideal solution, and someone will certainly be deprived of attention and offended.Dilemma. And by the way, the choice is most often made in favor of those who are less close, because those who are close and close will understand and forgive. In addition to a real headache, in this situation, there are more serious consequences, relatives sometimes get tired of waiting for their turn …

Here, of course, you need to pay attention to your value system: “Why do I consider it necessary to help everyone who comes to me? Why is it hard for me to refuse? What happens if I refuse? etc.” A person is afraid of being branded as cold and insensitive, afraid that they will not communicate with him, they will no longer be respected 90 260 , etc.e. In fact, it turns out that when this person himself gets into trouble, most of those who used his kindness quickly “fall off”, and it turns out that there is no one to help. Such people often ask: “But how can it be, I am for them … and they …” Remember the saying: “Who is lucky, they go on that?” It’s right here. And, unlike our altruist, many do not have such a “grown” sense of duty and easily refuse, relying primarily on their own desires and needs … Of course, faced face to face with the consequences of their actions, a person is often able to realize and understand himself mistakes in prioritization.But, if it is already clear today that something is wrong and the headache is reporting it, you can begin to understand the situation and take measures to prevent the emergence of a serious crisis.

Now let’s look at a more complicated situation.

You need to go to the management with a talk about the promotion. Your spouse and mom say that you have been working flawlessly for so many years, you deserve a promotion, they will consider you a weak-willed weakling if you cannot do this.You don’t know what to say and how, don’t like to ask, you think is beneath your dignity to humiliate yourself in front of your boss, and you’re afraid of his reaction, what if he’s fired altogether? You think that if a person is worth something, he will be noticed anyway. Recognizable, isn’t it? It seems to be a common everyday situation, someone will not even see a stress factor here. In fact, is a multi-level stressful situation, which is not so easy to overcome.

Look, the pressure of the wife and mother is one layer.

The fear of being untenable in this situation is another layer.

Fear of the boss is the third.

Uncertainty about one’s own merits – the fourth.

Striving to avoid conflict situations – the fifth …

There are many levels in this situation, especially if you also take into account internal attitudes, life experience, self-esteem , etc.e. So this person is in such a stressful situation that g headache is not the worst thing that can happen . It is practically impossible to solve such a situation without losses from the nervous system on your own. If a person could solve this situation easily, then he would not get into it. The person we are describing had all the prerequisites for falling into such a “whirlpool”.

In this case, it is better to seek help from a psychologist.

What could you have done yourself?

This is difficult, but possibly .

First try understand: “Do I want a promotion?” If yes, then first of all concentrate on the main task and free yourself from additional stressors. The first thing to do is to come to an agreement with relatives: “Dear ones, I realized that I definitely want a promotion, but the boss is a difficult person and I need time to develop the right behavior strategy to achieve my goal.I ask you not to touch on this topic for a month, so that I can calmly think about everything. ”

Next, consider the fear situation. What is the worst thing that can happen if you fail to cope with this task? What is the worst thing a chef can do to you? Much depends on the personality of the manager, of course, but test your fears for reality: “Can you really be fired for such a conversation? Is he really capable of something that you will not be able to bear? If the boss is really crazy, then at this stage you need to think about changing jobs.If not, then you should try to look at the situation not as a conflict of interest, but as cooperation, consider what benefits both parties benefit from your promotion? If you have doubts about your talents, involve loved ones to compile a list of your professional merits.

Followed by to think over the conversation, taking into account the personal characteristics of the leader and tune in internally. Internally, it is necessary not only to make sure that you have the full right to this position, but also to tune in to a conversation with a respected person on an equal footing, as a partner.That is, it is necessary to test the proposed dialogue for the manifestation of unacceptable formulations “from the top” or “from the bottom”, meaning the text that is adequate from the point of view of the hierarchy. Read your monologue to friends, relatives, ask what they heard? Did they hear exactly what you wanted to say? Here, approximately according to this scheme, you can try to act.

If you do not want an increase, and you have every right to do so, you can proceed differently. Perhaps you are absolutely satisfied with the position that you occupy, or you are not ready to take on additional responsibility.Truth in this case will be the best way out. It is necessary to clarify the situation for your loved ones . This is also not easy. Well, for example: “I understand that it is extremely important for you to see me successful, or you lack the funds that I earn. But the fact is that the position I occupy is very pleasant to me and I would not want to change it. I promise you to think about how you can increase my income without changing the field of activity. Perhaps I will find a similar, but higher-paying position, or find a suitable part-time job.We will definitely find a solution that suits everyone. ” Of course, in this example there are many options for solving, but it is not possible to consider this in the format of this article.

Sometimes a headache may not be directly related to current events , especially chronic, but may be an echo of a similar situation in the past. For example, you need to write some sociometric test at work. This is a completely simple situation, and not stressful like. But the way you were seated to fill out the test reminded you of the extremely stressful situation for you when assessing your knowledge at the institute for the state exam.Anxiety went up, my head ached.

Chronic pain was formed much earlier, and there are less chances of success with independent work, but it is still possible and necessary to try. “He who seeks will always find.”

General recommendations for improving well-being:

Control physical and emotional stress, do not allow overwork.

Observe the daily routine, spend more time outdoors.

Sleep at least eight hours a night.

Find your favorite activity that will allow you to recover most effectively (hobby, sports, walks, games, pleasant contacts …)

Try to switch from professional activity to rest, leave work mentally at work, or outside the door of the house, or in a drawer, etc.

Try to give up bad habits.

Balance your diet.

It is important to stay in touch with your feelings and needs and not forget about yourself even while “saving the world”.Living in harmony with yourself is the best prevention of psychosomatic headaches.

We wish you health !!!

The article was prepared by psychologists of the branch 4 GBUZ “PKB No. 13 DZM”

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? All people in one way or another are familiar with such an ailment as headache. ? Headache, and sometimes migraine, can be the answer to many different problems in the body (sinusitis, sinusitis, high and low blood pressure, colds, etc.).may also have a psycho-somatic nature. • Headache often occurs in response to internal stress due to difficulty making a decision, making a choice, getting out of conflict, fearing an overly difficult task, or performing an action against one’s will. Such difficulties are usually called “internal conflict”, and in this case the headache indicates an overload of the psyche, as if the brain asks “do not think.” ? Also, a headache can occur in response to intense emotions that cannot be given an outlet.It can be anxiety, panic, aggression, horror, a premonition of danger, a feeling of humiliation, helplessness, resentment, etc. ❓How does it work? ? The origin of headache lies in the receptors of spasmodic blood vessels, receptors of the meninges. The brain does not feel pain directly. The vessels spasm in response to an increase or decrease in blood pressure, when the vessels begin to work in a mode dangerous for the body, it tries to regulate the rhythm of blood flow necessary to maintain health, and can narrow or dilate the vessels to complete this task.And, as we know, the cause of a sharp change in blood pressure can be emotional reactions that are not always perceived by us as stressful, the body recognizes them earlier. Fortunately, headache can be relieved fairly quickly with medication. But, as usual, the effect is eliminated, not the cause. Read the sequel on our website or in the story! https://pb-13.ru/novosti/psihosomatika-golovnoj-boli-sposoby-samopomoshhi/ # headache ## psychiatry # youneone # psychotherapy # psychologist help # psychosomatics # pkb13

A post shared by Psychiatric hospital13) (@ pkb13) on Aug 26, 2020 at 4:05 am PDT

90,000 “Now this is not my headache” – Tereshkova and Prokhorov left Civic Platform before the elections

© Natalia Gredina.Anna Tereshkova

13 Mar 2015, 16:27

Anna Tereshkova, a member of the Civic Platform federal political committee, like most of Mikhail Prokhorov’s associates, left the party’s governing bodies. The “GP”, which has turned into a technical party, has decreased prospects for elections to the Novosibirsk City Council and Legislative Assembly, Tereshkova is sure.

Party chairman Rifat Shaikhutdinov was dismissed at a meeting of the political committee on March 13.Later, the founder of “GP” Mikhail Prokhorov announced that he would leave all the bodies, the same decision was made by the majority of the members of the federal political committee. In addition, Prokhorov suggested that the remaining leaders of the Civic Platform, which had “discredited” itself by its behavior in the situation with the pressure of the federal media on Andrei Makarevich and participation in Anti-Maidan, should change the name of the party.

“I think that our common decision will, of course, affect the party – on the percentage that it will gain,” said Anna Tereshkova, head of the Novosibirsk mayor’s department of culture, who was a member of the GP federal political committee, to Taiga.info.”From a party of bright personalities and individual self-sufficient people who respect themselves and their comrades, it is turning into a gray party, carrying out orders from above.”

“I believe that there has been an absolutely worthy departure of the federal committee,” added the interlocutor. “People have agreed that we will continue to communicate as well, and we will wait for our relevance from people like the federal political committee.”

According to Tereshkova, the Novosibirsk branch of the Civic Platform may survive.For this, it is necessary that “all the technical people created by Rifat [Shaikhutdinov] in Novosibirsk get together and decide for themselves” the fate of the organization.

“Soon, as I understand it, there will be a congress at which the party will have to choose its own chairman, if they want, or make a decision to dissolve or rename,” Tereshkova clarified.

Recall that Shaikhutdinov changed the leadership of the Novosibirsk branch – the party list for the September elections to the City Council and Legislative Assembly, at his insistence, will be headed by businessman Alexander Mantsurov, who is an independent deputy in the current convocation of the City Council.The move was seen as a reorientation of the local office from the mayor’s office to the regional government.

Shaikhutdinov himself said in an interview with Taiga.info that the party intended to stake in the next municipal elections on Novosibirsk. “Now all this is not my headache,” – said the interlocutor of Taiga.info.

Tereshkova noticed a general trend towards rapprochement with the main state line of some once independent parties and the removal of strong politicians from leadership positions.She, in particular, recalled Oksana Dmitrieva’s recent withdrawal from Fair Russia after the decision to remove her from the post of head of the St. Petersburg branch.

Living with autism: show where it hurts

• Anna Cook
• for bbcrussian.com

May 29, 2015

Photo author, Anna Cook

Photo caption,

exchange for cartoon

We continue

Blog on everyday Britain – one that is not always visible from the tour bus.It is hosted by several Russian authors living and working in this country.

The author of this text is journalist Anna Cook, whose eldest daughter was diagnosed with autism at the age of three.

Every school holidays we have about one scenario: my five-year-old daughter Liza gets sick.

This time was no exception. On the very first day of “freedom”, and the day, I must say, is quite warm and sunny, Liza collapsed with a high fever and a strong cough.

A sick child with autism, at least my Lisa, is a combination of silent suffering and helplessness. Wordless suffering of my daughter and my complete helplessness.

As a rule, as the temperature rises, Liza’s verbal communication immediately turns off, in other words, speech almost completely disappears, and on ordinary days it is rather limited.

To questions (“Liza, do you want to drink, eat?”), At best, she will answer with the help of gestures or pictures, at worst – she will not react in any way to the appeal to herself, and the offered glass of water or a plate of porridge will push away without looking knocks to the floor.

On ordinary days, very affectionate, loving to hug and sit on her arms, ailing Liza cannot stand touching. To my attempts to pity her, to cheer her up, to caress her, to talk, to suggestions to read or sing a song, she refuses, or, again, does not react in any way.

Therefore, in complete helplessness, I just watch her, sobbing, herself wanders into the kitchen. Lisa is accustomed to the fact that water is always waiting for her in the kitchen, and will refuse the glass placed next to her bed. There she drinks, then trudges back to her room, takes cover and can lie there for hours.

Sometimes she gets tired of being alone, then she comes into a room where her two younger sisters are playing, and indifferently sits or lies on the sofa, looking at one point, then again trudges into the kitchen to drink water and back to her bed.

Thermometer in a dream

If the poor thing is still forgotten by sleep, I do not waste time, because this is a precious moment when, finally, you can measure her temperature. Ear thermometers have failed me many times, so I only trust ordinary electronic thermometers, which must be kept in the armpit, and Lisa treats them with extreme disgust.

There are good luck when a daughter agrees to endure a thermometer for a couple of minutes in exchange for a cartoon or a song, but not this time: Lisa is so bad that she is not interested in cartoons, so she only has an option with sleep.

The next step, which requires dexterity and dexterity, is to find a moment to give the child the medicine.

All these antipyretic syrups with strawberry or orange flavor, gummy tablets and other tricks of pharmacists that help parents inject the necessary drug into the child have no effect on Lisa.

Therefore, we must have time to catch her at the moment of waking up, when she is already conscious enough to swallow the medicine, but not yet awake enough to spit it back out.

My manipulations do not escape my middle daughter, three-year-old Katya, who loves to be treated, immediately demands to put herself a thermometer and begs for at least a drop of that delicious strawberry syrup, which Lisa still managed to spit out halfway.

The main thing here is not to give up slack and, succumbing to panic, do not drag the child to the doctor.Bitter experience taught me this rule. Several times, having seen the temperature approaching forty on the thermometer, I, somehow the antipyretic bay in Liza, rushed in a taxi with her, and along with the two youngest ones, to our local medical center.

Autism and the Waiting Line

The British National Autism Society has issued a special leaflet for healthcare professionals explaining the characteristics of patients with autism. But, unfortunately, it is only advisory in nature.

In particular, the memo says that it is very difficult for autists to sit in line for a long time, especially in a large hospital corridor. Doctors are warned that before starting the examination, it is advisable to explain to the patient what exactly they will do with him, it is best to show pictures, or, at worst, demonstrate on a doll.

“The language should be used as simple as possible,” says the memo. “Remember that autistic people often take speech literally, and if you say,“ Could you get up? ”, The patient will most likely answer in the affirmative and stay put, but if you ask him to “be patient for a minute,” he will tolerate exactly one minute. “

Before the planned visit to the doctor, I try to foresee all these nuances. I am preparing for Lisa a special story with pictures (the so-called “social story”) about how we will go to the medical center, how we will wait for our turn, how the doctor will ask Lisa to undress, listen to her with a special tube and feel her stomach.

Photo author, Anna Cook

Caption,

Before going to the doctor, we make up a “social history”

We can rehearse the “trip to the doctor” for several days, or even a week.

In the event of an urgent need, there is no time for preparation, and an appointment with a doctor turns into a complete disaster.

With urgent problems in our clinic, they are admitted on a first-come, first-served basis. I explain at the reception that the child has autism, and ask to let us through early, they politely answer me that they leave it “at the discretion of the doctor”, in other words, most likely, we will not have any concessions, and we will have to wait two hours, like everyone else.

The doctor, nervous that after us he will have to admit a dozen more patients, tries to conduct an examination as quickly as possible.

What pictures and explanations on the doll really are! I hold tightly to the writhing Lisa, who suddenly had the strength to let the doctor listen to her a couple of times with a stethoscope and look down her throat for a second. If he is lucky, he will only be kicked a couple of times, if not very much, they may try to bite and snatch out expensive medical devices.

With the diagnosis “viral infection, it will go away by itself,” I am crimson with shame that I wasted precious time of the doctor and forced the children to sit in such a huge queue, I am trying to get out of the doctor’s office as soon as possible.

Liza and little Zoya are riding in a stroller, in my arms I have to drag the sobbing middle daughter Katya, who demands that the doctor examine her as well.

Does it hurt or doesn’t it hurt?

Remembering this picture, now I hold on to the last. “This is a common virus, in a couple of days Liza will recover,” I persuade myself, but, most likely, I will not be able to stand it again and will take my daughter to the clinic.

Most of all, I am afraid that suddenly Liza is in pain, but I will not be able to understand it in time, and we will start a problem, whether it be caries, diseases of the intestines, cardiovascular system or of a more intimate nature.The trouble is that Lisa, like many other children with autism, is completely unable to answer the question: “What hurts you?” and even more so to come up and complain about the indisposition.

This is one of those vital skills, like the ability to ask for help, which ordinary, neurotypical children learn intuitively in the first years of life, and which autistic people may not master at all if they are not taught this for a long time and persistently.

The inability of children with autism to report pain can have dire consequences.

Several examples are given by the Autism Media Channel website dedicated to autism: attempts to cope with physical pain in non-verbal adolescents with autism turned into aggression and self-aggression, one young man banged his head so hard against a plywood partition that he practically broke it.

Doctors considered these cases of self-aggression to be one of the typical manifestations of autism and prescribed sedatives instead of prescribing tests and examinations.

I’m not sure that Lisa will learn to show where and what she hurts in the framework of the school curriculum, even if at a specialized school.

Therefore, all hope is only on ourselves and also, of course, on a lysine tutor or, as they say in autism communities, a “tutor”. With Mira, who works on a behavioral therapy program, we study privately and even, I would say, in secret from the school (but that’s another story).

Priority queue

Why haven’t we taught Lisa to complain about pain, if it’s possible in principle? Now I am asking myself this question.It’s just that we have accumulated so many problems that it’s impossible to cover everything at once.