Migraine or Headache?

What Is a Headache?

The average headache causes a pain in the head or face, described as a constant throbbing. The most common type of headache is a tension headache, caused by stress and tight muscles; however, there’s also a more severe type called a cluster headache. Cluster headaches — also coined as “suicide headaches” because of their intensity — are headaches that occur in patterns with frequent attacks and then periods of remission.

According to Johns Hopkins Medicine, the following are some of the differences between tension and cluster headaches.

Tension Headache

• Slow onset
• Pain on both sides of the head
• Pain is dull — mild to moderate — not severe
• Pain may involve the back part of the head or neck, pressing or tightening on both sides of the head, sensitivity to light and noise, scalp tenderness
• Can last hours to days
• Caused by stress, poor posture, dehydration, lack of sleep, straining of the eyes

Cluster Headache

• Quick onset
• Pain on one side of the head, usually behind one of the eyes
• Pain is a severe, sharp stabbing in the head
• Swelling of eyelid and/or forehead, droopy eyelid and/or small pupil, runny nose and/or congestion
• Attacks occur in clusters, can last minutes to hours
• Triggered by alcohol, specific time of day, circadian rhythm disruption — exact cause unknown

What Is a Migraine?

While headaches cause physical pain, migraines are a different beast. As a neurological condition, nausea, vomiting, lightheadedness, sensitivity to light, and other visual symptoms occur with migraines. Migraines also have four distinct phases; however, not everyone experiences every phase.

Phases of the Migraine:

• Prodrome – early warning signs such as mood or behavior changes, may be hours or even days before the headache
• Aura – sensory disturbances such as vision changes, muscle weakness, changes in speech, and hallucinations
• Headache – main phase with severe headache; sensitivity to light and motion are common as well as depression, anxiety, and fatigue
• Resolution – aftereffects of a migraine such as irritability, fatigue, and trouble concentrating; pain subsides

In the Resolution phase of a migraine, some people will feel relieved and others, unfortunately, will feel the physical and mental repercussions of the migraine. According to the American Migraine Foundation, the World Health Organization has labeled migraine as one of the 10 most debilitating medical illnesses on Earth; for more than 90% of those affected, migraine interferes with education, career, and social activities.

According to the American Migraine Foundation, more than 36 million Americans suffer from migraine, but only one of every 3 patients talk with their doctor about their headaches.

Key Differences

To know how to treat a headache, you must be able to figure out if it’s a headache or a migraine first, as each one has different treatment methods. The key differences between headaches and migraines are:

• Pain: headaches cause a constant throbbing and dull ache; migraines are accompanied by severe pounding or intense pressure
• Location: headaches occur on both sides of the head; migraines zero in on one side
• Duration: headaches can last from minutes to hours; migraines can last hours to days
• Symptoms: migraines cause nausea, vomiting, sensitivity to light and sound; headaches induce physical pain and tenderness around the head and neck area

Treatment

Depending on the type of headache, there are several options for treatment. For a tension headache, the use of over-the-counter pain relievers like ibuprofen (Advil), aspirin, and Excedrin Migraine is encouraged. Lifestyle changes, like drinking more water, getting adequate exercise, eating nutritious foods, and getting enough sleep are also beneficial. Making these small changes will help to combat — and hopefully lessen the amount of — tension headaches. According to Mayo Clinic, it is also important to ease muscle tension with a heat compress so the muscles can relax, since tense muscles can trigger a tension headache to start.

On the other hand, cluster headaches — much more severe than a tension headache — require medical attention. According to MedlinePlus, the only way to treat these headaches is with steroids, medication injections, 100% pure oxygen, or preventive medications, hence, the only way to access these treatments is by going to the doctor.

Treatment for migraine includes medication, lifestyle changes, and rest. Migraines are a chronic illness, but they are treatable. One of the most important parts of migraine management is migraine prevention, which can be done through taking medication every day to prevent an attack, whether you experience one a year or one a week. Some preventive medications include beta blockers like propranolol (Inderal) and anti-depressants like amitriptyline and venlafaxine (Effexor).

Medications that help during the migraine attack include over-the-counter medicine like ibuprofen (Advil) and aspirin, but when taken over a long period, they may cause medication-overuse headaches and/or stomach bleeding. Stronger prescription medications like triptans (sumatriptan (Imitrex) and rizatriptan (Maxalt)) can relieve many symptoms caused by a migraine because they block the pain pathways that go to the brain.

Moral of the Story:

If you experience severe, sudden headaches that happen frequently and affect your day-to-day life, seek medical help. According to the World Health Organization, on a global scale, headaches affected about 40% of the population, or 3.1 billion people, in 2021. Headaches are a common and painful body experience; nearly everyone gets them occasionally for various reasons. Stress, poor nutrition, and exercise are some of the biggest risk factors but also the most controllable ones.

Focus on getting your health right, so you can get your head right.