There are about 200 known causes of headaches (cephalalgia). This may be an increase or decrease in blood pressure, pathology of cerebral vessels, diseases of the spine, brain vessels, brain tumors, intoxication. At the Yusupov Hospital, neurologists find out the cause of headaches using the latest diagnostic equipment from the world's leading manufacturers.
Headaches in the forehead can bother a patient with sinusitis or frontal sinusitis. In this case, treatment is carried out by otolaryngologists. If the cause of the headache is arterial hypertension, cardiologists provide antihypertensive therapy. In the presence of intoxication, infectious disease specialists treat patients with headaches. A multidisciplinary approach to the treatment of patients suffering from headaches can quickly improve the patient's condition.
Causes of headaches in women
When developing tactics for managing a patient with headache, neurologists at the Yusupov Hospital take into account its cause. Doctors relieve headaches with analgesics and at the same time treat the disease that caused this syndrome. Most often, headaches in women occur for the following reasons:
- Hormonal imbalances;
- Acute or chronic stress;
- Increase or decrease in blood pressure;
- Dysfunction of the autonomic nervous system;
- Diabetes mellitus;
- Infectious diseases (meningitis, encephalitis, tuberculosis);
- Inflammation of the neck muscles:
- Osteochondrosis of the cervical spine;
- Volumetric formations of the brain.
Treatment
Conservative therapy
Therapeutic tactics are determined by the nature of the pathology:
- Sinusitis
. At the initial stage, drugs from the group of aminopenicillins or cephalosporins are prescribed, then, if necessary, medications are replaced taking into account antibiotic sensitivity. NSAIDs, antihistamines, decongestants, vitamins, and local antiseptics are used. Punctures, rinsing, and anemization of the mucous membrane are performed. - Encephalitis, meningitis
. The basis for the treatment of inflammatory processes of bacterial etiology is massive antibiotic therapy. Medicines are administered parenterally (intramuscularly, intravenously or endolumbarally). For viral encephalitis, antiviral and symptomatic therapy is indicated. - Arterial hypertension
. Blood pressure is normalized with the help of antihypertensive drugs. Antiplatelet agents, beta blockers, diuretics, and drugs with lipid-lowering effects are used. Patients with secondary hypertension require treatment of the underlying pathology. - Intracranial hypertension
. Diuretics are used, as a rule, in combination with potassium-containing medications. The causative pathology is treated by detoxification, the use of venotonics, and antibiotics. Neurometabolic drugs are prescribed. - Migraine
. Relief of attacks is carried out using painkillers and caffeine-containing drugs. Triptans are effective for the prevention of new paroxysms in the interictal period. - Damage to ganglia and nerves
. For trigeminal neuralgia, anticonvulsants, antispasmodics, microcirculation correctors, therapeutic blockades, and physiotherapy are indicated. For Slader syndrome, anti-infective, anti-inflammatory, and anti-allergic drugs are needed.
Patients with ophthalmological pathologies undergo vision correction using glasses and contact lenses. For glaucoma, medications are prescribed to reduce intraocular pressure. Treatment of diseases with intoxication syndrome involves taking large amounts of fluid or intravenous infusions, therapy with drugs with symptomatic and etiopathogenetic effects.
Surgery
The following operations may be recommended for patients:
- Sinusitis
: open or endoscopic frontotomy, maxillary sinusotomy, ethmoidotomy, polysinusotomy. - Intracranial hypertension
: decompressive craniotomy, external ventricular drainage, various shunting options. - Eye diseases
: laser correction of myopia, farsightedness and astigmatism, laser and traditional iridectomy, iridoplasty, trabeculoplasty, other interventions for glaucoma. - Trigeminal neuralgia
: stereotactic operations, microsurgical decompression, radiofrequency destruction.
Causes of headaches in men
Men are most often bothered by cluster pain. It is localized in the temple area and the eyeball. Pain of varying intensity in men occurs during a respiratory disease, an infectious lesion of the body, after an injury, or during the development of a brain tumor. Headaches localized in the back of the head occur with arterial hypertension, stroke, and traumatic brain injury. Often men experience severe headaches accompanied by nosebleeds. The reasons for the violation may be:
- Diseases of the circulatory system;
- Failure of endocrine organs;
- Cardiovascular diseases;
- Meningitis.
- Stroke;
- Tumors of the brain or nasal cavity;
- Hypertension;
- Overwork.
Expert opinion
Author:
Tatyana Aleksandrovna Kosova
Head of the Department of Rehabilitation Medicine, neurologist, reflexologist
90% of the population has experienced headache symptoms at least once in their life. Such data is provided by the World Health Organization. In 20% of cases, the headache is permanent. The ratio in the morbidity structure among men and women is 1:3. Neurologists identify various causes of headaches. The most common etiological factors are migraine and tension headache. Migraine is diagnosed in 20–30% of cases, and tension headaches account for 50–70%.
A headache can be a symptom of a serious illness. Therefore, if a pathological sign appears frequently, as well as in the presence of other symptoms, you should consult a doctor. At the Yusupov Hospital, neurologists pay close attention to the treatment of various types of headaches. Diagnosis of possible causes is carried out using x-rays, MRI, CT, EEG, angiography and laboratory tests. If necessary, additional studies are prescribed. Individually selected therapy allows you to stop an acute attack and prevent the re-development of the pathological symptom. The drugs used are verified for quality and safety. Treatment regimens comply with international recommendations for headache therapy.
Prevention of headaches
A healthy lifestyle is the only way to prevent headaches. They often arise as a reflection of fatigue, poor diet and bad habits. To prevent the occurrence of headaches, as well as during their treatment, it is important to follow the following rules:
- adequate sleep - not only its quantity is important, but also its regularity (sleep-wake schedule);
- correct posture - this is the only way to ensure normal blood circulation in the structures of the brain;
- physical activity;
- a well-chosen diet, no bad habits.
Doctors at the Clinical Brain Institute recommend paying attention to your well-being in a timely manner and not enduring headaches. Today, pharmacies provide a wide selection of analgesics, anti-inflammatory drugs and other drugs, but you should not get carried away with their use either. If pain lasts more than 5 days or is accompanied by additional symptoms (nausea, vomiting, fever), you should immediately consult a doctor.
Kinds
Neurologists distinguish the following types of headaches:
- Migraine – caused by a disruption of the vascular system;
- Tension headache - mainly occurs due to excessive tension in the neck, eye muscles, as well as the muscles of the shoulder girdle and scalp aponeurosis, as well as due to chronic stress, depression;
- Chronic paroxysmal hemicrania, cluster headache - can be primary or secondary.
- Headache not associated with damage to brain structures;
- Ambus headache that occurs when taking medications uncontrolled.
There are also headaches after traumatic brain injury, with diseases of the vascular system, and those that occur with intracranial disorders of extravascular origin.
Tensor headaches often occur in women after stress or nervous shock. It goes away in the presence of positive emotions, after drinking soothing herbal teas.
Neurologists do not recommend taking headache pills on your own. Each drug is designed to relieve a specific type of pain and has a number of contraindications. The doctor takes all this into account when prescribing a medicine to a patient.
Make an appointment
Treatment methods
Depending on the mechanism of development of the disease, individual therapy is selected.
The following methods are used for treatment:
- Medication, usually prescribed non-narcotic analgesics, non-steroidal anti-inflammatory, antiemetic and combination drugs. They have an analgesic effect and can relieve an attack. Unfortunately, with prolonged use, addiction develops. If the pain is caused by a concomitant disease, then therapy is aimed at treating it. Antibiotics, muscle relaxants, etc. may be prescribed.
- Massage is prescribed to relieve muscle spasms and improve blood flow in the brain tissue.
- Reflexology is indicated to relieve muscle tone, improve blood circulation, and improve the conduction of nerve impulses. The effect can be achieved within a few hours after the first session.
- Manual therapy is prescribed to relieve muscle spasms in the cervical-collar area and restore blood supply to brain tissue, start the process of active elimination of toxins, and return all muscles of the body to their correct position.
- Physiotherapy is indicated to normalize vascular tone and metabolism of brain tissue, and improve the functioning of the central nervous system.
- Psychotherapy is prescribed for the psychogenic mechanism of disease development.
Migraine
Migraine is the most common type of headache.
It most often occurs in women from the onset of puberty (from 11-13 years) to 35 years. Migraine can be simple or with an aura. It can occur in the temple, crown, back of the head, and forehead. The cause of the disease is a hereditary disorder of vasomotor regulation of arteries located outside and inside the cranium. With migraines, headaches occur in the form of attacks. They bother you at varying frequencies - from once a week to once a year. The attack lasts from several hours to 3 days. Usually the pain is throbbing and covers half of the head. It often occurs after physical activity, stress, lack of sleep or too much sleep, or eating certain foods. A migraine attack is accompanied by nausea and vomiting, intolerance to bright light, noise, and strong odors. Sometimes the headache is very severe and lasts for several days - this condition is called status migraine. According to statistics, migraine occurs in 2% of people.
Neurologists believe that a migraine attack develops under the influence of the following provoking factors:
- Chronic stress;
- Overwork;
- Intense mental work;
- Hormonal disorders.
Often the cause of migraine is a family history.
Tension headache
This type of headache occurs as a result of prolonged tension in the muscles of the head and neck.
Tension headaches can be chronic and bother you constantly, only sometimes stopping for 2-3 days. There are no other violations. There is no nausea or vomiting, bright lights and loud noise do not cause suffering. Almost all sick people lead a normal life and have normal performance. Tension headaches often affect people with increased anxiety and a tendency to become depressed. Pain often occurs against the background of severe stress. There is a feeling of pressure on the top of the head or compression of the entire head. Many people suffering from this disorder take a lot of painkillers on a regular basis. Over time, this “treatment” can itself lead to headaches. Tension headaches are treated with antidepressants - only a doctor can prescribe them. Head massage and acupuncture help improve the condition.
In the eye and forehead area
Headaches in the forehead area are caused by various factors.
Cluster or beam pain occurs in the eye area. She may return after a while. Sometimes attacks continue for several hours. A headache that radiates to the eyeball can be a sign of migraine, eye diseases, brain tumors, and neurological diseases of the brain. It often occurs after severe or prolonged stress. The cause of the headache may be inflammation of the maxillary or frontal sinuses. It often radiates into the eyeballs. Sinus headache disappears after the underlying disease is cured. Pain in the forehead is a common symptom of meningitis, malaria, typhoid, and pneumonia.
Examination methods
If your eyes and head in the forehead area often hurt, you need to undergo an examination to determine the cause of this symptom. The initial examination is carried out by a therapist, then additional examinations are prescribed according to indications. They may include consultations with a neurologist, traumatologist, ophthalmologist, otolaryngologist, as well as a number of tests and instrumental diagnostic methods:
- general and biochemical blood tests - make it possible to determine inflammatory processes, acute and chronic diseases of internal organs;
- MRI, CT scan of the head - a method for detecting tumors, hematomas, pathologies of the structure of the brain;
- blood pressure measurement;
- determination of eye pressure, methods for diagnosing visual acuity.
The Clinical Brain Institute has modern equipment for diagnosing diseases that are accompanied by headaches. The ability to make an accurate diagnosis, as well as many years of experience of specialists, allow us to prescribe the most effective treatment in a timely manner.
In the occipital region of the head
In the back of the head, cephalgia occurs when blood pressure increases, the cause of which is osteochondrosis, spondylosis, spondylolisthesis, anomalies in the development of blood vessels in the head or neck.
Severe pain in the back of the head occurs after nervous strain, as a result of spasm of the neck muscles, arteries of the head and neck, and disruption of the outflow of venous blood from the head. It worries patients suffering from occipital neuralgia, vertebrobasilar insufficiency, spinal diseases, and migraines. A sharp headache in the back of the head often occurs with the development of a hypertensive crisis. Sharp, bursting, pulsating headaches in the back of the head are accompanied by pallor of the patient’s face, generalized hyperhidrosis, dry mouth, heart pain and tachycardia.
Chronic arterial hypertension with a slight increase in blood pressure is also characterized by the development of pain mainly in the occipital part of the head. The headache bothers the patient immediately after waking up, intensifies with physical activity, and is often accompanied by swelling of the lower eyelids. Pain is caused by a violation of the outflow of venous blood from the vessels of the head.
Combined with nausea
Severe headache and nausea are signs of migraine, meningitis, and hypertensive crisis.
Often the cause of these symptoms is sinusitis, sinusitis, or intoxication of the body. Nausea, headache, and dizziness are also symptoms of traumatic brain injury and infectious diseases. Patients complain of headache, nausea, weakness at the initial stage of influenza and acute respiratory infection. In this case, the body temperature rises to high numbers. The development of a migraine can be signaled by ripples in the eyes, nausea and headache. With a migraine, the patient's appetite disappears, an aversion to strong odors appears, nausea, irritability, photophobia, and numbness in certain parts of the body occur.
Headache and dizziness also occur when wearing incorrectly selected glasses or lenses or disruption of the vascular system. Headaches and spots in the eyes appear due to fatigue and nervous exhaustion, during weather changes, after stress. These symptoms occur in people who have suffered a traumatic brain injury, spinal injury or disease.
Headache and flashing spots before the eyes appear during a hypertensive crisis. Its variety - hyperkinetic crisis - begins abruptly with headache, nausea, flickering of spots before the eyes and vomiting. The patient feels hot. His sweating and heart rate increase. Trembling is felt throughout the whole body. High blood pressure can cause hypertensive encephalopathy. It manifests itself with the following symptoms:
- Very severe headache;
- Dizziness;
- Nausea;
- Vomiting;
- The flickering of flies in the eyes.
The patient may lose consciousness and die if medical care is not provided in a timely manner.
Headaches that occur in the morning after sleep can be a manifestation of a brain tumor, abusive cephalalgia, tension pain, or migraine. Overuse headache occurs with long-term use of analgesics. It gets worse in the morning. The intensity of the pain constantly changes throughout the day. Overuse headaches are aggravated by stress, mental tension, excessive physical activity, and also by stopping a drug that relieves pain. Abuse cephalgia becomes permanent if the patient suffers from depressive syndrome, is often irritated, and is very tired. Due to constant headaches, a person’s concentration and performance decrease. He sleeps poorly and constantly feels tired.
The main causes of cephalalgia
Acute pain in the head and throbbing prevents a person from living a normal life and doing business. If pain appears once, this does not necessarily indicate the presence of dysfunction in the body. In cases where a person experiences cephalalgia more and more often, and the pain lasts longer and longer, there really is a problem in the body. It needs to be eliminated, and only a specialist can handle it.
Doctors identify a number of main reasons that cause this symptom, namely:
- VSD (vegetative-vascular dystonia);
- atherosclerosis;
- sinusitis, sinusitis;
- migraine;
- eye diseases;
- hematomas;
- tumors;
- neuralgia;
- stress.
Vegetovascular dystonia
Pulsating pain is called background pain. It occurs due to a decrease in the tone of cerebral vessels, stagnation of blood, and spasms of the arteries. The difference between pain that appears due to VSD is that “jolts” do not depend on the person’s pulse.
Atherosclerosis
If a patient has problems with the vascular system, he begins to suffer from pulsation in the temporal and occipital areas of the head. But the zones can change, and the sensations can become oppressive over time.
Sinusitis, sinusitis
The reason lies in the cold you suffered, namely its complications. In order not to encounter cephalalgia, it is imperative to cure all viral and infectious diseases. The same applies to a runny nose.
Migraine
Migraine is manifested by a pulsation, which patients describe as if it were pounding right under the skin, and the pain is localized in one part of the head at the top.
Scientists have not yet proven the definitive causes of such pain, and the exact forms of manifestation of the disease have not yet been determined.
But still, there are several possible causes of migraine development, namely:
- food products (several types of cheeses and sausages);
- weather sensitivity;
- smells of ammonia, ammonia, perfume;
- serious physical activity;
- emotional outburst;
- uncomfortable body position for a long time.
A migraine can torment a person for more than one day. There are cases when the pain lasts 3 days. Most often, cephalalgia caused by this problem manifests itself in unbearably severe pain, and can go away after a few hours. Doctors note the fact that females suffer more from this.
At the end of a migraine attack, a person notes that he has severe weakness and a tendency to sleep.
Eye diseases
The following reasons that can provoke pulsation are eye diseases. A large number of people turn to specialists with complaints such as blurred vision, nausea, dizziness, photophobia, and acute pain radiating to the eye. A competent doctor will immediately determine that these are symptoms of angle-closure glaucoma - high intraocular pressure.
Cephalgia can develop due to tension in the optic nerve, which occurs due to incorrectly selected diopters of glasses or lenses. But in such cases, dizziness also appears.
Hematomas, tumors
Pulsating pain of a strong nature, which is clearly localized in one of the areas of the head, may indicate the presence of damage or a neoplasm. Also in this case, it is worth noting the presence of nausea and vomiting.
If such symptoms are noticed, you must quickly contact a specialist to diagnose a tumor or other problem and begin to treat it.
Stress
All overwork and emotional turmoil can result in severe headaches. Constant nervous tension and stress can create a “fellow traveler” for you for the whole day, namely cephalgia.
Neuralgia
Another common reason why such unpleasant sensations occur in the temple and head area. Dental problems, trigeminal neuralgia - all this provokes pain.
Other causes of cephalalgia
Osteochondrosis and a number of other problems associated with the cervical spine can provoke throbbing pain.
In winter, pulsation in the back of the head often occurs. This is explained by hypothermia and a sharp narrowing of blood vessels.
Lack of normal rest, disruption of sleep quality and routine can cause headaches.
Bad habits are also included in this list of “provocateurs”. They not only harm health, but can also cause discomfort to a person in the form of cephalgia. If a person often drank coffee and decided to abruptly stop, this can also provoke this problem, since the blood vessels are not able to return to normal so quickly.
Not everyone knows, but what we eat can also cause throbbing in our temples. These products include: chicken liver, cheeses, sausages, bacon, nuts, yogurt.
Temporal headache
Severe headaches in the temples bother patients with otitis media and migraines.
It occurs when intracranial and blood pressure increases. One of the causes of pain in the temple area is inflammation or injury to the temporomandibular joint. In this case, pain occurs in the temple area and radiates to the ear and eye. Sometimes painful sensations occur in the shoulder, neck, and shoulder blade. If the temporomandibular joint is not positioned correctly, muscle spasm develops, which causes increased headaches. After treatment of the underlying disease, the pain goes away. One of the causes of headaches in the temple area is arteritis. This is a disease in which the inflammatory process affects the vessels of the head and temporal region. Due to autoimmune inflammation of the walls of arteries and large vessels in the temporal region, immune complexes are deposited on their walls, which are produced in response to infection. The immune system perceives these cells as foreign. The walls of the blood vessels thicken and blood clots form on them. This pathology is manifested by severe headache in the temple area, general weakness, and impaired visual function. As the disease progresses, arterial damage leads to organ failure.
A common cause of pain in the temple, in the eye area and severe pressing pain in the skull is stress. With deterioration of memory, hearing, vision and constant throbbing severe pain in the temple area, a neurologist may suspect the development of a brain tumor.
Sharp pain in the temple area is a common symptom of a stroke. It is accompanied by numbness on one side of the face, body, and loss of speech. Hemorrhagic stroke can occur due to a rupture of a cerebral artery aneurysm. Acute vascular accident develops as a result of stress. Its harbinger can be a severe headache.
Why does my forehead hurt?
Sinusitis
A common cause of pain in the forehead projection is sinusitis. Pain syndrome occurs as a result of the inflammatory process, the accumulation of discharge in the accessory sinuses. The symptom is more disturbing in the morning, because a lot of fluid accumulates in the sinuses during the night. It is observed in the following diseases:
- Frontit.
In a mild form, the pain is insignificant; signs of rhinitis prevail. The moderate form is accompanied by hyperthermia, intense local pulsating, bursting pain in the eyebrow area. Possible irradiation to the temple, crown, feeling of pressure behind the eye. In severe cases, the pain is very strong, sometimes unbearable. Severe intoxication, swelling of the eyelids, puffiness of the face, lacrimation, and photophobia are noted. - Sinusitis.
It manifests itself as febrile, less often - subfebrile temperature, pain in the projection of the maxillary sinus, forehead, cheekbone, root of the nose, sometimes radiating to the temporal region, half of the face. There is lacrimation, copious discharge from the nose, first liquid, then thick, greenish, cloudy. - Ethmoiditis.
As a rule, it develops against the background of other pathologies, so the first signs of the disease go unnoticed. The predominant symptom is a headache with the epicenter behind the eyes, under the bridge of the nose. The pain radiates to the forehead and intensifies when the head is tilted. The sense of smell and nasal breathing are impaired, the temperature rises, and intoxication syndrome occurs. - Pansinusitis.
The most severe form of sinusitis, in which inflammation spreads to all sinuses. It is characterized by intense pain in the area of the eyebrows, orbits, forehead, back of the head, crown of the head, aggravated by palpation, sometimes radiating to the lower jaw. Painful sensations spread to the entire head and intensify with movement. Nasal breathing disorders, anosmia, and severe intoxication are detected.
Inflammatory lesions of the central nervous system
The cause of pain in the forehead in inflammatory diseases of cerebral structures is intracranial hypertension, caused by increased production of cerebrospinal fluid. With meningitis, severe pain in the back of the head prevails, which can spread to the forehead or the entire head. Severe intoxication, increased tone of the occipital muscles, and positive meningeal symptoms are noted.
Painful sensations of similar localization also occur with various types of encephalitis. Significant hyperthermia, weakness, nausea, vomiting, and dizziness are observed. Possible muscle weakness, impaired salivation, signs of damage to the cranial nerves. In some forms of encephalitis, seizures occur, sometimes hallucinations, and other mental disorders.
Vascular pathologies
Arterial hypertension can be primary (essential hypertension) or provoked by other diseases (symptomatic hypertension). Secondary forms are caused by pathologies of the central nervous system, endocrine organs, kidneys, renal and extrarenal vessels. Characteristic features of the pain syndrome are symmetry and occurrence in the forehead or back of the head. The pain is pulsating, bursting, aggravated by sudden movements or loud sounds.
In patients with spondylogenic vertebrobasilar insufficiency, pain appears suddenly against the background of awkward movements. Covers half of the head. It spreads from the back of the head to the forehead, temple, orbit, and sometimes radiates to the upper limb. At the time of the attack, a fall occurs without loss of consciousness or syncope. The skin of the neck becomes pale, with a marbled pattern, and a veil and “spots” appear before the eyes.
Forehead pain
Intracranial hypertension
Pain is the main symptom and is localized in the crown and forehead. Symmetrical, accompanied by pressure on the eyes from the inside, increasing when the direction of gaze changes. In some cases, nausea and vomiting are observed. In an acute course, the pain syndrome is pronounced, quickly intensifies, in a chronic case it is moderate, constantly bothers you or occurs with periodic fluctuations. Intracranial hypertension is accompanied by the following pathological conditions:
- Space-occupying formations:
primary and metastatic neoplasia, abscesses, hematomas, cysts, aneurysms. - Brain edema:
ischemic stroke, hepatic encephalopathy, hypoxia, exogenous intoxication, brain contusion. - Increased blood supply to the brain:
hypercapnia, hyperthermia, dyscirculatory encephalopathy. - Disturbances in the production and circulation of cerebrospinal fluid:
various forms of hydrocephalus due to congenital defects, acquired lesions (for example, adhesions in arachnoiditis).
Ophthalmic diseases
The cause of pain in the eye sockets and forehead area is constant overstrain of the organ of vision. The symptom is observed in pathologies such as:
- myopia;
- farsightedness;
- astigmatism;
- glaucoma.
Typically, the discomfort increases towards the end of the day, after prolonged work at the computer, reading books, or performing small actions that require good visual control (for example, embroidery). Complaints are determined by the type and severity of the ophthalmological disease; the inability to clearly recognize distant objects or the inability to read small written text is noted.
Migraine
The patient complains of unilateral throbbing or pressing pain with the epicenter in the eye, forehead, temple. Some patients experience weakness, absent-mindedness, and visual phenomena before the onset of a migraine attack. Painful sensations are combined with fear of light and sound, nausea, vomiting, depression or excessive irritability. Provoking factors include stress, physical activity, alcohol intake, and certain foods. Sometimes paroxysms develop for no apparent reason.
Damage to nerves and ganglia
Intense pain impulses, reminiscent of an electric shock, passing from the lateral surface to the center of the forehead and orbit, are characteristic of neuralgia of the orbital branch of the trigeminal nerve. The disease develops as a result of injury or inflammation of the nerve trunk, its compression by a neoplasm or a modified vessel. The duration of the paroxysm can reach 2 minutes, the attacks are repeated several times. The pain is so sharp that patients freeze in place and are afraid to move.
For ganglionitis of the pterygopalatine ganglion, pain in the orbit, frontal region, upper jaw, hard palate is typical, sometimes spreading to the teeth, gum of the lower jaw, back of the head, neck, ear, temple. The painful sensations are sharp, intense, one-sided. They occur spontaneously, more often at night. Accompanied by strong autonomic reactions: redness, swelling of half the face, profuse salivation, lacrimation, nasal discharge. They are provoked by inflammatory diseases of neighboring organs.
Allergic reactions
Pain in the forehead is sometimes accompanied by allergic pathologies: angioedema, rhinitis, urticaria. The appearance of painful sensations is possible during an attack of bronchial asthma. The cause of the symptom is swelling of the mucous membranes, breathing problems, and hypoxia. The pain may be dull or migraine-like. Disappears along with other manifestations of allergies after stopping contact with the allergen and taking an antihistamine.
Fever syndrome
Headache is a constant companion of fever, spreads throughout the head or is localized mainly in the frontal region. Observed with influenza, ARVI. Identified in patients with bronchitis and pneumonia. It is observed in acute pyelonephritis and other diseases accompanied by febrile syndrome. Complemented by malaise, weakness, loss of appetite, myalgia, arthralgia.
Other reasons
Sometimes pain in the forehead occurs as a result of prolonged stay in a room with too high a temperature or, on the contrary, being in the cold without a hat. The symptom is detected in certain diseases of the cardiovascular system, blood diseases, metabolic and endocrine disorders. Patients with neurotic disorders often complain of headaches: neuroses, neurasthenia, anxiety, hypochondriacal disorders. With hysteria, complaints can acquire an unusual, pretentious character.
Headache and tinnitus
Headache and tinnitus are signs of otitis media and sinusitis. In this case, patients' body temperature rises. The pain radiates to the eye, teeth, jaw. Headache in the crown area often occurs for the following reasons:
- After severe stress;
- During a migraine attack;
- As a result of overstrain of the neck muscles;
- After abusing alcoholic beverages and smoking;
- Due to traumatic brain injury.
Cervicogenic headache, the symptoms of which indicate problems with the spine, is a secondary phenomenon. Such pain appears with protrusion of the intervertebral discs and the development of spina bifida in the cervical spine, severe tension in the neck muscles, wear of the vertebrae, and compression of the nerve root. A tumor of the cervical spine also causes severe headaches and tinnitus.
Cluster headache
Cluster headaches occur in attacks, in series (clusters).
Neurologists believe that cluster headaches are associated with a person’s “biological clock” - mechanisms that regulate the functioning of the endocrine glands, organs and blood vessels. Pain occurs when the lumen of the cerebral vessels expands. Cluster headaches can be so severe that some patients experience suicidal thoughts or actions during an attack. The duration of the attack varies from 15 minutes to several hours. The attacks are repeated several times during the day. This can last for several months, and then there is a “break” for six months.
The pain usually occurs on one side of the head, in the temple or orbit of the eyes. It is combined with the following characteristics:
- Redness of the eyes;
- Tearing;
- Nasal congestion;
- Swelling (edema) in the area of the eyebrows and forehead.
Neurologists at the Yusupov Hospital use effective methods to treat cluster headaches and prevent further attacks.
Make an appointment
Pain with increased intracranial pressure
Intracranial pressure may increase for the following reasons:
- Traumatic brain injury;
- Space-occupying formation in the skull;
- Hydrocephalus – dropsy of the brain;
- Ischemic or hemorrhagic stroke;
- Meningitis, encephalitis.
When intracranial pressure increases, headache occurs in the morning after a person has been in a horizontal position for a long time. It goes away by mid-day. The intensity of the pain increases when the torso is tilted forward, during overexertion, or coughing. It is accompanied by nausea and vomiting, which does not bring relief.
Rehabilitation and lifestyle restoration
After suffering a serious illness, it is often difficult for a person to return to normal life and everyday activities and work. Rehabilitation programs are aimed at gradually gaining self-confidence.
Reference. Rehabilitation after headache is carried out according to a program drawn up taking into account treatment recommendations, taking into account neurological limitations.
Activities within an individual program usually consist of:
- doctor consultations;
- diagnostics;
- necessary procedures for recovery (electrophoresis or electrotherapy, dry spinal traction, manual therapy and others).
All stages of treatment, from diagnosis to recovery, can be completed within one clinic.
The center is equipped with the best modern expert-class equipment for patient recovery. Monitoring their condition is ensured by the constant supervision of highly qualified personnel, who regularly undergo training in new methods and improve their skills.
Vascular headaches
Headache develops in patients suffering from diseases of the cardiovascular system:
- Arterial hypertension;
- Atherosclerosis;
- Stroke;
- Cerebral atherosclerosis, thrombosis;
- Hemorrhage under the membranes of the brain;
- Vegetovascular dysfunction.
With a strong increase in blood pressure, pain nerve endings in the walls of blood vessels are excited: when the brain begins to receive less oxygen, it reacts with pain. Typically, vascular headaches occur in the temples. It is often combined with the following symptoms:
- Noise, feeling of congestion in the ears;
- Flashing “flies before the eyes”;
- Dizziness;
- Nausea, vomiting;
- Transient visual impairment.
Sometimes headache becomes the first symptom of vascular pathology.
Venous headaches
Headache bothers patients who have impaired outflow of venous blood from the cranial cavity. The following diseases lead to dysfunction of intracranial veins:
- Neoplasms;
- Hematomas;
- Previous stroke;
- Congenital defects in the development of venous vessels.
Venous pain is dull in nature. It occurs on both sides of the head, in the morning. The patient is bothered by a feeling of fullness, pressure, heaviness in the head. Then there is dizziness, buzzing, noise in the head. The earlobes, tip of the nose, and lips may become bluish. The pain intensifies during stress, weather changes, and after drinking alcohol. Due to stiffness throughout the body, it is difficult for a person to get out of bed in the morning. During the day he feels lethargic, as if he had not slept at all at night.
Non-hazardous conditions
Cephalgia is often observed during pregnancy, especially in the first half, when hormonal levels are greatly unbalanced, immune defense drops, and emotional reactions become poorly controlled. At this time, women often catch colds, suffer from long-forgotten chronic diseases, feel pressure surges, and are under moral stress. All these factors affect the development of pain in the forehead and temples, which are of a compressive, aching nature. Triggers such as:
- unhealthy eating behavior (hunger, overeating, consumption of alcohol, citrus fruits, sweets);
- physical stimuli (sharp sounds, smells, bright lighting);
- change of climate zone;
- sleep problems, fatigue.
The appearance of pain can also be associated with everyday situations when a person is forced or deliberately in the open sun in hot or, conversely, cold, windy weather. Irradiation to the forehead or temples also occurs due to mechanical impact on the eyes. If a person wears contact lenses, it can cause dry eyes and headaches. The composition of the diet also affects the patient’s sense of well-being. If you exclude harmful components from the diet (caffeine, alcohol, fast food, processed foods, smoked foods), the discomfort in the head may disappear on its own.
Headache with cervical osteochondrosis
With the development of cervical osteochondrosis, the nerve roots extending from the spinal cord are compressed.
Patients are bothered by neck pain that radiates to the head. The vertebral arteries run along the spine in the neck area. They carry oxygen through the blood to the brain. With cervical osteochondrosis, the blood flow in them is gradually disrupted. This occurs due to compression of the vessel by a displaced spinal disc, a strained muscle, or a bony growth on the vertebra. Without adequate therapy, disorders increase, and vertebral artery syndrome gradually develops. It is manifested by headaches, dizziness, frequent loss of consciousness (especially with sudden turns of the head), severe fatigue and decreased performance.
Preventive diagnostics
After treatment, especially during surgery, re-diagnosis is required. It is aimed at monitoring the manipulations performed, assessing the quality of the operation performed, and identifying relapses. The safest method of preventive examination is MRI, as it does not cause radiation exposure. You can undergo a scan at any clinic in the city that has the necessary equipment. You can find the nearest tomography centers on our service; just use the search filters. Compare offers, choose the best clinics and sign up for a CT or MRI with discounts from the service.
Diagnostics
Neurologists at the Yusupov Hospital conduct a comprehensive examination of patients. It allows you to determine the exact cause of the headache. Patients are prescribed the following studies:
- Computer and magnetic resonance imaging of the brain;
- Ultrasound Doppler examination of the vessels of the head and neck;
- Electroencephalography;
- Echoencephalography;
- REO-encephalography.
The doctor recommends that the patient keep a headache diary in which he needs to record the following information:
- When did the pain occur?
- What is its intensity;
- How long did the attack last?
- Has your blood pressure risen?
The patient brings the diary to an appointment with a neurologist. The doctor analyzes the information provided by the patient, the results of the studies performed and develops tactics for managing the patient.