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Headaches


Recurring headache may be the most common reason for seeking medical care. Headaches account for about 10 million visits to physicians' offices each year—not counting visits to nonphysicians, chiropractors, hypnotists, or other health care providers who offer headache relief. But as common as the condition is, it is still in many respects a mystery. Researchers aren't exactly sure what causes headaches or which people are more susceptible, though they believe a biological predisposition may be responsible and that overuse of pain-relievers and caffeine can make them worse. Likewise, doctors can't always tell what kind of headache an individual has and therefore what kind of medicine would be best.

You've probably heard headaches described in various ways; terms often used include tension headache, muscle contraction headache, stress headache, daily chronic headache, migraine headache, and cluster headache. Specialists also deal with posttraumatic headache and disease-related headache.

Type of Headaches

In 1988, the International Headache Society (IHS) developed the criteria most often used to differentiate these headaches from one another. Physicians from around the world took two years to outline a classification system. It is based on clinical features of the headache, including:

  • Number of attacks per month
  • Length of time per attack
  • Pain characteristics
  • Accompanying symptoms

With such an elaborate system, it seems that diagnosing your headache would be easy. Not so! The reason it's sometimes hard for a health care provider to diagnose the type of headache you have is that different kinds often have similar symptoms. Even the Headache Society admits that its criteria have substantial diagnostic overlap.

Cluster headache, posttraumatic headache, and disease-related headache are not as confusing as the others, because they have more distinct characteristics. Diagnosis is often more difficult, when it comes to tension headache (which is the same as muscle contraction and stress headache), daily chronic headache, and migraine.

Next : Type of Headaches -Migraines



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