![]() Most often treatment of the chronic tension-type headache consists of such medications as the tricyclic antidepressants (for example amitriptyline). That is each symptom is treated individually because, unfortunately, there is no medication that will alter the underlying disturbance in the brain. The treatment of post-traumatic headache, as well as other features of the post-traumatic syndrome is symptomatic. There may be other neurological symptoms such as dizziness, ringing in the ears, vague blurring of vision, psychological symptoms occur such as depression, anxiety, personality change, disturbance in sleep, and impairment libido.įinally, people with the post-concussion syndrome have changes in their mental functioning, primarily difficulty in concentration, inability to work efficiently and associated difficulty maintaining attention and retaining memory. Unfortunately, people who experience post-traumatic headaches also experience other symptoms of the post-traumatic or post-concussion syndrome. They are of slight to moderate intensity but intermittently, upon this base of low grade headache bouts of severe or moderately severe headache may occur and these often are similar to, if not identical with migraine (one sided throbbing pain associated with nausea and sensitivity to light and noise). These headaches are typically a steady ache affecting both sides of the head and occurring daily or almost everyday. Most headaches would be now classified as chronic tension-type headache. ![]() ![]() The clinical features of post traumatic headache may vary from one individual to another. Other subtle changes have been noted in brain functioning. Mild injuries of the brain are characterized as a concussion (a brief disturbance of brain function causing loss of consciousness or transient difficulty in thought processes).īecause the neurological examination after mild head injury is normal and standard tests as well as imaging studies (such as MRI or CT of the head) similarly fail to reveal abnormalities, many thought that the symptoms following mild head injury were psychological.īut microscopic studies have shown disruption of the nerve fibers in the brain due to the stretching or shearing forces of the trauma. What has been more difficult to understand and has presented an ongoing controversy are chronic headaches following mild head injuries. One can understand why headaches may follow a moderate or severe injury to the brain such as a concussion (bruise) or laceration (tear). The long-term headaches are called post-traumatic or post-concussion headaches. 2021 doi:10.1007/s40268-9.Headache immediately following a head injury usually clears after minutes or days but sometimes headaches may persist for months or rarely years. The evolution of medication overuse headache: History, pathophysiology and clinical update. Benefits and risks of caffeine and caffeinated beverages. Pain, nicotine and tobacco smoking: Current state of the science. National Heart, Lung, and Blood Institute. Pathophysiology, clinical manifestations, and diagnosis of migraine in adults. National Institute of Neurological Disorders and Stroke. It also triggers a reaction in the nerves at the back of the throat. The nicotine in cigarette smoke reduces blood flow to the brain. If this is the case, see a health care provider. But using this medicine more than nine days a month can make headaches harder to treat. This may happen whether you quit suddenly or cut back gradually. Even quitting caffeine can cause headaches. Regular caffeine use also increases the risk of headaches. Generally, getting more than 400 milligrams of caffeine a day - more than about four cups of coffee - can cause headaches and irritability. But heavy daily caffeine use can lead to headaches. Seeing a health care provider and getting treatment for sleep apnea can ease its symptoms. Sleep apnea is a sleep disorder in which breathing stops and starts throughout the night. Also keep in mind that sleep apnea can cause tension-type headaches, especially if you have headaches in the mornings. This can include some headache medicines. Avoid medicines that contains caffeine or other stimulants that can affect sleep. If you don't fall asleep within 15 minutes, get up and read or do something soothing until you're drowsy. Wake up and go to bed at the same time every day - even on weekends. Exercising too intensely can cause some types of headaches. They might include walking, swimming or cycling. Talk with your health care provider about exercise and choose activities you enjoy. Exercise releases chemicals in the body that block pain signals to the brain. Eat nutritious foods on a regular schedule.It also may help prevent all types of headaches, including tension-type headaches. A healthy lifestyle can promote good overall health.
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