These are two of the most common health complaints that people come to see me with. Nearly all headaches can improve with diet and lifestyle changes along with some herbal or nutritional support.
First let’s find out what sort of headaches you are suffering from and what is causing them.
These are the most common type of headaches, and are likely caused by tight muscles in your shoulders, neck, scalp, and jaw. They may be related to stress, injury, depression, anxiety, or holding your head and neck in an abnormal position. Your neck, shoulders, or jaw may feel sore or tight. Triggers of tension headaches include alcohol use, caffeine (too much or withdrawal), colds, the flu, or a sinus infection, dental problems, jaw clenching or teeth grinding, eye strain, fatigue or overexertion.
These cause pain in the front of your head and face. They are due to swelling in the sinus passages behind the cheeks, nose, and eyes. The pain tends to be worse when you bend forward and when you first wake up in the morning. These may also occur if you have a cold or flu or hay fever allergy.
A cluster headache usually begins as a severe, sudden headache that can begin while sleeping. The pain occurs on one side of the head and may be described as burning, sharp, constant, and may affect the eye. Cluster headaches can be triggered by alcohol, cigarette smoking, high altitudes, bright light (including sunlight), exertion, heat (hot weather, hot baths), foods high in nitrites (preserved meats), and certain medications.
These are severe headaches that usually occur with other symptoms, such as vision changes, light sensitivity, nausea or vomiting. The pain may be throbbing, pounding, or pulsating and usually lasts 6-48 hours. Some people experience an aura (vision disturbances), prior to the migraine. Migraine triggers include stress and anxiety, caffeine withdrawal, changes in hormone levels, lack of sleep or changes in sleep patterns, exercise or physical stress, missing meals, smoking or exposure to smoke, perfume or other odors, bright lights or glare. They can be triggered by foods such as those containing tyramine including red wine, aged cheese, chocolate, meats containing nitrates (cured or processed meats, salami, hot dogs, bacon), or other food additives such as MSG and aspartame.
These are headaches that keep coming back and may occur from overuse of painkillers. These may also be called medication overuse headaches. Patients who take pain medication more than 3 days a week on a regular basis can develop this type of headache.
Rarely, a headache may be a sign of a more serious cause. Call your health care provider if:
I will take a medical history and perform an examination of your head, eyes, ears, nose, throat and neck to help assess your headaches and triggers.
Assessment and treatment will aim to:
Individual diet and lifestyle advice is given following assessment. Herbs, nutritional supplements and homeopathic remedies support treatment, and can help to reduce inflammation and muscular spasm, improve circulation, support the nervous system and provide natural pain relief.
A “headache diary” may be helpful for recording information about headaches over a period of time. When a headache occurs, write down: