“I Have a Headache” is an expression used several times in a lifetime by even the healthiest person. It can also be called a bad legacy of modern life. The hustle and bustle of daily life, environmental factors and work tempo manifest themselves as headaches. When a person consults a physician, if no reason is found to explain the pain as a result of the examinations, the physician must make the diagnosis based on the person’s complaints (history). In this context, it is necessary to briefly remind the first things that come to mind when headache is mentioned. Migraine Migraine, one of the most common diseases characterized by headache, has attracted a lot of attention in recent years. The cause of migraine is unknown, but some triggers have been observed frequently. Most patients have a family history of migraine. Stress, changing sleeping hours, menstruation, alcohol use, caffeine withdrawal, eating various food items, etc. It can be based on situations such as. It is an intermittent syndrome characterized by diffuse or unilateral throbbing head discomfort in the brain. Nausea, vomiting, photophobia (disturbation from light), sonophobia (disturbation from noise) and/or loss of appetite may accompany the headache. In treatment, if possible, stimulating factors should be removed first. There are different drug options. If there are complaints about trigger points or any nerve area, blockages can be made.

Tension Type Headache

It is the most common headache. Tension-type headache is common in 30-40% of adults. It is also known as neck headache association. There is a dull, tightness-like pain in the head. Pain felt throughout the head is generally located in the front and back of the head. Mild and moderate tension headaches are at a level that does not affect daily activity. Spasm of the neck muscles and neck straightening often accompany the pain. Generally, stress, posture and positional disorders trigger tension headaches.

The majority of patients have migraine and tension headache together. In these patients, both pains are mixed together. A certain personality structure draws attention in tension-type headaches. It is seen in people who are stressed and prone to stress. Flattening of the cervical spine structure is detected in all patients.

Cluster Headache

It is one-sided, very severe pain that affects the head half, especially around the eyes. Cluster headaches, which always start very quickly around the eyes and temple on the same side, pass just as quickly. Cluster headaches are generally in the form of boring, compressive and pressure. Cluster headaches are pains that generally last between 15 minutes and 3 hours and often recur at the same time almost every day or every other day. The pain has a rhythm that repeats over days (sometimes every 2-3 days). 1-8 attacks may occur in the same day. However, 1-2 attacks per day are common. Generally, the painful period lasts for 1-2 months. The painful period is followed by painless months and sometimes years. Very rarely, there are patients who experience pain throughout the year without pain-free periods. Although it is unilateral, it may change right-left over the years in a very few patients. Unilateral cluster headaches are also called young man’s disease. Cluster headaches generally occur in men between the ages of 20 and 40. The male to female ratio is 9/1. Triggering factors similar to those in migraine have not been detected in cluster headaches. However, if it is during a painful period, alcohol triggers the attack.

Daily Headaches

Headaches may not always be due to an obvious cause or disease. The term daily chronic headache is used to describe these pains. 30-40% of those applying to headache clinics are patients with daily chronic headaches. Many of them were previously misdiagnosed with migraine and treated for migraine. However, patients state that they do not benefit from this treatment. More than half of these patients state that they use painkillers uncontrollably almost every day. Patients have headaches almost every day. Pain is noticed as soon as you wake up in the morning. The type and location of pain varies. Nausea, fatigue, sleep disorders, memory and concentration impairment may occur with pain. Patients with daily chronic headaches usually consult different doctors, undergo necessary and unnecessary examinations, and receive various treatments, or they shape the treatment themselves.

Neck-Related Headaches

Various disorders of structures such as nerve roots, bones, muscles, joints and discs located in the neck or back of the head give symptoms in the form of headaches. The pain is unilateral. However, depending on the location and degree of neck disorders, pain may occur on both sides. There may be limitation of neck movements in various directions, and the headache may be revealed by various neck movements. A history of vigorous sports and head and neck trauma (for example, a traffic accident) is frequently encountered in patients complaining of neck-related headaches. Even a simple traffic accident can cause damage that will later cause neck headaches. In such a case, rapid whip-like movement of the head back and forth may cause damage. The intensity and duration of pain vary from patient to patient. The pain usually starts in the neck and is not throbbing or stinging.


Treatment options for headaches are very diverse. Cause-oriented treatment should be the main goal. When this is the case, detailed history becomes important. Many factors such as how it starts, how it spreads, reasons that reduce or increase it, timing, and accompanying findings are guiding for treatment. Bad environmental factors should be minimized, daily exercises should be increased, natural nutrition should be emphasized, and uncontrolled medication should not be used. It should not be forgotten that although headaches are not actually migraines, the drugs used in headaches treated as if they were migraines are themselves the main source of pain. If no organic cause is found for persistent headaches, detailed evaluation by algology or neurology specialists is required. Wishing you a healthy life…