What Is A Spinal Headache
A spinal headache is a very intense headache. It occurs when cerebrospinal fluid leaks out of the meninges .
This leakage reduces the amount of fluid around the brain. The leakage can cause the tissues and nerves that support the brain to stretch painfully.
Spinal headaches typically last from a few hours to a few days. These headaches feel better when a person is lying down and get worse when sitting up or standing. They are also known as post-dural puncture headaches and epidural headaches.
Preventative Medication And Therapies
If you experience frequent migraines, your GP might discuss preventative medication options with you.
It is important to note that preventatives for migraines are not pain medication, but help to reduce the number of migraines. They take time to work, so the minimum time period required may be three to six months. Contact your GP or specialist for further information. All of these treatments have their advantages and disadvantages and some of the medications might not be suitable for everybody.
You might find that this medication reduces the frequency and severity of your attacks but does not stop them completely. You will need to continue your other migraine treatments when you experience an attack.
National Institute for Health and Care Excellence recommends that GPs and specialists should consider the following drugs and therapies if they think you might benefit from preventative treatment:
Beta blocking drugs
These drugs are traditionally used to treat angina and high blood pressure. It has been found that certain beta-blockers prevent migraine attacks. Beta-blockers are unsuitable for people with certain conditions.
This drug is typically prescribed for the treatment of epilepsy but has also been found to help reduce the frequency of migraines. Again, it is not suitable for everyone. In particular, women who are pregnant or thinking about getting pregnant should be advised of the associated side effects.
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Which Drugs Cause Rebound Headaches
Many common pain relievers, when you take them in large enough amounts, can cause rebound headaches. These include:
- Triptan drugs for migraine, such as naratriptan , sumatriptan , Â;zolmitriptan , and others
- Over-the-counter combination headache remedies that have caffeine
- ButalbitalÂ;combination pain relievers
While small amounts of these drugs per week may be safe and effective, at some point, you could use enough to get mild headaches that just will not go away.
Itâs not a good idea to take larger doses of these medicines or to take the regular amount more often. That can make the headache worse and continue indefinitely.
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Lifestyle And Home Remedies
Some people find relief from migraine symptoms using home remedies. These include:
- practicing relaxation techniques, such as progressive muscle relaxation, meditation, and yoga
- getting enough sleep each night
- resting in a dark, quiet room when symptoms start
- placing an ice pack on the back of the neck
- gently massaging painful areas of the scalp
- keeping a diary to help identify migraine triggers
How Is A Spinal Headache Managed Or Treated
To manage most spinal headaches, doctors recommend:
- Lying down
- Drinking lots of fluids, including drinks containing caffeine
- Taking over-the-counter pain relievers such as ibuprofen
Sometimes, these measures do not relieve the pain. If a spinal headache lasts more than a few days, your doctor may recommend a procedure called an epidural blood patch. During this procedure, the doctor injects a small amount of your own blood over the hole. When the blood clots, it seals the hole.
In very rare cases, doctors use surgery to seal the hole where spinal fluid is leaking.
Can Sumatriptan Cause Problems
Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with sumatriptan. You will find a full list in the manufacturer’s information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.
|Common sumatriptan side-effects||What can I do if I experience this?|
|Feeling dizzy, sleepy, or tired||If this happens, do not drive and do not use tools or machines|
|Feeling sick or being sick||Stick to simple foods|
|Feelings ot tightness or heaviness, particularly in the throat or chest||If the pain is intense, do not take any further doses and speak with your doctor about it as soon as possible|
|Tingling feelings, feeling flushed, feeling warm or cold, aches and pains, increased blood pressure, feeling short of breath||If any of these become troublesome, speak with your doctor|
|Unpleasant or bitter taste , and injection site reactions||These should soon pass|
If you experience any other symptoms that you think may be due to the medicine, speak with your doctor or pharmacist for advice.
What Is A Silent Migraine
Sometimes you will hear people talk about ‘silent migraine’ or ‘migraine aura without headache’. This occurs when you develop a migraine, either with or without aura, that is typical in every other way but doesn’t cause a headache. So you experience all of the phases described above but miss out the headache phase. Silent migraine can occur in someone who used to have migraine but can also happen from time to time in people who still get the more typical migraine attacks.
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Can Using Birth Control Pills Make My Migraines Worse
In some women,;;pills improve migraine. The pills may help reduce the number of attacks and their attacks may become less severe. But in other women, the pills may worsen their migraines. In still other women, taking birth control pills has no effect on their migraines.
The reason for these different responses is not well understood. ;For women whose migraines get worse when they take birth control pills, their attacks seem to occur during the last week of the cycle. This is because the last seven pills in most monthly pill packs don’t have hormones; they are there to keep you in the habit of taking your birth control daily. Without the hormones, your body’s estrogen levels drop sharply. This may trigger migraine in some women.
Talk with your doctor if you think birth control pills are making your migraines worse. Switching to a pill pack in which all the pills for the entire month contain hormones and using that for three months in a row can improve headaches. Lifestyle changes, such as getting on a regular sleep pattern and eating healthy foods, can help too.
How Long Do Covid Symptoms Last
People with severe COVID-19 symptoms typically follow a pattern which begins with loss of taste and/or smell, fever, and cough in the first couple of days. This cough then develops into severe respiratory symptoms which can require hospital treatment around a week after their symptoms started.
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Further Information And Support
There is a headache clinic at GOSH, which;aims to help children and young people;when the diagnosis of headache is not;certain and treatment has failed. Referrals;need to be made by your local paediatrician;to Dr Prabhakar Consultant in Paediatric;Neurology. We encourage family doctors ;to make referrals via their local paediatric;team. If you would like to know more about;the headache clinic at GOSH, please visit our website or call;us on 020 7405 9200 ext 0182.
The Migraine Trust offers support and advice to;anyone affected by migraine or headaches. Call;them on 020 7462 6602 or visit their website. They offer specific;information for children and young people.
What Is The Long Term Outcome Of Ndph
Most adult patients with NDPH will have;persistent headaches, although around 15 per;cent will remit and eight per cent will;have a type that comes and goes .;The outcome in children is not well;studied. Unfortunately, some children will have;NDPH that is unresponsive to standard headache;therapies. As NDPH is often difficult to treat, it;often requires a multi-faceted approach.
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How Common Is It And Who Does It Affect
NDPH can begin in childhood with age of;onset ranging from six years to adulthood,;with an average of 35 years of age. In children;and adults, it is more common in females. The;literature suggests that it affects two to four;per cent of adolescent females and up to two;per cent of adolescent males. NDPH, like other;primary headaches, may be also linked to mental;health conditions such as anxiety and panic;disorders. In fact, a third of children with chronic;headaches will have associated problems like;anxiety disorders or depression.
What Are Rebound Migraines
Women who use acute pain-relief medicine more than two or three times a week or more than 10 days out of the month can set off a cycle called rebound. As each dose of medicine wears off, the pain comes back, leading the patient to take even more. This overuse causes your medicine to stop helping your pain and actually start causing headaches. Rebound headaches can occur with both over-the-counter and prescription pain-relief medicines. They can also occur whether you take them for headache or for another type of pain. Talk to your doctor if you’re caught in a rebound cycle.
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Symptoms Of A Migraine
The main symptom of a migraine is usually an intense headache on one side of the head.
The pain is usually a moderate or severe throbbing sensation that;gets worse when you move and prevents you from carrying out normal activities.
In some cases,;the pain can occur on both sides of your head and may affect your face or neck.
When To Seek Medical Help
The American Migraine Foundation estimate that less than 50% of people with migraine seek help from a doctor.
If a migraine episode lasts for longer than is typical for an individual, they should seek a doctors advice.
They should visit the emergency room if a migraine episode becomes too severe and at-home treatments do not alleviate symptoms.
An individual should seek immediate medical attention if they have the following :
- an extremely severe headache
- a headache that starts abruptly like a thunderclap, especially if the individual is aged over 50 years
- a migraine headache accompanied with a stiff neck, or fever, confusion, slurred speech, or seizures
- speech, vision, movement, or balance problems that differ from the regular migraine pattern
Always seek medical attention if someone has a headache following a head injury.
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Are There Different Kinds Of Migraine
Yes, there are many forms of migraine. The two forms seen most often are migraine with aura and migraine without aura.
Migraine with aura .;With a migraine with aura, a person might have these sensory symptoms 10 to 30 minutes before an attack:
- Seeing flashing lights, zigzag lines, or blind spots
- Numbness or tingling in the face or hands
- Disturbed sense of smell, taste, or touch
- Feeling mentally “fuzzy”
Only one in five people who get migraine experience an aura. Women have this form of migraine less often than men.
Migraine without aura .;With this form of migraine, a person does not have an aura but has all the other features of an attack.
Can Migraines Cause Permanent Brain Damage
A recent study of migraine patients indicated that migraines may increase the risk of white matter brain lesions, according to The Telegraph. The study also showed that migraines can alter a persons brain volume. As such, migraine patients may be more susceptible than others to brain abnormalities.
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What Are The Preventive Treatments For Migraine
Many patients with isolated visual migraines, without severe headaches, have relatively infrequent episodes that do not require specific preventive treatments. If a patient is aware of the particular triggers that seem to bring on an episode, then those triggers can be avoided.
In patients where the pattern of migraines includes frequent, severe headaches, it is very reasonable to consider additional preventive treatments. The main goal for any of these strategies is to reduce the overall frequency and severity of the headaches. None of the preventive treatments is a magic bullet that is 100% effective. For example, it would be considered successful if a preventive treatment helped reduce the number of severe headaches from 8 per month to 2-4 per month.
There are numerous medications that can be used as a preventive treatment for migraine. One medication that is used commonly, particularly because it has no side effects, is vitamin B2 . Approximately 100mg of riboflavin daily is thought to improve migraine headaches . One common side effect of riboflavin is that the urine turns bright yellow. Other herbal medications used to reduce migraine headaches include petasites and feverfew.
Side Effects For Each Dose
Not all coronavirus vaccines are the same. Some tend to cause more side effects after the first dose, others cause more side effects after the second dose. The very common side effects are the same and should still only last a day or two.
Even if you do have side effects after the first dose, you still need to have the second dose. The full recommended course will give you the best protection against the virus.;
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Side Effects Of The Coronavirus Vaccines
Its normal to experience side effects after the vaccine. It shows the vaccine is teaching your bodys immune system how to protect itself from the disease, however not everyone gets them.
Most of these are mild and short term. They may include:
- having a painful, heavy feeling and tenderness in the arm where you had your injection
- headache or muscle ache
- feeling tired
- fever .
You may also have flu-like symptoms with episodes of shivering and shaking for a day or two.
These common side effects are much less serious than developing coronavirus or complications associated with coronavirus and they usually go away within a few days.
If you feel uncomfortable, you can rest and take paracetamol. Make sure you take paracetamol as directed on the label or leaflet.
An uncommon side effect is swollen glands in the armpit or neck, on the same side as the arm where you had the vaccine.;This can last for around 10 days, but if it lasts longer see your doctor.
If you are due for breast screening then you should mention that you have had the vaccine when you attend.
These side effects normally last less than a week. If your side effects seem to get worse or if you are concerned, phone NHS 24 free on 111. If you do seek advice from a doctor or nurse, make sure you tell them about your vaccination so that they can assess you properly.;
Can Stress Cause Migraines
Yes. Stress can trigger both migraine and tension-type headache. Events like getting married, moving to a new home, or having a baby can cause stress. But studies show that everyday stresses ;not;major life changes cause most headaches. Juggling many roles, such as being a mother and wife, having a career, and financial pressures, can be daily stresses for women.
Making time for yourself and finding healthy ways to deal with stress are important. Some things you can do to help prevent or reduce stress include:
- Eating healthy foods
- Being active
- Doing relaxation exercises
- Getting enough sleep
Try to figure out what causes you to feel stressed. You may be able to cut out some of these stressors. For example, if driving to work is stressful, try taking the bus or subway. You can take this time to read or listen to music, rather than deal with traffic. For stressors you can’t avoid, keeping organized and doing as much as you can ahead of time will help you to feel in control.
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Treatment Options For Migraine
You should always talk to your GP if youre having frequent and/or severe migraines, as they can help you find an effective treatment and manage your symptoms. The exact type of treatment youll need will depend upon a few factors, including the type of migraine you have and the severity of your symptoms.
Over-the-counter painkillers like ibuprofen and paracetamol can be helpful for moderate symptoms. For more severe symptoms, your GP might recommend prescription painkillers, or a medication like triptans. Sometimes, a combination of medicines will be needed.
If these kinds of treatments dont work for you, your GP might refer you to a specialist for a treatment like transcranial magnetic stimulation. This is where an electrical device is strapped to your head and delivers small magnetic pulses through your skin.
Headaches Behind The Eye In People Over 40
In particular, people over the age of 40 may begin experiencing headaches behind the eyes more frequently as they get older due to a condition called presbyopia. As the eyes age, it can become more difficult for them to focus on objects up-close, causing them to squint and strain in order to see more clearly. This strain can lead to feelings of pain behind the eyes, alongside soreness and redness.;
With other common conditions such as blurry vision, digital eye strain, and difficulty seeing up-close, its best to have your eyesight checked by an optician if youre concerned.;
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Are Migraine Headaches More Common In Women Than Men
Yes. About three out of four people who have migraines are women. Migraines are most common in women between the ages of 20 and 45. At this time of life women often have more job, family, and social duties. Women tend to report more painful and longer lasting headaches and more symptoms, such as nausea and vomiting. All these factors make it hard for a woman to fulfill her roles at work and at home when migraine strikes.