Headache

What Is Headache?

More than 45 million people suffer from chronic, recurrent headaches every year. For all types of headaches and migraines, see the specialists at CHOICE Pain & Rehabilitation Center for a thorough exam and treatment. With locations in Olney, Rosedale, Hyattsville, Lanham, Gaithersburg, Dundalk, and Baltimore, Maryland.

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Frequently Asked Questions

Are there different types of headaches?

Yes, headaches are classified into five different categories, based on the location and cause of your pain. These categories include:

Primary headaches

Types of primary headaches include tension headaches, cluster headaches, and migraines. These are all considered primary headaches because there’s no other underlying medical condition or cause of your pain.

Secondary headaches

Secondary headaches are the result of an injury, illness, or other medical condition. Secondary headaches may be a symptom or side effect of cerebrovascular disease, head trauma, infection, a tumor, or metabolic disease.

Cranial neuralgias

Cranial neuralgias affect nerves in your face and can cause severe, electrical-like sensations and pain in your face and head.

Facial pain

Facial pain may be attributed to temporomandibular joint (TMJ) disorder, sinus issues, or other conditions that affect nerves and blood supply in the face.

Other headaches

This includes a variety of headaches and pain patterns that can’t be classified among the other categories.

To determine what type of headache you have, the team completes a thorough evaluation, physical exam, and diagnostic testing.

How are headaches diagnosed?

To diagnose the cause of your headache, the team must understand the location of your headache and any pain patterns or potential headache triggers that you experience. During your consultation, the team performs the following as part of your exam:

Observation
Physical exam
Blood tests, including thyroid, liver, and kidney function
Eye exam
Discussion of family and medical history, including any medications you’re taking
Neurological exam
Sleep habits assessment

Based on their findings, the team identifies the cause of your headache and diagnoses your condition. They also recommend an appropriate treatment program to reduce or eliminate your headaches, focusing on both their frequency and severity.

What are the warning signs of a serious headache?

While occasional headaches are common and fairly normal when your daily habits fluctuate — including eating, sleeping, and drinking water, caffeine, or alcohol — some headache symptoms are warning signs of a more serious condition.

Potential warning signs include:

Sudden, severe headache
New, severe headache on both sides of your head
Headache along with fever, rash, stiff neck, mental confusion, double vision, weakness, numbness, or difficulty speaking
Headache following a recent respiratory infection or sore throat
Headache following a head injury
Chronic headache that worsens when coughing, straining, or moving suddenly
New headache if you’re older than 55