Скачать или смотреть What to Know About Headaches & Migraines

Dr. Jerry Williams of Urgent Care 24/7 discusses a pretty common problem, headaches.

He is migraine sufferer and has suffered with headaches since he was a child, mostly a headache specialist. Dr. Williams is a neurologist and also runs Urgent Care 247 a national urgent care company.

Migraine vascular headaches syndromes can be passed down genetically. We are going to discuss some basic headache categories if you're wrestling with headaches, you can be a better informed patient and make better decisions about what you need to do to get relief from your headaches. Now, this is not meant to be a comprehensive topic but to give you just a quick overview of the different types of headaches.

So you can try to classify which headache you think you may have and hopefully that'll help you seek the best care and the best treatment for your problem. So in general, there's, there's several different types of headaches. Number one is the tension headache, which is a muscular tension headache typically described and a hatband distribution of pain, where the patient will feel tightness and tension both anteriorly and posteriorly and a hatband distribution as he mentioned, that's, that's the most common headache and anti inflammatories and analgesics, like ibuprofen are typically in naproxen sodium are typically very effective for tension headaches. And there's a whole gamut of very mild and very severe tension headaches.

Dr. Williams has seen tension headache patients that were intractable that required centrally acting muscle relaxers literally to help relax these muscles. So just because there's a tension headache doesn't mean that it's a mild headache. The other classification of headaches are the vascular headaches, these are headaches that are not tension related, they're actually fall into that migraine category, this vascular headache syndrome, wastebasket, which can include cluster headaches, it can include migraine headaches. And so these vascular headache syndromes that are associated like migraine, are, are related to nerve and blood vessel interactions, where there's a pain syndrome where the blood vessels and the nerves both are improperly triggered, excessively triggered real causing what can be an amazingly intractable chronic pain syndrome.
And then, there are headaches that can be related to post trauma which are thought to be of a vascular origin where, after a concussion or major head injury, there's a specificity specificity of the blood vessels and the nerves of the brain.

So if you hurt a lot, we're not talking about an episodic headache, but an ongoing headache, it can kind of feed on itself and it can become more of a chronic pain syndrome or chronic headache syndrome. And what can be an acute headache like a tension headache or a vascular headache, like a migraine can transform into a chronic daily headache syndrome, where you just your body gets used to hurt and it just becomes part of your daily routine. Those are very difficult cases to treat. extremely important. They get treated by someone who knows and understands headaches, and knows how to treat them very effectively such as a neurologist and get you the help you need because the longer you go down that path it can be more difficult to break that cycle of chronic daily headache.