What Causes Headaches?

In ancient Greece, headaches were considered powerful, afflictions victims prayed for relief from asclepius the god of medicine. And if pain continued, a medical practitioner would perform the best known remedy Drilling a small hole in the skull to drain supposedly infected blood. This dire technique called trepanation often replaced the headache with a more permanent condition. Fortunately, the doctor's today don't resort to power tools to cure headaches. But we still have a lot to learn about this ancient ailment today.

 Types of Headaches

We've classified headaches into two camps primary headaches and secondary headaches. The former are not symptomatic of an underlying disease injury or condition, they are the condition but we'll come back to them in a minute. Because while primary headaches account for 50% of reported cases, we actually know much more about secondary headaches. These are caused by other health problems with triggers ranging from dehydration and caffeine withdrawal to head. Neck injury and heart disease. Doctors have classified over 150, diagnosable types, all with different potential causes symptoms and treatments, but we'll take just one common case, a sinus infection as an example. The sinuses are a system of cavities that spread behind our foreheads noses and upper cheeks when our sinuses are infected. Our immune response heats up the area, roasting the bacteria. And in flaming the cavities well past their usual size. The engorged sinuses put pressure on the cranial arteries and veins as well as muscles in the neck and head. Their pain receptors called nociceptors, trigger in response. Cueing the brain to release a flood of neuropeptides, that inflame the cranial blood vessels swelling and heating up the head. This discomfort paired with hypersensitive head muscles, creates the sore throat, Having pain of a headache, not all headache, pain comes from swelling tense, muscles and inflamed sensitive nerves, cause varying degrees of discomfort in each headache, but all cases are reactions to some cranial irritant. While the cause is clear in secondary headaches, the origins of primary headaches, remain unknown. Scientists are still investigating potential triggers for the three types of primary headaches. 

Cluster, Migraine, Tension

Long-lasting migraines, intensely painful rapid-fire cluster headaches, and most common of all the tension headache. 

Tension 

As the name suggests tension headaches are known for creating the sensation of a tight band. Squeezed around the head. These headaches increased the tenderness of the para cranial muscles which then painfully pulse with blood and oxygen. Patients report stress dehydration and hormone changes as triggers but these These don't fit the symptoms, quite right. For example, in dehydration headaches, the frontal lobe actually shrinks away from the skull creating forehead swelling. 

That doesn't match the location of the pain in tension, headaches, scientists, have theories for what the actual cause is ranging from spasming blood vessels to overly sensitive nociceptors but no one knows for sure. Meanwhile, most headache research is focused on more severe primary headaches. 

Migraine

Migraines are recurring headaches which create a vice-like sensation on the skull that can last from four hours to three days. In 20% of cases, these attacks are intense enough to overload, the brain with electrical energy, which hyper excites sensory nerve endings. This produces hallucinations called for us which can include seeing flashing lights and geometric patterns, and experiencing tingling Sensations. 

Cluster

Cluster headaches, Another primary headache type cause burning stabbing birth. Pain behind one, eye, leading to a red-eye, constricted pupil and drooping eyelid. What can be done about these conditions, which dramatically affect many people's quality of life tension headaches. And most secondary cases can be treated with over-the-counter pain medications, such as anti-inflammatory drugs, that reduce cranial swelling, and many secondary headache, triggers off like dehydration eye strain, and stress can be proactively avoided. 

Migraines and cluster headaches are more complicated and we haven't yet, discovered reliable, treatments that work for everyone but thankfully pharmacologists and neurologists are hard at work cracking. These pressing Mysteries that weigh so heavily on our minds.

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