Treating The Four Most Common Types Of Headaches

July 27, 2023 / Thomas Cohn, MD

A headache can ruin your whole day, which is why it’s important to prevent headaches from developing and take some steps to treat them when you feel one coming on. However, not all headaches are the same, and you need to really understand what type of headache you are dealing with in order to pursue the optimal treatment. In today’s blog, we take a closer look at four of the most common types of headaches and how each is treated.

Common Types Of Headaches

There are more than four types of headaches, but these four tend to be much more common, which is why we are putting them under the spotlight:

Migraine – A migraine is the most common type of headache, and there are many different subsets of migraines. A migraine typically involves pain or a throbbing sensation on one side of the head or face. A number of different issues can contribute to or directly cause a migraine headache, including dehydration, stress, hormonal changes, lack of sleep or sensory triggers like flashing lights or loud sounds. Treatment involves pinpointing the underlying cause of the migraine and working to target the issue. For example, improving your sleep habits, finding healthy outlets for stress and staying hydrated can all help to prevent and treat a migraine attack.

Tension Headache – A tension headache is likely the next most common type of headache, causing discomfort in the back of your head, temples and forehead. As the name implies, they are oftentimes the result of muscle tension or excessive strain on muscles that support your head and neck. Oftentimes they can develop as a result of poor posture and an unhealthy diet that doesn’t supply your body with nutrients that help muscles function property. Simple tweaks to your diet and really focusing on improving your posture can help to keep tension headaches at bay.

Cluster Headache – A cluster headache usually involves pain or discomfort on one side of the head, oftentimes in the eye region. Researchers believe they develop as a result of your body’s sudden release of histamine or serotonin, which means foods, allergens or sensory triggers can all lead to a cluster headache. Although they tend to be shorter in nature compared to migraine and tension headaches, they can still pack a punch. Avoiding allergens and potential triggers are a helpful step, and your doctor may talk to you about certain medications to help relieve a cluster headache should one develop.

Hypnic Headache – The final headache we’ll spotlight is called a hypnic headache, and it is a primary type of headache that typically occurs during sleep, which can make getting prolonged restful sleep difficult. They tend to occur in older individuals, and while their exact cause is unknown, researchers believe that brain activity and nerve relays during the REM cycle play a role in their onset. Interestingly, caffeine is oftentimes a recommended treatment, but if this also keeps you from falling asleep and staying asleep, your doctor may see if melatonin or similar medication can help you find relief.

If you need help overcoming chronic or infrequent headaches, or if you believe that your underlying pain condition is contributing to your headaches, reach out to Dr. Cohn and his team today at (952) 738-4580 for assistance.

Five Tips For Alleviating Chronic Headaches

June 16, 2022 / Thomas Cohn, MD

A headache can ruin your day and affect your mood. Even if your headaches are only presenting with dull soreness or pressure, these symptoms can make every day a challenge. Headaches can seem difficult to treat because their cause isn’t as obvious as a condition like a broken arm or a herniated spinal disc, which is why it’s important to know a few different helpful ways to alleviate your headaches. In today’s blog, we focus on five of them.

How To Reduce Headache Symptoms And Frequency

Here’s a look at a few different conservative methods for reducing headache symptoms or preventing their onset:

1. Staying Hydrated – A number of different health issues can be caused or exacerbated by being dehydrated, and headaches are one of them. Dehydration can lead to muscle tension or cramping in facial muscles that can contribute to tension headaches.

2. Exercise – Daily exercise helps to improve circulation, which can ward off headache onset. Strive to become more active, and you may find that your headaches are fewer and farther between.

3. The Daith Piercing – As we’ve talked about numerous times on the blog in the past, the Daith piercing is a low-cost option that may help provide headache relief. You can learn more about the piercing itself and why researchers believe it may prove beneficial by taking a look at some of our blogs on the subject.

4. Yoga and Meditation – Yoga, meditation and other mindfulness techniques can all help improve blood flow, which as we talked about in the exercise section, can help to relieve headache symptom and prevent their onset. Additionally, yoga and meditation can help a person reduce their stress and anxiety levels, which are also closely related to headache onset. If yoga and meditation aren’t for you, find some other ways to manage stress in your life.

5. Consult With A Specialist – Finally, if you’re still struggling to overcome your chronic headaches, it’s time to set up a consultation with a pain management specialist like Dr. Cohn. He can use a number of different tools to help pinpoint the contributing factors to your headache onset and set you up with an individualized treatment plan to reduce or eliminate them.

If you are bothered by daily or chronic headaches, take the first step on the road to recovery and reach out to Dr. Cohn and his team today.

Is Dehydration To Blame For Your Headaches?

March 23, 2021 / Thomas Cohn, MD

Headaches comes in a variety of forms for a number of different reasons. One such common cause of chronic headaches is due to dehydration. In today’s blog, we take a closer look at why dehydration can cause headaches to develop, and the best ways to prevent these types of headaches.

Your body operates optimally when it has the correct level of fluids in it. Your body does a pretty good job of getting rid of excess fluid through sweat and urination, but it can’t force you to consume more liquids. The thirst sensation is the best your body can do to help tell your brain that you’d benefit from hydrating. But why exactly is a dehydrated body more prone to headaches?

Why Dehydration Causes Headaches

If you are running low on fluids and electrolytes, it can cause a physical reaction in the brain. Being dehydrated can cause the brain to temporarily contract due to fluid loss. When this happens, the brain pulls away from the skull, which can trigger a pain sensation that manifests in the form of a headache. Once your body is rehydrated, the brain can return to its normal state, relieving tension and helping to control headache symptoms.

Symptoms a dehydration-based headache include but are not limited to:

Pain in the forehead region
A throbbing sensation
Lowered blood pressure
Dizziness
Confusion
Rapid heart rate
Sensitivity to light

Your body will send some passive signals to tell you to increase your fluid intake, like by creating the thirst sensation or with dark colored urine. This is a sign that all bodily functions would operate better if you increased your fluid intake.

Preventing and Treating Dehydration Headaches

If you’re suffering from headaches, one of the simplest ways to see if they respond to conservative care is to really work to increase your fluid intake and stay hydrated. Your headaches may not stem from a major neurological issue, you could just be dehydrated. This is a good thing, because it’s easily fixable. Some ways to remain hydrated throughout the day include:

Drinking More Water – Strive to drink 6-8 glasses of water a day to help stay hydrated. Better yet, invest in a large water bottle or canister that makes it clear how much water it can hold. Make it a goal to finish a certain amount of refills every day.

Eating Fiber-Rich Foods – Fiber-rich foods like fruits and vegetables, especially things like cucumbers and watermelon, have very high water content. You can stay hydrated through your food choices so reach for fiber and limit salt intake.

Avoid Caffeine and Alcohol – While on the surface it may appear that these beverages are helping to increase your fluid intake, they actually promote urine output, which can put you at risk of becoming dehydrated.

Be Mindful of Fluid Output – If you’re sweating a lot during a workout or losing fluids because you are in the bathroom frequently with a stomach bug, know that you need to replenish these fluids. Monitor your fluid loss and really work to increase your intake if you’re losing more than normal.

If you can do all these things, you just may find it a little easier to get control over your chronic headaches. However, if they don’t address the discomfort, there may be more going on than meets the eye, and you may benefit from a consultation with a pain management and headache specialist like Dr. Cohn. For more information or to set up an appointment, call his office today at (952) 738-4580.

How To Prevent And Treat Stress Headaches

March 24, 2020March 24, 2020 / Thomas Cohn, MD

Things have become a little more stressful in recent weeks, and all this stress and anxiety can lead to physical problems in your body. One of the more common conditions that can develop as a result of added stress and anxiety are tension headaches. Stress is one of the leading factors in the onset of tension headaches, so it’s important to manage your mental health during particularly stressful times to avoid adding a tension headache to the list of things you have to deal with.

In today’s blog, we take a closer look at these stress-induced headaches and share some tips for preventing and treating them.

Preventing Tension Headache Triggers

Tension headaches tend to develop as a result of muscle tension in your head or neck, and stress can actually cause muscles in these areas to contract. So if you’re dealing with a lot of stress, you may unknowingly be physically stressing key neck muscles, and these movements can induce a headache. In order to prevent these headaches, you’ll want to help eliminate some stress from your life.

Obviously everyone deals with stress in their own way, and everyone is dealing with different things in their life. Collectively, we’re in a pretty stressful time amid the coronavirus outbreak, so stress levels across America tend to be higher than normal right now. We can’t guarantee that the following tips will work for you, but they are a good general list of ways you can work to reduce stress and prevent the onset of tension headaches. Those tips include:

Daily exercise – Exercise helps to get blood flowing throughout your body, which helps muscle groups perform optimally. Exercise can also help distract us from some of the stress-inducing areas of our life, which can help to alleviate headaches. Just be sure to warm up slowly, as intense physical exertion without a proper warm up can actually trigger a headache.

Healthy Sleep – Try to get plenty of healthy sleep if you’re dealing with more stress. Go to bed at a regular time, make the room as dark as possible and eliminate distractions like your cell phone or a television. Make it easier for your body to get a good night’s sleep, because lack of quality sleep can lead to the release of stress hormones.

Eating Right – A healthy diet can also help reduce stress. A healthy diet full of fruits and vegetables can give you more energy to get through the day, which can help you stay motivated to reduce stress. Poor eating habits can lead to weight gain and inhibit the desire to perform other healthy activities, like exercise.

Talking – Social distancing does not mean we need to remain socially isolated. Talk with friends or family members on a regular basis, and you’ll find that your stress levels are lower. That being said, make sure you keep the conversation light, or at least avoid dwelling on negative topics. There are healthy ways to talk about your anxiety and stress, but make sure these topics aren’t the sole focus of your conversations with others.

Plan – Finally, although try to plan ahead for what’s to come. You can’t prepare for every scenario, but try to think ahead so you aren’t caught off guard. Planning for potential outcomes can help reduce stress and anxiety when those possibilities occur. Control what you can control, and you’ll notice your stress levels decreasing.

For more tips on how to manage stress and prevent tension headaches, or for help with your headache-related issue, reach out to Dr. Cohn’s office today.

What Types of Patients Do Pain Doctors Treat?

July 14, 2014May 10, 2016 / Thomas Cohn, MD

Finding the right care for each individual patient who is dealing with chronic pain can be difficult. If a patient has ongoing difficulties with pain symptoms, additional medical expertise is often helpful with symptom management. The comprehensive Pain Care program at CDI is designed to help manage these complex and difficult problems.

Pain Management at CDI

The Pain Care program at CDI will see any patient who has ongoing problems with pain. The program is run by a Board Certified Physical Medicine and Rehabilitation specialists with subspecialty training in Pain. We are available to help evaluate and diagnose medical problems that are causing ongoing pain symptoms in any region of the body. Common problems that we usually see include patients with:

neck pain
headaches
joint pain
neuropathy
low back pain
mid back pain
multilevel pain problems.

The goal is to develop an individualized comprehensive treatment plan to better control symptoms on a conservative basis. Early management of pain problems often leads to solutions that completely solve the issues.

Treating Pain Problems

A typical low back pain patient may have muscles strains, disc issues, nerve irritation, lumbar facet joint pain, or even pelvic problems. A comprehensive evaluation and examination often leads to an appropriate diagnosis and a number of treatment options. A Physiatrist can work with a patient to complete further testing, and if necessary, assist with physical therapy, medication, and interventions to overcome the medical problems causing low back pain. Muscle strains for instance may only need physical therapy and appropriate short-term medications. Lumbar facet joint problems cause axial low back pain and may benefit from a combination of injections, radio-frequency neurolysis/lesioning, and physical therapy. Depending on the diagnosis, a comprehensive treatment plan with the available options for management can be discussed and implemented with the patient.

Neck pain issues often cause headaches and can be treated with a number of conservative interventions. The Pain Care team can help diagnose and develop a comprehensive management strategy. One common problem causing headaches is irritation of the cervical facets, and this often occurs after trauma, especially motor vehicle accidents. This pain is often known as a whiplash injury. It often resolves with conservative physical therapy and short-term medication, but about 10% of cases require more intense intervention. These patients are often helped with injections and sometimes radio-frequency lesioning of nerves in the neck. Successful management often cures the problems for a prolonged time.

Pain is a complex problems, and every patient is unique with their own set of important issues. If all the answers were obvious, there would be no need for our services. Unfortunately, pain is the most common problem bringing a patient to the doctor’s office. When it does not resolve in short period of time, having the skills of a specialist is often extremely beneficial. There is not one solution, one medication, one shot, or one specific intervention that is right for every patient. Pain Care is designed to integrate and coordinate our skills into the community to treat these challenging patients with their current care team.

Pain management is not a new field. At CDI we have recognized the need to provide a more comprehensive service to help with the management of these complex and difficult patients. With a comprehensive approach to the evaluation and management of these patients by a Physiatrist, we hope to bring a successful approach to resolving these difficult problems within the community. At CDI we hope to partner with a community of physicians to better serve these patients and their providers.