More than 90 percent of all headaches do not have any obvious cause and are not associated with any recognizable, serious condition. But this does not mean that those affected by headaches should ignore their pain, as untreated headaches can erode quality of life and ultimately lead to disability.
UC San Diego Health offers individuals with headaches or facial pain the expertise of neurologists with subspecialty training in headaches, facial pain and pain management. This level of specialized expertise is of value both in treating headaches and in screening patients for conditions such as brain tumors, stroke or neck problems that may be the root cause of headaches.
We treat all types of headaches, including:
Don't suffer in silence
Studies suggest that untreated headaches, particularly migraines, may worsen over time and become harder to treat the longer they go ignored, improperly diagnosed or improperly treated.
- Tension headaches
- Cluster headaches (headaches that always occur on the same side of the head)
- Chronic daily headaches
- Medication overuse headaches
- “Sinus pain,” a misnomer for headaches that are usually migraines
- Trigeminal neuralgia, one of the most common causes of facial pain
Treatment strategies offered at UC San Diego Health include:
After proper diagnosis, medication management is usually the first step in treating headaches. This is true even for persons who have already tried different medications without relief. We will work with individuals to identify the correct medication, dose and duration of treatment.
Regular exercise and stress management can help alleviate headaches and improve long-term health more generally. Yoga, tai-chi and other mind-body practices are particularly beneficial and are recommended for our patients. Avoiding certain food and weather triggers can also be helpful. Artificial sweeteners, nitrates, MSG, alcohol and atmospheric pressure changes are among the more common migraine triggers.
Multiple studies show that migraines often become chronic among overweight individuals. For this reason, attaining or maintaining a healthy, normal weight is a key component of each person’s treatment plan. Drinking plenty of fluids, avoiding stress and getting adequate sleep are also all important and addressed.
Physical Therapy and Biofeedback
Physical therapy in conjunction with biofeedback can be extremely helpful for some patients, particularly those with chronic tension-type headaches.
Acupuncture can help alleviate headaches in some people and is offered at UC San Diego Health’s Center for Pain Medicine.
Injections and Other Interventions
For those with severe intractable pain, nerve blocks, trigger point injections and Botox injections are available.
Multi-modal, Multidisciplinary Approaches
Our physicians work with patients who do not respond to a single approach by combining multiple treatment options. Healthy lifestyle choices and good mental health are always core components of our treatment plans.
When to See a Doctor
Most headache specialists generally agree that a person who has headaches more than once a week for three consecutive months or longer should get medical help. Individuals should seek out immediate medical attention if they are experiencing headaches accompanied by any of the following:
- Stiff neck or fever
- Dizziness, unsteadiness, slurred speech, weakness, numbness, tingling
- Confusion or drowsiness
Other red flags that warrant immediate medical attention include headaches that:
- Always occur on the same side of the head
- Worsen when lying down
- Commenced while on steroids, chemotherapy, HIV medications or any other immunosuppressant medication
- Started after the age of 50 for the first time or are “the worst headache of my life”
What You Can Do Before Your First Visit
You can greatly help your physician tailor an effective treatment to your condition by keeping a detailed headache diary. Items to note and record include:
- The location where your headache starts (front of head, back of eyes, back of head, neck or temple area)
- The duration of your headache (with and without taking medication)
- Any symptoms co-occurring with headaches
- Possible headache triggers, such as a particular food, smell or stress
- Number of days per week you take medications for headaches
- A list of all medications taken currently or previously, their doses and durations