All about headache

Causes of headache

Headache is one of the most common neurological symptoms. It can have multiple causes, from occasional factors such as stress or lack of sleep, to more complex neurological diseases. The most common causes of headache include include:

  • Muscle tension or emotional stress
  • Hormonal changes (such as those associated with the menstrual cycle)
  • Dehydration or prolonged fasting
  • Visual problems or poor ergonomics
  • Sleep disorders
  • Excessive caffeine consumption or its withdrawal
  • Infections, sinusitis or fever
  • Cranial traumas
  • Use of certain drugs
  • Neurological disorders (such as migraines or neuralgias)

Identifying the cause is key to effective and personalized treatment.

Primary and secondary headaches

Primary headaches

They are those in which the pain is the disease itself, without an identifiable underlying cause. The most frequent are:

  • MigraineMigraine: throbbing pain, usually unilateral, which may be accompanied by nausea, photophobia and phonophobia.
  • Tension headacheTension headache: sensation of pressure or banding around the head, usually related to stress or fatigue.
  • Cluster headache (cluster)very intense pain localized around the eye, in recurrent and brief episodes.

Secondary headaches

They are due to another pathology or underlying condition. Some causes of secondary headache are:

  • Sinusitis
  • Viral or bacterial infections
  • Arterial hypertension
  • Cranial traumas
  • Cervical spine disorders
  • Tumors or intracranial lesions
  • Abuse of analgesic drugs

It is essential to rule out serious causes when pain is persistent, sudden or accompanied by other neurological symptoms.

Headache prevention

Adopting certain healthy habits can help prevent the onset or reduce the frequency of headaches. We recommend:

  • Maintain good sleep sleep hygiene
  • Regular physical exercise
  • Avoid excessive consumption of caffeine and alcohol.
  • Taking care of your diet and avoiding long fasting periods
  • Correct bad posture and avoid cervical overexertion.
  • Learning stress management techniques (mindfulness, relaxation, etc.)
  • Identify and avoid personal triggers (noises, intense lights, certain foods, etc.).

In cases of recurrent or disabling headaches, it is important to consult a specialist.

Types of headaches

Migraines

The migraine is a form of cephalea (headache) that usually manifests itself in an intense and incapacitating way. In addition, it is usually accompanied by other manifestations such as vomiting, intolerance to light, sound, among others. The pain is usually located in the frontal or lateral part of the head, it is usually recurrent (episodic), throbbing and affects one part of the head with more intensity.

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Trigeminal Neuralgia

The trigeminal nerve is the largest cranial nerve in the human body and one of the most important from a functional point of view. Its name refers to its structure, since it is composed of three main branches: the ophthalmic nervethe maxillary maxillary nerve and the mandibular nerve. This nerve has a mixed function mixedwhich means that it participates in both sensory sensory transmission as well as in the motor innervation. On the one hand, it picks up the sensitivity of almost the entire face, and on the other hand, it activates the muscles responsible for chewing. chewing. In addition, it also plays an important role in controlling the muscles that contribute to the ventilation of the middle ear. ventilation of the middle earThis explains why an alteration in the mandibular musculature can influence discomfort or dysfunction at the level of the ear. Due to its size and complexity, the trigeminal nerve can be involved in multiple clinical conditions affecting the cranial, cervical and mandibular region. cranial, cervical and mandibular region..

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Arnold's neuralgia

The Arnold’s neuralgia is a pain that produced in the cervical region manifests itself especially in the occipital region. It usually presents as a constant stabbing pain in the form of an electric shock or numbness perceived in the occipital part of the head.

 

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Diagnosis and treatments for headache

Diagnosis

At MIVI Salud we perform a thorough evaluation to determine the cause and type of headache:

  • Detailed medical history
  • Neurological and cervical examination
  • Complementary tests if a secondary cause is suspected (MRI, CT scan, blood tests, etc.)

A proper diagnosis is the first step in addressing treatment effectively.

Treatment

Treatment will depend on the type of headache and its cause. At MIVI Salud we apply a comprehensive approach that may include:

Pharmacological treatment

  • Migraine-specific analgesics (triptans)
  • Anti-inflammatories
  • Preventive medication for frequent headaches
  • Supplements or adjuvant medication

Physiotherapy and manual therapy

  • Techniques for treating cervicogenic headaches
  • Manual therapies and myofascial release
  • Dry needling and postural exercises
  • Movement reeducation and ergonomics

3. Interventional pain treatment

  • Occipital or cervical nerve blocks
  • Image-guided infiltrations
  • Radiofrequency in chronic and refractory cases

 

Here begins your life without pain

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Grans profecionals i molt bona experiència, molt recomenable.
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Tractament fantastic amb dr duca i natoli
Trabajo en el colectivo de limpieza desde hace más de 20 años he venido a la Quiron de San cugat para realizame un bloqueo de facetas cervical y lumbar para el dolor , mi experiencia ha sido maravillosa no tengo nada de dolor ha desaparecido por completo,me ha atendido un equipo encantador gracias a la unidad del dolor de la Quiron San Cugat

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Fui bastantes veces porque la espalda se me cargaba mucho y me dolía, cada vez que iba sabían perfectamente donde y como darme para aliviarme, me tocó de casualidad José Manuel y se ve que es un profesional.

Los recomiendo sin ninguna duda.
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Estic molt contenta per la radiofrecuencia i sobre tot la organización de tots/tes
Excelente trato y beneficios de un 100% con los tratamientos en la clínica del dolor. AGRADECER AL Dr Duca por su trato amable y cercano. DESDE LUEGO LO RECOMIENDO
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Mi experiencia fue inmejorable tanto el doctor como sus enfermeras lo más,GRACIAS......
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Muy buena atenció.
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Després de molt dolor i amb poques possibilitats de caminar, un cop feta la primera intervenció del dr. Manuel David Garcia, he passat de la nit al dia.
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Insurance companies

Ask your MIVI centre for information on the agreements with insurance companies.