Full Question: I wake up every morning with a soreness in the back of my neck and a hang-over like headache which makes me nauseous. I do not drink. I have had previous neck discectomy and fusion at three levels. I suffer from chronic muscle tightness in neck and shoulders. The headache lasts all day. Any suggestions? Aidan. Answer: Dear Aidan; You most probably have cervigogenic headaches based on your former neck problems. I suspect you don't sleep well and I would recommend you talk to your physician about a medication called tizanidine which reduces muscle spasm and helps sleep. It also helps chronic daily headaches . Good luck, John Claude Krusz and Teri Robert About Ask the Clinician : Dr. Krusz is a recognized expert in the fields of headache and migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and Migraines. You can read more about Dr. Krusz or more about Teri...
Full Question: I am 30 years old. For the past two years, I have been waking up with terrible headaches (about 85% of the time). The pain is felt all over the head in that it is not localized to one area. I wonder if it could be a muscular problem because my headaches are tender to the touch. If I touch my head, there are sensitive areas all over. By mid morning, my headaches are just annoying - not so intense. I don't typically medicate for these headaches as it really hasn't helped in the past. I do not think it is related to caffeine withdraw or teeth grinding at night. And the eye doctors don't see any pressure problems in my eyes. I do experience some stress with my job. On really bad days, the pain extends into my spine in my middle upper back. Any suggestions on how to alleviate this problem? Is it probably related to muscle tension? Amy. Answer: Dear Amy; Many so-called tension type-headaches can be migraines, in reality. Plus, tension-type headaches can trigger Mig...
Muscle contraction headache; Headache - benign; Headache - tension; Chronic headaches - tension; Rebound headaches - tension
Learn and practice stress management . Some people find relaxation exercises or meditation helpful. Biofeedback may improve relaxation exercises and may be helpful for chronic tension headache.
Tips to prevent tension headaches:
Keep warm if the headache is associated with cold.
Use a different pillow or change sleeping positions.
Practice good posture when reading, working, or doing other activities.
Exercise the neck and shoulders frequently when typing, working on computers, or doing other close work.
Get plenty of sleep and rest.
Massaging sore muscles may also help.
Silver N. Headache (chronic tension-type). Am Fam Physician . 2007:76(1):114-116.
Fumal A, Schoenen J. Tension-type headache: current research and clinical management. Lancet Neurol . 2008:7(...
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