Studies have shown that approximately half of patients with headache complaints do not consult a doctor, use medication with the advice of a pharmacist or friend, or research their own treatments on their own - especially through the internet and media. This leads to patients using excessive painkillers or not receiving the correct treatment. In fact, the patient gets so used to headaches that he considers them "normal".
Pain due to sinusitis occurs on the forehead and face and is seen in the discharge phase called acute. The pain worsens when the head is bent forward and in the morning. Pain is often accompanied by postnasal and nasal discharge and sore throat. The headache characteristics and symptoms of sinusitis and migraine are completely different from each other. The pain that people often attribute to sinusitis may actually be a migraine type.
Generally, headaches are divided into 2 groups, primary and secondary, according to their causes. Primary headaches are headaches that occur without any disease in the brain or elsewhere in the body. 80% of headaches are this type of headache. Migraine, tension-type headache and cluster headache are the most common. In this type of headache, blood pressure may increase by a few points due to the severity of the pain. This should not be confused with a headache due to high blood pressure. The diagnosis of such headaches is made only by examination of the patient. The purpose of brain MRI or other examinations is not to diagnose such headaches, but to investigate secondary causes that may cause headaches.
Secondary headaches can be caused by head or neck trauma, brain tumor, bleeding, vascular occlusion, inflammation or aneurysm, Headaches are caused by regional causes, such as increased intracranial pressure, or by causes affecting the whole body, such as high blood pressure or infection. In this type of headache, there are other physical examination findings in addition to the headache.
Tension-type headache is one of the most common headaches. It is often bilateral and starts from the back of the head and spreads to the front. It occurs due to stretching or contraction of the muscles in the shoulder, neck, jaw and skull. Sometimes these muscles even contract to the point of spasm and can be felt as a palpable mass in the jaw and neck. In addition to headache, pain, stiffness and tension may be felt in the shoulders, neck and jaw. It is more common in people who stay in a certain position for a long time, such as those who work at desk jobs or drive a car. Patients often describe their headaches as a feeling of tension, feeling like they are squeezing their head, or feeling like pressure. Burning and numbness may also be felt in the head. It is not a severe pain, but it is constant and disturbing. Unlike migraine pain, it does not increase with physical activity.
Cluster headache is very severe and even wakes you up at night. It usually continues for about 1 month at the same time of the year and does not occur at all for 1 year. It repeats the following year.
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