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VARIETIES OF HEADACHES: MIGRAINE, TENSION HEADACHES
The word migraine stems from the Greek and Latin hemicranium, for “half a skull,” meaning that the pain keeps to one side of the head. Feeling pressure developing on one side of the head is the classic sign of the onset of a migraine headache. Other symptoms include vomiting or nausea, dizziness, and sensitivity to light.
Some migraineurs (the word for migraine sufferers) see spots, lines, or heat waves; some even experience a partial loss of vision before the onset of a headache.
Only 4 percent of reported headaches fall into the migraine category. Two to four times more women than men have migraines. These figures come from a study of 10,000 men and women in their teens and 20s conducted by Dr. Martha Linet and Walter F. Stewart, colleagues at the Johns Hopkins University School of Hygiene and Public Health in Baltimore.
More common are tension headaches. You suffer pains in the neck, shoulders, and the muscles near your skull – you can feel the tension in those muscles with your fingers. One group of scientists says that when these muscles contract in a spasm, you get a tension headache. Others have tried to measure the spasm without success. This kind of headache is relieved nicely by aspirin, acetaminophen, or other over-the-counter drugs called non-steroidal pain relievers.
A third kind of head pain comes from cluster headaches, which pop up in groups in the course of a day, week, or month. After a period of peace, they return. The pain of cluster headaches is so intense that, in rare cases, it has driven victims to seek relief by banging their skulls against walls.
Blair Hodowal, 35, is a supervisor in the highway department of Centerville City, Indiana. Five years ago, his cluster headaches began with one bad headache. “During the headaches, my eye would tear,” he recalls. “My teeth hurt like they had giant cavities. My nose ran. It would incapacitate me for a half hour. The pain is like jamming a knife into your head, and there is nothing that will make it quit. I would scream.”
In 1988, Mr. Hodowal found Dr. Ninan Mathew at the Houston Headache Clinic. Dr. Mathew, president of the American Association for the Study of Headache, recommended the use of radio frequency waves to deaden certain nerves.
“They numbed me from the top of my forehead to my upper teeth and to the back of my ear,” Mr. Hodowal says. “I can only eat on one side of my mouth. But it was worth it. I can now work and function. After the pain I’ve been through, this is heaven.”
In a test Dr. Mathew and Dr. Wayne Hurt have tried the procedure on 65 patients with chronic cluster headaches. Dr. Mathew reports that 75 percent responded excellently.
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