Tension Headaches Vs Migraines: Everything You Need to Know

If you've ever experienced a pounding headache or a severe migraine attack, you know just how debilitating these conditions can be. While the two are often confused, migraines and regular headaches are fundamentally different in terms of their symptoms, causes, and treatments. 

Whether you deal with migraines, headaches, or both, understanding the unique characteristics of each condition can help you better manage your symptoms and improve your overall quality of life.

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What Are Migraines?

A migraine is much more than “just a headache.” Migraine is a chronic neurological condition which has debilitating headaches as the most common symptom. (Although rare, there are actually some types of migraine that don’t cause headaches.)  Other potential migraine symptoms include sensitivity to light and sound, nausea and vomiting, digestive problems, dizziness and vertigo, fatigue, cognitive symptoms, neck stiffness, neck pain, insomnia, visual disturbances, sensory changes, mood changes, food cravings or aversions, and increased urination or fluid retention.

Migraine headaches are severe and debilitating, with pulsing or throbbing pain usually felt on one side of the head. These attacks can last for several hours to days, making it difficult for individuals to carry on with their normal routine. 

Migraines typically progress through four distinct stages, although not all individuals may experience each stage. These stages are:

  1. Prodrome: The prodrome stage occurs hours to days before the onset of a migraine attack. During this stage, some individuals may experience subtle changes that serve as warning signs of an impending migraine. These signs can include mood changes, irritability, fatigue, food cravings, increased thirst, neck stiffness, and frequent yawning.
  2. Aura: Not all migraine sufferers experience an aura, but for those who do, it usually occurs shortly before or during the headache phase. Auras are neurological symptoms that can manifest as visual disturbances, such as seeing flashing lights, zigzag lines, or blind spots. Other aura symptoms may include tingling or numbness in the face or extremities, difficulty speaking, and temporary loss of coordination.
  3. Headache: The headache stage is often the most intense and debilitating phase of a migraine attack. It is characterized by severe head pain, typically on one side of the head, although it can affect both sides. The pain is often described as throbbing or pulsating and may be accompanied by sensitivity to light, sound, and smells. Nausea, vomiting, and dizziness are also common symptoms during this stage. The headache phase can last anywhere from a few hours to several days.
  4. Postdrome: The postdrome stage occurs after the headache phase and is often referred to as the "migraine hangover." During this stage, individuals may feel drained, exhausted, and mentally foggy. They may experience lingering head pain, difficulty concentrating, mood changes, and overall fatigue. The postdrome stage can last hours to days, and some people may feel a sense of relief that the migraine attack has passed.

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    What Are Tension Headaches?

    Tension headaches, on the other hand, are often associated with stress and muscle tension in the head and neck. They are characterized by a dull, aching pain that is typically felt on both sides of the head. Unlike migraines, tension headaches do not typically cause significant pulsating or throbbing sensations.

    While tension headaches can cause discomfort, they generally do not have the same debilitating effects as migraines. People with tension headaches can often continue with their daily activities, although the pain may be distracting or bothersome. Stress, anxiety, poor posture, and muscle tension are common triggers for tension headaches.

    It's worth noting that some individuals may experience a combination of migraines and tension headaches, which can make the diagnosis and management more complex

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    Treatment Options for Headaches

    There is no specific test to diagnose migraine. It’s important to discuss all of your symptoms with your doctor who may conduct other tests to rule out similar conditions. Diagnosis is then often made based on symptoms. Your doctor may also ask about your family history since migraine is often hereditary.

    Regular headaches can usually be treated with over-the-counter pain medications such as ibuprofen and acetaminophen. Migraines often don’t respond or don’t respond fully to such medications, although some migraine sufferers find relief with anti-inflammatory medications such as ibuprofen. Doctors can prescribe medicines either to help prevent migraines and/or to help you stop a migraine attack when it happens.

    If your migraines occur frequently or are significantly impacting your quality of life, your doctor may recommend preventive medications. These medications are taken regularly to reduce the frequency and severity of migraine attacks. They include beta-blockers, anticonvulsants, tricyclic antidepressants, and certain blood pressure medications.

    Doctors may prescribe a variety of medications for acute migraine relief, depending on the severity of the migraine and the individual's medical history. Some commonly prescribed drugs for acute migraine relief include triptans, ergotamine derivatives, and newer (and expensive) CGRP (calcitonin gene-related peptide) inhibitors like Ubrelvy and Nurtec. Doctors may often prescribe anti-nausea medications for migraine sufferers. Narcotic painkillers are less often prescribed these days due to their risk of dependency and since they can lead to rebound headaches and chronic migraine.

    Natural Relief for Symptoms 

    For those looking for natural tools, essential oils have also been shown to be effective in reducing the frequency and severity of attacks. Peppermint oil, lavender oil, and eucalyptus oil are popular choices when it comes to natural tools for headaches and migraines. These oils can be applied topically or diffused into the air using an essential oil diffuser. 

    Additionally, some may find relief from cold compresses on the head or back of the neck or practicing relaxation techniques such as yoga or meditation. 

    Migrastil Roll-on is a great option to help soothe symptoms of migraines and headaches because of its natural ingredients and convenience. The roll-on applicator makes it easy to apply the product directly to the affected area, while the blend of essential oils, including peppermint, spearmint, and lavender, may help alleviate symptoms like pain, nausea, and sensitivity to light and sound. 

    Additionally, the Migrastil Stick Roll-on is compact and portable, making it convenient to carry with you wherever you go, so you can quickly and discreetly manage your symptoms as needed.

    Migraines and headaches can both cause discomfort, but they are unique conditions that require different treatment approaches. Understanding the differences between these two conditions can help individuals determine which treatment options may be best for them. If you experience chronic headaches or migraines, it's essential to speak with your doctor to determine the best course of treatment for your specific needs.

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