Stressful situations are unpleasant to deal with and can, in some circumstances, last for a long time. Pressure and tension in the workplace or at home are major contributing factors to the stress in many people’s lives. And while the deadlines, interpersonal difficulties and worries of daily life can be difficult enough on their own, they can also create a range of physical problems.

Sleeplessness, digestion problems, unhealthy weight gain or loss, and muscles tension can all be caused by ongoing stress. One of the most disruptive stress-related ailments can be a tension headache. While it is not always easy to get rid of this type of headache, due to the possibility that there may be many causes, there are things you can do to decrease the discomfort of a tension headache.

Muscle tension or muscle spasms in the shoulders and neck can trigger or contribute to the pain of a tension headache. If you find that you are prone to tension headaches, paying particular attention to muscle tightness this could help you be forewarned about when a headache is about to start.

For tension headaches that are worsened by muscle tension, it might be helpful to use a heat pad, hot water bottle or muscle ache cream to ease the tension in your neck and shoulders. This might not prevent or remove a tension headache, but it might reduce the severity and help you relax. In fact, any routine that helps you relax at the end of the day might be beneficial in preventing tension headaches. A warm shower or bath, a cup of herbal tea, or a cooling washcloth draped across your eyes can help relax away the tension at the root of your headaches.

Some tension headache sufferers might find relief from deep breathing exercises or light stretching routines to give the body a chance to unwind after a stressful day. Making time to relax at the end of the day even when not suffering from tension headaches can help prevent stress from building up to the point that it could trigger a headache.

While different headache sufferers experience different types of pain associated with tension headaches, this type of headache is frequently categorized by pervasive pain or a sensation of pressure across the entire head. Visual disturbances, such as spots or lights interrupting the line of sight, are usually signs of a migraine headache rather than a tension headache.

If your headaches are recurring or occur in conjunction with nausea or visual symptoms, a diagnosis from a physician will help rule out other types of headaches and other possible medical issues before you try to find the best way to treat your headaches. If it turns out that you are dealing with recurring tension headaches, your physician may recommend over-the-counter pain relievers for you to take as needed. Acetaminophen can be effective, as can aspirin and ibuprofen. Your physician should be able to advise you on methods for combining pain relievers with stress reduction techniques for maximum relief from your tension headaches.



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Are you suffering from constant chronic headaches? Headaches are a common ailment, but research has developed treatments that may help your problem almost disappear.

According to the National Headache Foundation (NHF) tension headaches affect nearly 78% of the adult population. 13% of the population suffers from migraines. Because the cause of migraines varies greatly, what relieves a migraine in one person may trigger an attack in another. The suggestions here are guidelines for those who suffer regularly from tension headaches which may have an identifiable physical cause.

WATCH WHAT YOU EAT

Some headache sufferers notice a connection with eating or drinking foods with aspartame. For those who are sensitive to the chemical it may cause blood vessels to expand in the brain and trigger a headache.

Caffeine is used to treat headaches. Its proprieties can assist pain medication in providing relief and can be found in medications to treat migraines. However, too much caffeine can have a ‘rebound’ effect and actually cause headaches. If you suffer from regular headaches you should avoid daily use of caffeinated beverages such as coffee and certain sodas.

According to the McKinley Health Center, avoiding tobacco can also reduce headaches.

Skipping meals may cause headaches in some people, so eating regular meals may prevent headaches in these individuals.

REDUCE THE STRESS

Getting enough sleep is important for everyone. If you suffer from tension headaches you may find getting your eight hours every night reduces the amount or intensity of your headaches. On the other hand, oversleeping can bring on a headache if you don’t get up at your regular time (such as on the weekend or during holidays).

Some headaches also seem to be aggravated by too much sun. Excessive exercise outdoors and lack of hydration can lead to headaches. Keep eyes shaded and be sure to drink plenty of water when outdoors.

Not surprisingly it was recently found that women wearing tight ponytails had an increased risk of tension headaches. Releasing or loosening the hair and performing a brief massage to the head can bring almost immediate relief.

MEDICATE

What you may think is a sinus headache may actually be a migraine. A consultation with your doctor may determine if you should switch to a migraine medication.

According to the NHF, tension headaches caused by stress should respond to reducing the stress or use of over-the-counter analgesics. However, if headaches occur almost daily you need to look for ways of dealing with the stress and discuss other options with your doctor.

As with caffeine, regular daily use of over the counter medications can actually cause headaches.

If headaches occur for long periods, are unusually intense or do not respond to pain medication after several days you should seek treatment and diagnosis from a health care professional.

If you lead a healthy and active lifestyle has many health benefits, including a reduction of tension-type headaches. By combining a healthy lifestyle with avoidance of triggers may help you find relief from tension-type chronic headaches.



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If you have a headache, you’re not alone. Nine out of ten Americans suffer from headaches. Headaches comprise the top three reasons why one goes to the doctor. Some are occasional, some frequent, some are dull and throbbing, and some cause debilitating pain and nausea. What do you do when you suffer from a pounding headache? Do you grit your teeth and carry on? Lie down? Pop a pill and hope the pain goes away? There is a better alternative. As a chiropractic neurologist, I have been successfully helping patients rid themselves of headaches, oftentimes in as little as one treatment. Research has demonstrated the value of manipulative therapy for a multitude of disorders including headaches. A report released in 2001 by researchers at the Duke University Evidence Based Practice Center in Durham, NC, found that spinal manipulation resulted in almost immediate improvement for those headaches that originate in the neck, and had significantly fewer side effects and longer-lasting relief of tension-type headache than a commonly prescribed medication.

As a neurologist, we have many diagnostic capabilities at our disposal, as well as adjunctive therapies, which have proven to work very well for migraineurs as well as headache sufferers who have yet to be diagnosed. Headaches have many causes, or “triggers.” These may include foods, environmental stimuli (noises, lights, stress, etc.) and/or behaviors (insomnia, excessive exercise, blood sugar changes, etc.). About 5 percent of all headaches are warning signals caused by physical problems. The other ninety-five percent of headaches are primary headaches, such as tension, migraine, or cluster headaches. These types of headaches are not caused by disease. The headache itself is the primary concern. Today, Americans engage in more sedentary activities than they used to, and more hours are spent in one fixed position or posture. Many find themselves in fluorescent lighting and/or in front of a computer monitor all day. Many are on the telephone much of the day, which is very stressful on the muscles of the head, neck and shoulder. These scenarios are fuel for headaches.

So what can you do?

If you spend a large amount of time in one fixed position, such as in front of a computer, take a break and stretch every 30 minutes to one hour. Exercise may help relieve the pain associated with primary headaches, however, this will often aggravate headaches of migraineurs. As migraine headaches are vascular headaches, they should always be evaluated prior to entertaining any course of self-treatment. Drink at least eight 8-ounce glasses of water a day to help avoid dehydration, which can lead to headaches. Naturally, I would recommend all headache sufferers to come see us for an evaluation, as most will be helped in a short amount of time without requiring drug therapies, which can often have deleterious side effects and consequences. You will be referred for these types of therapies if felt to be warranted to be used as an alternative course of care, although this is certainly not the norm but rather the minority. The vast majority of our headache patients share a common conclusion; they invariably wish that they had come in to see us sooner and avoided the years of unnecessary suffering.

Dr. Scopelliti has over 1000 hours in post doctoral neurology, and practices at the 279 Professional Medical Arts Bldg at the rear of Monmouth Medical Center; Tel. (732) 229-5250. Information is updated weekly on the web at www.dcneuro.net.



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Nearly everyone will suffer a headache (or several) throughout their lives which do not have some sort of underlying medical condition causing the pain.  These headaches are Migraine, Tension and Cluster.

I’ve received a lot of feedback from my clients, telling me how much they’ve enjoyed my Migraine and Headache Relief program to cure both their tension and migraine headaches.  My program is all natural and requires no medication.

Some of you have asked me if my program can help treat cluster headaches.  Cluster headaches are the most rare of the primary headaches so I’ll first explain what each of the different types of primary headaches are in order to help identify which type of headache you might be suffering from.

A tension headache is described as pain in the head, neck and/or scalp.  It can feel like a band squeezing the affected area.  Over 80% of headache sufferers fall into this category.

Women suffer from tension headaches twice as much as men.  For most sufferers, the pain is tolerable and most can complete daily tasks while experiencing the headache.

Triggers include:  Depression, stress, anxiety, fatigue, lack of sleep and poor posture.  The headaches tend to last from 30 minutes up to a week.  They are diagnosed as either episodic (less than 15 days per month) or chronic (more than 15 days per month).

Most of us who suffer from tension headaches do not require medicine for treatment.  We can gain relief from the pain via deep relaxation and breathing exercises, like my Migraine and Headache Relief program.

Migraine headaches, however, are considered vascular.  This is an abnormal sensitivity of the arteries and the blood flow into the brain which causes pain in the affected areas.  This type of headache is the second most common of the primary headaches.

A migraine headache is caused by abnormal blood flow to the arteries which in turn causes the arteries to constrict and dilate improperly and then causes a throbbing, painful sensation on the affected side of the head but sometimes spreading to both sides.

Women are three times as likely to suffer from migraines than men.  For a few, the attacks are infrequent and not that severe but for most others, they are frequent and debilitating, meaning that the sufferer is unable to perform many daily tasks.  These headaches can last anywhere from 4 hours to 72 hours, however, they can occasionally last for weeks.

Migraine symptoms include:  Light and/or sound sensitivity, nausea, vomiting, an aura of “seeing spots” and sensitivity to smells – all of which tend to worsen with physical movement.

Triggers can include:  Stress, fatigue, changes in weather, some foods (red wine, some cheeses, chocolate), fumes, loud noises and in some cases, other headache medication.  Medicine is generally prescribed but most of the available migraine medications sport “rebound” headaches, which often feel like tension headaches.

Natural treatments include deep breathing and/or relaxation exercises or oxygen therapy.

A cluster headache is the least common of the primary headaches but is by far the most painful.  It has even been dubbed the “suicide” headache due to the fact that some with this condition have resorted to this as a means of dealing with the pain.

Cluster headaches get their name because the headaches tend to occur in clusters.  They will happen several times per day, lasting for the same amount of time and occuring at the same time per day.  They tend to linger for several weeks, will dissipate and then recur with the same frequency and intensity.

Cluster headaches are much more severe than migraine or tension headaches and often strike without warning on one side of the brain only (unilateral), with pain behind the eye of the affected region.  The pain tends to last an hour or less but the headaches strike several times per day.

The cause of cluster headaches is unknown but what is known is that the blood flows abnormally in the affected area, causing the blood vessels to dilate and this in turn puts pressure on the trigeminal nerve.  Sufferers of this type of headache generally find more relief from staying active, rather than motionless like with migraine or tension headaches.

Men are five times as likely as women to suffer from cluster headaches.  Other symptoms include:  drooping eyelid, watery eyes and blocked nasal passages.  In fact, many doctors misdiagnose cluster headaches as sinus headaches.

There are triggers for cluster headaches which include:  Fatigue or lack of sleep, sleep apnea, snoring, nitroglycerine, stress, smoking, alcohol, and some foods.  Just like migraines, cluster headaches are regarded as episodic or chronic.

There is a seasonal rhythm to most cluster headaches and many sufferers are affected during spring or fall.  As mentioned, the headaches generally happen several times a day at the same time of day, with many activated during REM (rapid eye movement) sleep.  This is why some sufferers will try NOT to sleep to avoid the headache, but that just keeps the cycle going.

Several studies have been performed on cluster headache sufferers and one common theme has come forward – sleep apnea and excessive snoring seem to be the most common trigger.  These both involve not getting enough oxygen to the brain.  When these conditions were treated, researchers found that most of the time the cluster headaches subsided.

In order to diagnose this type of headache your doctor should perform a physical examination as well as medical history since some cluster headaches are genetic.  The doctor may also run a CT or MRI to rule out a secondary condition causing the headache.

While most often prescribed to treat the problem, most pain medication is only preventative – it won’t prevent the headache.  The preventative medicines that do exist tend to come with potentially serious side effects.

One effective treatment once the headache has begun is oxygen therapy.

My completely natural Migraine and Headache Relief Program incorporates additional oxygen promoting blood flow to the areas of the brain that require it.  And if snoring may be your trigger, my all natural Stop Snoring Program has achieved amazing results.

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The short answer is this: Dilated blood vessels can cause or contribute to tension headaches. Caffeine is believed to shrink blood vessels, which helps relieve the pressure. Caffeine also facilitates the action of the other ingredients.

There are now several drugs on the market, both prescription and non prescription, in which caffeine is blended with one or more drugs to create effective “combination” pain relievers.

For example, in Butalbital, Acetaminophen and Caffeine (sold here as Butalbital / APAP / CAFF, but also called Fioricet) each of the three active ingredients plays a different role:

1. Butalbital is a powerful barbiturate sedative with muscle relaxing and anti-anxiety properties. It helps calm the brain.

2. Acetaminophen (Tylenol) relieves pain, eases inflammation and brings down fevers. It also boosts the potency of the Butalbital so less is needed.

3. Caffeine constricts swollen blood vessels to relieve pain and pressure.

That triple action is why Fioricet / Butalbital, Acetaminophen and Caffeine is often prescribed for people who suffer from tension headaches or migraines.

Here are some other common questions and answers about the effects of caffeine in pain relievers like Fioricet.

Q and A About Caffeine and Pain Relief

Q: If caffeine is a pain reliever, couldn’t I just drink coffee to get rid of my headaches?

A: It depends on what kind of headaches you get and how bad they are, but the caffeine in coffee may actually provide you with some pain relief.

A study of tension headache sufferers produced some fascinating results. Researchers at the Diamond Headache Clinic found that 200 mg of caffeine (the amount in 1-2 regular cups of coffee) gave the same level of pain relief as 400 mg of ibuprofen (Advil, Motrin, etc.) in their subjects. They also found the coffee gave faster relief than the ibuprofen.

But the best pain reliever in their study was caffeine in combination with ibuprofen, which gave fast and much longer lasting relief than either caffeine or ibuprofen alone.

Q: What is the caffeine content in pain relievers?

A: It differs depending on the product. Each Fioricet / Butalbital, Acetaminophen and Caffeine tablet that we sell contains 40 mg of caffeine. Other pain relievers may contain more or less caffeine than Fioricet. Check the product label for details.

Q: If I take a pain reliever that contains caffeine before bedtime, will it keep me awake?

A: It depends on your sensitivity to caffeine. Two Fioricet / Butalbital, Acetaminophen and Caffeine tablets contain a total of 80 mg of caffeine, which is about the same as one average cup of brewed coffee (there’s between 80 and 125 mg of caffeine in a cup of coffee, depending on how strong it is).

Q: If I drink coffee and take Butalbital containing caffeine at the same time, can I expect to have any side effects?

A: When taking Fioricet, check the caffeine content of beverages like coffee, tea and cola as well as all prescription and non-prescription drugs you take. Avoid taking too much caffeine as it could cause nervousness, shakiness and fast heartbeat.

However, drowsiness is actually a much more common side effect of the Butalbital, Acetaminophen and Caffeine combination.

Here are the possible side effects listed for Fioricet / Butalbital, Acetaminophen and Caffeine:

* drowsiness

* upset stomach, stomach pain

* nausea, vomiting, loss of appetite

* depression

* lightheadedness, dizziness, confusion

* tiredness, weakness

* shortness of breath

* dry mouth

* agitation, anxiety, irritability

* rash or itching

* headache

* constipation

More serious but rare side effects like difficulty breathing, low blood sugar or unusual bleeding are possible when taking Fioricet and should be reported to a doctor immediately.

Summary

Since caffeine has pain relieving properties and few if any known negative side effects, it has been added to the active ingredients of several different pain relievers. The effects of caffeine in these products is to lessen the pressure that contributes to headache pain and help the other ingredients work more effectively.



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