![]() Genetics play a role since 70% of migraine victims have at least one close relative with the problem. Neurologists believe that migraines are caused by changes in the brain's blood flow and nerve cell activity. And since a Harvard study of 20,084 men age 40 to 84 reported that having migraines boosts the risk of heart attacks by 42%, men with migraines should take their headaches to heart. They are two to three times more common in women than men, but that's small consolation if you are among the 6% to 8% of all men who have migraines. Migraines occur less often than tension headaches, but they are usually much more severe. ![]() Fortunately, most people with tension-type headaches will do very well with simpler programs. Many people with recurrent tension-type headaches can prevent attacks by taking a tricyclic antidepressant such as amitriptyline (Elavil, generic). If you need more help, your doctor may prescribe a stronger pain medication or a muscle relaxant to control headache pain. If you clench your jaw or grind your teeth at night, a bite plate may help. Learn relaxation techniques yoga is particularly helpful because it can relax both your mind and your neck muscles. If you get frequent tension-type headaches, try to identify triggers so you can avoid them. A heating pad or warm shower may help some people feel better with a short nap or light snack. Over-the-counter pain relievers such as acetaminophen (Tylenol, other brands) and nonsteroidal anti-inflammatories (NSAIDs) such as aspirin, naproxen (Aleve, other brands), or ibuprofen (Motrin, Advil, other brands) often do the trick, but follow the directions on the label, and never take more than you should. If you get occasional tension-type headaches, you can take care of them yourself. Some tension headaches are triggered by fatigue, emotional stress, or problems involving the muscles or joints of the neck or jaw. People with strong tension headaches may feel like their head is in a vise. The typical tension headache produces a dull, squeezing pain on both sides of the head. But a few people get severe tension headaches, and some are troubled by them for three or four times a week. In most cases, they are mild to moderate in severity and occur infrequently. Occurring in about three of every four adults, tension headaches are the most common of all headaches. Here is a rundown on some major primary headaches. There are more than 300 types of headaches, but only about 10% of headaches have a known cause.
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