There are different types of migraines and headaches. When you hear the term migraine, you may think of a severe headache. But did you know that a migraine is a neurological disease and there are a number of different subtypes of migraine?
Complicated Migraine – Migraine with Aura
About a quarter of people who experience migraines also experience aura. An aura is a series of sensory and visual changes that can range from seeing black dots and zig zags to tingling numbness on one side of the body, or an inability to speak clearly. Aura sets in shortly before or during a migraine and can last anywhere from 10 to 30 minutes. Aura is the second of migraine’s four stages, and anyone who experiences it will confirm it is an unmistakable warning sign that severe head pain is on its way.
Common Migraine – Migraine without Aura
Diagnosing migraines without aura can be difficult because the symptoms are similar to several other types of migraines. Pulsing or throbbing pain on one side of the head, photophobia, phonophobia, pain that is made worse by physical activity, and nausea and vomiting are all classic symptoms of migraine without aura. The key differentiator is that common migraine lacks the warning phases (prodrome and aura).
Migraine without Head Pain
A migraine without head pain is also called a silent or acephalgic migraine, this type of migraine can be very alarming as you experience dizzying aura and other visual disturbances, nausea, and other phases of migraine, but no head pain. It can be triggered by any of a person’s regular triggers, and those who get them are likely to experience other types of migraines, too.
If you have ever had a migraine that felt more like a stroke, it was probably a hemiplegic migraine. People who experience this type of migraine develop weakness on one side of the body, often with visual aura symptoms and a “pins and needles” sensation, or loss of sensation, on one side of the body. It can last for as little as a few hours to several days. Similar to a typical aura without headache, hemiplegic migraine doesn’t always include severe head pain.
When a headache causes you to temporarily lose vision in one eye, it is a retinal migraine. Most common in women during their childbearing years, the blindness can last anywhere from a minute to months but is usually fully reversible. This is a specific type of aura that accompanies a migraine, and it’s a condition we know very little about. Retinal migraine may be a sign of a more serious issue, and those who experience it should make a point to see a specialist.
If you have a headache for more than 15 days a month, you’re probably suffering from chronic migraines. Many of the days often feel like typical migraine, but there may be considerable variability in the severity of the symptoms and head pain on any given day. Some days patients may mistake the pain for a “tension-headache” or “sinus headache” if the pain is less severe. Many patients with chronic migraines also use acute headache pain medications on more than 10-15 days per month.
Migraine is a disabling disease that affects more than 36 million Americans. Most people living with migraines have a few attacks per month, but for the over 4 million in the population with chronic migraines, half or more of their days each month are marked by debilitating migraine pain and neurological symptoms.
Types of Headaches
Ice Pick Headaches
Ice pick headaches feel like you’re getting stabbed in the head with an ice pick. They often come on suddenly, delivering an intense, sharp pain. They’re short– usually only lasting 5-30 seconds–but incredibly painful. These headaches occur on the orbit, temple, and parietal area of your head. That’s where your trigeminal nerve is, which is the nerve in your face that’s responsible for biting and chewing, as well as face sensation. The nerve is on the side of your head just past your eye and above your ear. If you get sharp pains in this area, chances are you’re getting ice pick headaches.
This is one of the most severe types of pain that a human can experience. With cluster headaches, you’ll feel an almost burning pain around and above your eyes, at your temples, and even moving toward the back of your head. You’ll often also get red or swollen eyes or a runny nose, among other symptoms. Because they occur in such a large area and provoke other symptoms, cluster headaches can be the most irritating headache and are sometimes referred to as suicide headaches.
When the pain in your head is caused by pain in your neck, you probably have a cervicogenic headache. The pain usually comes from the neck or from a lesion on the spine, which is often confused with pain in the back of your head. It’s common for this type of headache to require physical therapy in addition to medication or other treatment.
Pinpointing the cause of headaches is sometimes complicated. Focusing on where exactly your head hurts and the accompanying symptoms can help you and your doctor determine what type of migraine or headache you suffer from.
Source: American Migraine Foundation