Pain is actually the result of a physiological, concrete, neurological process. Yes, pain is a perception that occurs as a result of the disorder of a sequential process. Therefore, disruption at any level of the nervous system can cause pain. For this reason, each pain should be evaluated considering that it may be due to a different cause and an intervention should be made for it.
Headache is the most common neurological disease group. Reasons that will not cause problems when a doctor is not seen are at one end, and life-threatening causes at the other end. Luckily, benign causes of headache are more common. However, we must first review the existence of a dangerous situation in order to prevent or even cause irreversible, negative consequences. In fact, the main characteristics that determine the different approach in people with headache are; the character of the headache, its course over time, whether there is any other concomitant condition and finally the neurological examination findings of the patient. At this stage, necessary diagnostic tests may be requested in the light of the history and examination findings. Almost every person has faced headache more than once in their lifetime. For this reason, the experiences of both ourselves and the people around us are important for us. A wrong perception is that a brain imaging (especially MRI) is requested immediately in the presence of headache. Numerous applications are made to the health institution just for this reason. However, a brain MRI is just a photo of the brain, even if this photo is normal, it will vary from person to person. Whether these changes have a clinical response will be determined by the patient’s complaint and examination findings.
Migraine is the most common headache disease in the community. So it is a cause of headache, not the only cause of headache. It is also a disease that we know best because it is the most common. It is most common in young women, but that doesn’t mean it won’t happen in men. The most prominent features of the disease are; The appearance of a throbbing headache in attacks, it can be present in half or the whole head, the presence of nausea and vomiting, discomfort from light and sound during pain. There is no need for any examination for the diagnosis of migraine, the diagnosis is made with the patient’s history and examination findings, but sometimes laboratory tests may be required to exclude the presence of another condition.
Conditions that determine the treatment to be applied after the diagnosis of migraine; whether the patient is during an attack and whether he or she requires regular treatment. However, no matter how it is treated, it should be stated to the patient that migraine is a chronic disease with a genetic origin and treatment expectation should be arranged accordingly. The main purpose of treatment is to minimize the frequency and severity of the patient’s pain and to prevent deterioration in quality of life. However, the patient should be informed about the change in migraine headache over time. Tension-type headache is a common headache as well as migraine. Although the cause is not fully understood, it is thought that the most likely condition is the presence of a decrease in the person’s pain threshold. Any physical or psychological condition that would not normally cause pain causes pain in these individuals due to the decrease in the pain threshold. The tension in its name causes a false perception that this pain is only psychological. The presence of stress or psychological conditions can facilitate or even trigger the formation of pain, but it is not the only cause.
In summary, headache is not a disease in itself, but a group of diseases. The reasons leading to this should be evaluated from good to bad and appropriate steps should be taken.