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32 years
Dr.zakia: how can i recognise between migraine and tension head especially when i m at work in front of the pc i got pain in my back of the head and above the eyes .what do you suggest as a treatment
Aug 22, 2014
2nd opinion

Dr. Zakia Dimassi Pediatrics
Migraine headache is classically one sided (unilateral), throbbingor ppulsating (it's sort of synced with your pulse), causes irritation from light (photophobia) and noises (photophobia), that is why individuals affected by migraine attacks seek a dark quiet place and sleep the pain away. It's associated with nausea and vomiting, and is usually preceded by an aura (signs that warn you that you're about to experience a migraine attack ; usually these are visual signs like sparks or zigzags of light).
Tension headache is the most common type of headaches. It typically involves the entire head, but can be unilateral. It's described as tension or pressure like, or exerting a gripping sensation over the head. Headache is a constant, tight, pressing, or bandlike sensation in the frontal (front of the head) , temporal (just above the ears) , occipital (back of the head) , or parietal area (sides of the, with frontal and temporal regions being the most common. When it occurs in the front of the head, this is when you feel pain right above your eyes. Pain in the face and jaws is also described.
Sitting for long hours in front of the computer screen not only precipitates tension headache, but also makes it worse. Leaning towards the screen with the neck bent, the shoulders shrugged, and the back bent distorts the natural alignment of the spine and triggers pain. Gazing too much at the computer screen adds to the problem.
In the past, it was believed that tension headache was caused by excessive muscle contractions of the head and neck. Now, an alternative theory that remains to be proven, is that individuas who ssuffer from this type of headaches have increased pain reception in one of the cranial nerves (there are 12 major nerves that stem out from the cranium), the trigeminal nerve, which supplies the head and face.
To prevent tension headache, a healthy sitting position (straight shoulders and back, neck aligned with the back), without leaving forward is a must; frequent stretching of the arms and back, rotation of the neck and shoulders (minimal exercise) are necessary as well. Walking around for a few minutes every 1.5-2 hours is also helpful. Using the right kind of pillow is not to be undermined. Avoiding extremely air conditioned environments especially if sweaty is another important preventive measure.
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