Persistent Headaches — When Is It More Than Just a Migraine?

Headaches are common, but not all headaches are harmless. Persistent or changing headache patterns may indicate an underlying neurological issue that requires medical evaluation.

Types of Headaches

• Tension headaches: Mild to moderate, pressure-like pain

• Migraines: Throbbing pain with nausea, light sensitivity

• Cluster headaches: Severe, one-sided pain around the eye

• Secondary headaches: Caused by infections, tumors, bleeding, or pressure changes
  

Red Flags You Should Not Ignore

Seek neurological evaluation if headaches are:

• Increasing in frequency or severity

• Associated with vomiting or vision loss

• Occurring after head injury

• Accompanied by weakness, confusion, or seizures

• Waking you from sleep
  

How a Neurologist Evaluates Headaches

Assessment may include:

• Detailed symptom history

• Neurological examination

• Brain imaging when indicated

• Medication and lifestyle review
  

Treatment Options

Treatment is tailored based on the diagnosis and may involve:

• Preventive medications

• Acute pain management

• Lifestyle and trigger modification
  

Conclusion

Not every headache is dangerous—but persistent or unusual headaches deserve attention. Early neurological consultation helps ensure accurate diagnosis and effective relief.