{"id":11560,"date":"2025-07-26T12:57:11","date_gmt":"2025-07-26T10:57:11","guid":{"rendered":"https:\/\/valintermed.com\/?p=11560"},"modified":"2025-07-26T12:57:11","modified_gmt":"2025-07-26T10:57:11","slug":"golovnaya-bol","status":"publish","type":"post","link":"https:\/\/valintermed.com\/en\/medlibrary\/head-pain\/","title":{"rendered":"Headache"},"content":{"rendered":"<div class=\"fpm_start\"><\/div>\n<p>Headache (H) is one of the most common neurological symptoms that can occur for various reasons and in various forms. It can vary from mild discomfort to acute pain syndrome, significantly worsening the patient&#039;s quality of life. Headache is classified as primary, which includes migraine, tension headache and cluster headache, and secondary, caused by various diseases, such as tumors, vascular diseases or infectious processes. By its nature, HB can be episodic or chronic and manifest itself in varying intensity, localization and form. The main mechanisms of headache are vascular, neuropathic and myofascial pathology, which explains the diversity of its clinical manifestations.<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_83 counter-flat ez-toc-counter ez-toc-light-blue ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Content<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" 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href=\"https:\/\/valintermed.com\/en\/medlibrary\/head-pain\/#%D0%98%D1%81%D1%82%D0%BE%D1%80%D0%B8%D1%8F_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F_%D0%B8_%D0%B8%D0%BD%D1%82%D0%B5%D1%80%D0%B5%D1%81%D0%BD%D1%8B%D0%B5_%D0%B8%D1%81%D1%82%D0%BE%D1%80%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B8%D0%B5_%D1%84%D0%B0%D0%BA%D1%82%D1%8B\" >History of the disease and interesting historical facts<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/head-pain\/#%D0%AD%D0%BF%D0%B8%D0%B4%D0%B5%D0%BC%D0%B8%D0%BE%D0%BB%D0%BE%D0%B3%D0%B8%D1%8F\" >Epidemiology<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/head-pain\/#%D0%93%D0%B5%D0%BD%D0%B5%D1%82%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B0%D1%8F_%D0%BF%D1%80%D0%B5%D0%B4%D1%80%D0%B0%D1%81%D0%BF%D0%BE%D0%BB%D0%BE%D0%B6%D0%B5%D0%BD%D0%BD%D0%BE%D1%81%D1%82%D1%8C_%D0%BA_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%BC%D1%83_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8E\" >Genetic predisposition to this disease<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/head-pain\/#%D0%A4%D0%B0%D0%BA%D1%82%D0%BE%D1%80%D1%8B_%D1%80%D0%B8%D1%81%D0%BA%D0%B0_%D0%B2%D0%BE%D0%B7%D0%BD%D0%B8%D0%BA%D0%BD%D0%BE%D0%B2%D0%B5%D0%BD%D0%B8%D1%8F_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\" >Risk factors for the development of this disease<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/head-pain\/#%D0%94%D0%B8%D0%B0%D0%B3%D0%BD%D0%BE%D1%81%D1%82%D0%B8%D0%BA%D0%B0_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\" >Diagnosis of this disease<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/head-pain\/#%D0%9B%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D0%B5\" >Treatment<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/head-pain\/#%D0%A1%D0%BF%D0%B8%D1%81%D0%BE%D0%BA_%D0%BB%D0%B5%D0%BA%D0%B0%D1%80%D1%81%D1%82%D0%B2_%D0%BF%D1%80%D0%B8%D0%BC%D0%B5%D0%BD%D1%8F%D0%B5%D0%BC%D1%8B%D1%85_%D0%B4%D0%BB%D1%8F_%D0%BB%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D1%8F_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\" >List of medications used to treat this disease<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/head-pain\/#%D0%9C%D0%BE%D0%BD%D0%B8%D1%82%D0%BE%D1%80%D0%B8%D0%BD%D0%B3_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\" >Disease monitoring<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/head-pain\/#%D0%92%D0%BE%D0%B7%D1%80%D0%B0%D1%81%D1%82%D0%BD%D1%8B%D0%B5_%D0%BE%D1%81%D0%BE%D0%B1%D0%B5%D0%BD%D0%BD%D0%BE%D1%81%D1%82%D0%B8_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\" >Age-related features of the disease<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/valintermed.com\/en\/medlibrary\/head-pain\/#%D0%92%D0%BE%D0%BF%D1%80%D0%BE%D1%81%D1%8B_%D0%B8_%D0%BE%D1%82%D0%B2%D0%B5%D1%82%D1%8B\" >Questions and Answers<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%D0%98%D1%81%D1%82%D0%BE%D1%80%D0%B8%D1%8F_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F_%D0%B8_%D0%B8%D0%BD%D1%82%D0%B5%D1%80%D0%B5%D1%81%D0%BD%D1%8B%D0%B5_%D0%B8%D1%81%D1%82%D0%BE%D1%80%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B8%D0%B5_%D1%84%D0%B0%D0%BA%D1%82%D1%8B\"><\/span>History of the disease and interesting historical facts<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The study of headaches began long before the advent of modern medical knowledge. In ancient Egypt, headaches were mentioned in papyri as one of the most common diseases, and Hippocrates, one of the founders of medicine, described various types of headaches and their connections with physical ailments. In the Middle Ages, headaches were often interpreted as a manifestation of supernatural forces or punishment for sins, but already in the 16th century, the Swiss physician Paracelsus began to consider it as a symptom of a disease that requires objective medical attention. In the 20th century, active scientific interest in the pathophysiology of headaches began, which led to the development of new methods of treatment and prevention. The history of headaches is an amazing combination of medicine, culture and science.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%D0%AD%D0%BF%D0%B8%D0%B4%D0%B5%D0%BC%D0%B8%D0%BE%D0%BB%D0%BE%D0%B3%D0%B8%D1%8F\"><\/span>Epidemiology<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>According to statistical studies, more than 50% of the population experiences headaches of various etiologies during their lifetime. Migraine is the leading primary headache, affecting about 12% of the entire population, most of whom are women. Tension headaches occur in about 38% of the adult population, while cluster headaches affect about 0.1% people. According to the World Health Organization (WHO), headaches are one of the main causes of lost work time and decreased productivity, adversely affecting the quality of life and health in general.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%D0%93%D0%B5%D0%BD%D0%B5%D1%82%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B0%D1%8F_%D0%BF%D1%80%D0%B5%D0%B4%D1%80%D0%B0%D1%81%D0%BF%D0%BE%D0%BB%D0%BE%D0%B6%D0%B5%D0%BD%D0%BD%D0%BE%D1%81%D1%82%D1%8C_%D0%BA_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%BC%D1%83_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8E\"><\/span>Genetic predisposition to this disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Research suggests that genetic predisposition plays an important role in the development of some forms of headache, particularly migraine. There are several genes that have been identified as being associated with migraine, including the genes encoding calcitonin gene-related peptide (CGRP). Mutations in this gene can exacerbate neurovascular responses to painful stimuli. Migraine has also been linked to genes involved in the regulation of neurotransmitters such as serotonin. Genetic studies show that first-degree relatives of migraine sufferers have a 2-4-fold increased risk of developing the condition, suggesting that there is a genetic predisposition.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%D0%A4%D0%B0%D0%BA%D1%82%D0%BE%D1%80%D1%8B_%D1%80%D0%B8%D1%81%D0%BA%D0%B0_%D0%B2%D0%BE%D0%B7%D0%BD%D0%B8%D0%BA%D0%BD%D0%BE%D0%B2%D0%B5%D0%BD%D0%B8%D1%8F_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\"><\/span>Risk factors for the development of this disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Risk factors that contribute to the development of headaches can be divided into several categories:<\/p>\n<ul>\n<li>Physical factors: eye strain (spending too much time in front of a screen), poor posture, lack of physical activity.<\/li>\n<li>Chemical factors: consumption of alcohol, caffeine, various food additives and preservatives.<\/li>\n<li>Psycho-emotional factors: stress, anxiety disorders, depression.<\/li>\n<li>Hormonal changes: fluctuations in estrogen levels (especially in women during menstruation, pregnancy, or menopause).<\/li>\n<li>Concomitant diseases: hypertension, infections, sleep disorders.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%D0%94%D0%B8%D0%B0%D0%B3%D0%BD%D0%BE%D1%81%D1%82%D0%B8%D0%BA%D0%B0_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\"><\/span>Diagnosis of this disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Diagnosis of headache includes several stages:<\/p>\n<ul>\n<li>Main symptoms: nature of pain (pulsating, constricting), localization, duration, provoking and relieving factors.<\/li>\n<li>Laboratory tests: general and biochemical blood tests to identify possible inflammatory processes or other diseases.<\/li>\n<li>Radiological examinations: magnetic resonance imaging (MRI) or computed tomography (CT) to exclude organic pathology.<\/li>\n<li>Other types of diagnostics: electroencephalography (EEG), ultrasound examination of the vessels of the head and neck.<\/li>\n<li>Differential diagnosis: exclusion of other neurological diseases such as cerebrovascular disorders, tumors and infectious processes.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%D0%9B%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D0%B5\"><\/span>Treatment<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Treatment of headache depends on its etiology and severity:<\/p>\n<ul>\n<li>General treatment: lifestyle changes, dietary adjustments, stress reduction and regular physical activity.<\/li>\n<li>Pharmacological treatment: use of analgesics, anti-inflammatory drugs (ibuprofen, paracetamol), specific agents for migraine (triptans, calcitonin gene-binding peptides).<\/li>\n<li>Surgical treatment: in rare cases, in the presence of structural changes (tumors, cystic formations).<\/li>\n<li>Other types of treatment: physiotherapy, acupuncture, psychotherapeutic methods.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%D0%A1%D0%BF%D0%B8%D1%81%D0%BE%D0%BA_%D0%BB%D0%B5%D0%BA%D0%B0%D1%80%D1%81%D1%82%D0%B2_%D0%BF%D1%80%D0%B8%D0%BC%D0%B5%D0%BD%D1%8F%D0%B5%D0%BC%D1%8B%D1%85_%D0%B4%D0%BB%D1%8F_%D0%BB%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D1%8F_%D0%B4%D0%B0%D0%BD%D0%BD%D0%BE%D0%B3%D0%BE_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\"><\/span>List of medications used to treat this disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ul>\n<li>Paracetamol<\/li>\n<li>Ibuprofen<\/li>\n<li>Aspirin<\/li>\n<li>Triptans (sumatriptan, rizatriptan)<\/li>\n<li>Galcoprotorone (for migraine prevention)<\/li>\n<li>Beta blockers (eg, propranolol)<\/li>\n<li>Antidepressants (amitriptyline)<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%D0%9C%D0%BE%D0%BD%D0%B8%D1%82%D0%BE%D1%80%D0%B8%D0%BD%D0%B3_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\"><\/span>Disease monitoring<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Monitoring the progression of the disease involves regular medical observation and the use of various methods to assess the effectiveness of treatment:<\/p>\n<ul>\n<li>Control stages: regular visits to the doctor to assess the frequency and intensity of headaches.<\/li>\n<li>Prognosis: In most cases, headaches are easily treated and controlled, but some patients may experience a chronic course.<\/li>\n<li>Complications: may include the development of chronic headaches, low quality of life, loss of ability to work.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%D0%92%D0%BE%D0%B7%D1%80%D0%B0%D1%81%D1%82%D0%BD%D1%8B%D0%B5_%D0%BE%D1%81%D0%BE%D0%B1%D0%B5%D0%BD%D0%BD%D0%BE%D1%81%D1%82%D0%B8_%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F\"><\/span>Age-related features of the disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Headaches can manifest themselves differently depending on age:<\/p><script data-noptimize=\"\" data-wpfc-render=\"false\">\nfpm_start( \"true\" );\n<\/script>\n\n<ul>\n<li>Children: Migraine is rare and usually has less severe symptoms. The key is to identify the associated factors.<\/li>\n<li>Teenagers: Hormonal changes can make things worse, and tension headaches are common.<\/li>\n<li>Adults: Most susceptible to migraines and tension headaches due to stress factors and excessive workload.<\/li>\n<li>Elderly: can treat old headaches against the background of vascular disorders and the development of concomitant diseases.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%D0%92%D0%BE%D0%BF%D1%80%D0%BE%D1%81%D1%8B_%D0%B8_%D0%BE%D1%82%D0%B2%D0%B5%D1%82%D1%8B\"><\/span>Questions and Answers<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ul>\n<li><strong>How to distinguish migraine from tension headache?<\/strong> Migraine is characterized by throbbing pain, often with nausea or sensitivity to light, while tension headaches are a squeezing sensation and are usually not accompanied by other symptoms.<\/li>\n<li><strong>When should you see a doctor for a headache?<\/strong> You should see a doctor if the headache becomes constant, changes in nature, is accompanied by neurological symptoms or a significant deterioration in general condition.<\/li>\n<li><strong>Can Food Cause Headaches?<\/strong> Yes, certain foods such as chocolate, caffeine, alcohol and cheeses can be headache triggers in susceptible people.<\/li>\n<li><strong>How to prevent headaches?<\/strong> Maintaining a normal sleep schedule, reducing stress levels, eating a healthy diet, and getting regular physical activity can help prevent headaches.<\/li>\n<\/ul>\n<p>Dr. Oleg Korzhikov offers several recommendations for patients with headaches. He emphasizes the importance of keeping a &quot;headache diary&quot; where you can record the frequency, intensity, and triggers. This will help the doctor more accurately diagnose and plan individual treatment. According to the doctor, it is critical to avoid self-medication and promptly consult a specialist to rule out serious diseases. For preventive purposes, you should maintain a sleep schedule, avoid stressful situations, and eat right, which can significantly reduce the risk of headaches.<\/p>\n<div class=\"fpm_end\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Headache (H) is one of the most common neurological symptoms that can occur for various reasons and in various forms.<\/p>","protected":false},"author":1,"featured_media":19266,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[298],"tags":[],"class_list":["post-11560","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medlibrary"],"_links":{"self":[{"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/posts\/11560","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/comments?post=11560"}],"version-history":[{"count":1,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/posts\/11560\/revisions"}],"predecessor-version":[{"id":15655,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/posts\/11560\/revisions\/15655"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/media\/19266"}],"wp:attachment":[{"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/media?parent=11560"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/categories?post=11560"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/valintermed.com\/en\/wp-json\/wp\/v2\/tags?post=11560"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}