Two types of headache that I regularly see in clinic are Tension headaches and Cervicogenic headaches.

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• Tension – This is the most common type of headache and causes a feeling of tightness or pressure around the head. Your head may also feel tender when touched. They are typically caused by stress, anxiety and muscle tension, but sleep problems and caffeine use can also be contributing factors. The pain can range from a dull ache to moderate pain.

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• Cervicogenic – This type of headache is classed as a secondary headache because it results from an issue in the neck (cervical spine) rather than from the brain itself. It is less common than a tension headache. Typical causes include arthritis, structural problems, postural strain, and injuries like whiplash. Pain will usually start at the base of the skull and radiate to one side of the head, often reaching the forehead. Pain may also be felt behind the eyes and around the shoulder and arm. Associated symptoms include neck stiffness and muscle tightness, and tenderness.

 

If you experience any fainting, fits or blackouts with your headache, or you experience visual disturbance (tunnel vision or significant blurred vision), please speak to your GP urgently or call 111 for further advice. If you experience flashing lights in your vision, this would typically indicate a migraine and would not necessarily need the same level of urgency.