The word Migraine is used quite heedlessly and is often used when describing a "normal" tension headache. Though some symptoms are similar, a migraine headache will be quite severe and will last for days, if it does not resolve with sleep when severity is at its minimum. It also arrives not just with head pain but visual disturbances, nausea and occasionally vomiting; there may also be numbness and tingling of the tongue and lips. The head pains are one sided and more temporal (side of the head) but with other issues can also move behind the eye and to the back of the skull.
The general censes is that the headaches in a migraine are due to stretching, by dilation, of the branches of the external carotid artery and internal carotid artery; the visual disturbances and abnormal sensations of the lip and tongue are due to conscription of vessels supplying the cerebral cortex that is related to this area; but with all these explanations they are only theories and there will always be an underlying issue of a "cause", whether it is a family history or a change in hormone balances; which brings in-line the correlation with migraines in female patients and the start of their menstrual cycle or the beginning of the menopause.
Neuralgia (nerve pain)
Face pain can also be a symptom of a migraine but it can be due to several other issues. Dental problems are common as well as referral pain from the neck etc. but neuralgia can also be the cause, specifically trigeminal neuralgia; this represents a specific set of nerves that cover either side of the face, and with irritation will cause pain which will be intermittent and a stabbing sensation.
Sinus pain is often due to a blockage in the sinus canals which is preventing the sinuses from draining; occasionally this is due to a polyp (growth of mucus membrane) but often is due to tension through the soft tissues around the sinus spaces and the neck; this will be reducing the effectiveness of drainage vessels and therefore reducing the outflow of the nasal passage.
For more information on migraines, neuralgia & sinus pain, or to book an appointment please call 01737 247 555
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