6个头痛位置及其意思

A splitting pain in your forehead. A pounding pulse in your temples. A stabbing sensation behind your eyes. Headaches can hit you from all sides. But have you ever wondered what your headache location means, and what it can tell you about your health?

您的头部疼痛所在的地方可以提供有关导致它的原因以及治疗它的最佳方法的一些线索。这里，医学博士Teshamae Monteith, associate professor at the University of Miami Miller School of Medicine and member of the American Neurological Association, helps us decipher what different headache locations mean and how to address them.

Ever feel like there's a tight band squeezing your whole head? "This is a typical description of a tension headache," Dr. Monteith says.

Commonly triggered by stress and poor sleep, tension headaches — characterized by pressure and tightness around your entire head — often go hand in hand with tension in the neck, shoulders and jaw, according toBaystate Health。

Fix it:非处方止痛药such as acetaminophen (Tylenol), aspirin, ibuprofen (Advil, Motrin) and naproxen (Aleve) are often successful in tending to tension headaches, per Baystate Health. You can also try a fewtension-relieving stretches。而且由于生活方式因素可能会使他们关闭，所以getting quality sleep学习管理压力也可能会有所帮助。

An excruciating headache that hits you fast and furious behind one of your eyes is often caused by trigeminal autonomic cephalalgias, a group of primary headache disorders defined by unilateral head pain, Dr. Monteith says. The most common of these is the cluster headache, she adds.

This kind of debilitating headache occurs in clusters (hence the name) of frequent attacks, which can persist for weeks or months, according to the梅奥诊所。

虽然疼痛通常位于一只眼后或周围，但它可以扩散到您的脸部，头部和颈部的其他区域。根据Mayo诊所，与簇头痛相关的其他症状是：

• 不安
• 撕裂过多
• 眼睛发红在受影响的一面
• Stuffy or runny nose on the affected side
• Forehead or facial sweating on the affected side
• Pale skin (pallor) or flushing on your face
• Swelling around your eye on the affected side
• 在受影响的一侧下垂的眼皮

Fix it:While there's no cure for cluster headaches, some acute and preventive therapies can be helpful. Cluster headaches are often treated with oxygen, medications (including nerve blocks and steroids, among many others) and vagal nerve stimulation (electrical stimulation to the vagus nerve through the skin), Dr. Monteith says.

如果您的头痛挂在头后部，则可能正在处理宫颈源性头痛。根据Baystate Health的说法，这种头部疼痛被称为次要头痛，这种类型的头部疼痛并非源于您的头部，而是从脖子上散发出来。

Indeed,cervicogenic headaches通常是由颈部问题引起的（例如关节炎, pinched nerves and strained or sprained neck muscles) or injuries (like neck fractures or whiplash), per the克利夫兰诊所。疼痛通常始于头骨的底部，并辐射到头部的一侧。蒙蒂斯博士说：“这是因为头部和颈部区域中疼痛敏感结构的功能连通性。”

据克利夫兰诊所称，在移动脖子时，难以移动头部和疼痛会变得更糟。

蒙蒂斯博士说，尽管如此，另一种称为枕神经痛的头痛也可能是上颈，头部后部和耳朵后面刺伤疼痛的根源。像宫颈癌的头痛一样，枕神经痛疼痛通常从颈部开始，然后向上扩散。

With occipital neuralgia, pain results from the irritation or injury to the occipital nerves, which span from the neck to the back of the head and up to the scalp, according to theNational Institute of Neurological Disorders and Stroke(NINDS). This also explains why people with this condition can experience symptoms such as scalp soreness and light sensitivity.

Fix it:For cervicogenic headaches, physical therapy is an important tool to treat the affected neck muscles, which are the root of the head pain, according to the Cleveland Clinic. Massage can also be helpful for relieving muscle tension and is also recommended for people with occipital neuralgia, per the NINDS.

While many types of headaches can present primarily on one side of the head, migraine is the most common, Dr. Monteith says.

Migraines can produce severe throbbing or pulsing unilateral head pain that may last for hours or even days, according to Baystate Health. Symptoms like extreme sensitivity to light and sound, nausea and vomiting usually accompany the pain, per the梅奥诊所。

Cervicogenic headaches and cluster headaches can also cause one-sided headaches, Dr. Monteith adds.

Fix it:如果您有偏头痛，请与您的医生交谈，谁可以帮助您制定适当的治疗计划，这可能涉及药物并避免某些触发因素。

Throbbing head and facial pain and pressure around the eyes, cheeks and forehead could signal a sinus headache. These hounding headaches are often accompanied by nasal congestion and fatigue and worsen if you bend forward, according to the梅奥诊所。

尽管如此，由于偏头痛可以表现出类似的症状，有时很难区分两种类型的头痛。实际上，根据梅奥诊所，近90％的抱怨鼻窦头痛的人后来被诊断出患有偏头痛。

但是有一些区别使它们与众不同：鼻窦头痛与恶心，呕吐或对光或声音的敏感性没有联系（所有常见的偏头痛症状），但它们与toothaches根据梅奥诊所的说法，在口腔的上部（不是偏头痛特征）。更重要的是，鼻窦头痛持续了几天，而大多数偏头痛通常持续几个小时。

Fix it:Because sinus headaches usually occur in conjunction with季节性过敏, an upper respiratory infection or the common cold, treating these underlying issues can help resolve the head pain.

"Many headache disorders can occur in the temples, including migraines or tension-type headaches," Dr. Monteith says.

However, sometimes pain in the temples can be due to a rare condition known as temporal arteritis, she adds. More common in people over the age of 50, temporal arteritis occurs when the blood vessels near the temples become inflamed and constricted, according to the克利夫兰诊所。

In addition to a throbbing, constant headache, other symptoms may involve:

• 疲劳
• 发烧
• Jaw pain that may become worse after chewing
• 头皮或神庙的温柔
• 视力问题
• 上臂或肩膀，臀部，上大腿，下背部和臀部的肌肉酸痛
• Loss of appetite or weight loss

Fix it:Monteith博士说，必须紧急治疗颞动脉炎，例如类固醇等药物 - 可能导致失明和其他并发症。