Headaches

Extracranial

• Associated with reading and eye problems
• Dull and achey pain
• Gets worse towards the end of the day- accomodating for 8 hours- tired muscles.

MANAGEMENT: Try glasses for a couple of weeks to try to elevate the problem 

Extracranial

• Usually up to a week after a respiratory tract infection
• Worse with increasing pressure (eg bending over) 
• Usually a dull ache

MANAGEMENT: I cant find anything wrong with your eyes which are causing these symptoms however since youve said you recently had a cold makes me think its associated with this however if it doesnt go away or gets any worse make an appointment with your GP

Extracranial

• Usually associated with stress (work related or personal life) 
• Vague dull headache

Management: I havent found any reason for your headache to be associated with your eyes what I would advise is that if it gets any worse or persists make an appointment with your GP. 

External 

• Random location
• Very Specific discription of pain

Management: I cant see any reason for the pain to be the cause of your eyes if your pain gets any worse or persists visit your GP

Extracranial 

• Can be associated with foods such as coffee, chocolate, red wine. 
• Associated with nausea/vomiting
• Associated with visual disturbances 
• Can last for anything from hours-a week
• Photophobia
• Can only be relieved by sleep/ lying in a dark room

Management: Advise trip to the GP 

Intracranial 

• Can cause extreme pain
• Disc may look like a champagne cork 
• Heamorrhages around edges of disc
• Swelling of optic disc
• Undefined margins 
• Worse with increasing pressure: bending over, coughing etc

Causes: begnin intracranial pressure, tumour

MANAGEMENT: SEND TO HOSPITAL

Intracranial

• inflammation of the temporal artery
• usually in Px of 70+
• sore on chewing (skin moving over artery)
• can cause blindness or death caused by blockage of the artery and a stroke. 
• Generally unwell feeling with weight loss

MANAGEMENT: SEND TO HOSPITAL

Intracranial

• Fever, neck stiffness, vomiting (GENERALLY UNWELL)
• Photophobia
• Severe headache

EMERGENCY SEND TO HOSPITAL 

• More Common
• Usually referred pain
• Less serious 

Causes:

• Inflammation of nerves in eyes, ears, teeth etc
• Prolonged muscle contraction eg neck
• Vascular conditions

• More serious
• The minority of headaches

Causes: 

• Vascular conditions
• Conditions affecting the mininges 
• Distortion of a pain sensitive area eg a tumour