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Headache locations: What can they tell you?

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Forehead or temporal regionOne side of the head Behind the eyesBack of the head and neckSinus regionPreventionSummary
Headaches can occur in various locations, such as at the temples, the back of the head, or behind the eyes. Each area can indicate different causes, triggers, or associated symptoms.
Medically reviewed by Deena Kuruvilla, MD
Written by Rashida Ruwa, RN
Updated on

Understanding the location of your headache can provide valuable insights into the type of headache you may be experiencing. Different types of headaches manifest in specific areas of your head and neck.

For example, tension headaches commonly occur in your forehead and temporal region, while migraine often affects one side of your head. 

Cervicogenic headaches originate from your neck and upper spine, while you can feel cluster headaches typically on one side. By identifying the location of your headache, doctors can make more accurate diagnoses and develop appropriate treatment plans for you, increasing the likelihood of effective symptom relief.

Different types of headaches are associated with specific locations, which can include:

Forehead or temporal region

Male sitting on the floor with his hands on his forehead.
Photography by Tatiana Maksimova/Getty Images

Tension headaches commonly occur on the forehead or temporal region. These headaches typically feel like a dull, aching pain or pressure on both sides of the head. They can also involve the forehead and temples. 

Common causes of tension headaches include:

  • stress 
  • muscle tension
  • caffeine 
  • slouching
  • sleep problems

Over-the-counter pain relievers like acetaminophen (Tylenol) or nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil, Motrin) and naproxen (Aleve) are useful to treat tension headaches. 

Lifestyle measures can also help alleviate tension headaches. Examples include:

  • relaxation techniques, such as meditation
  • stress management
  • posture improvement

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One side of the head (unilateral)

Migraine often occurs on one side of the head. Intense, throbbing pain characterizes migraine, often accompanied by other symptoms, including:

  • nausea
  • vomiting
  • sensitivity to light (photophobia)
  • sound (phonophobia) 

Common medications that help treat acute migraine may include triptans, such as:

Behind the eyes

Cluster headaches cause severe, excruciating pain that you’ll typically feel on one side of the head, often around or behind the eye. They occur in cyclical patterns, with frequent attacks followed by periods of remission.

Cluster headaches can last for a short duration, typically between 15 minutes and 3 hours, but they can be intense and recurrent throughout the day. Inhalation of high-flow oxygen and specific medications, such as triptans, are useful for cluster headache treatment.

Back of the head and neck

Cervicogenic headaches originate from the neck or cervical spine, and you often feel them at the back of the head or radiating to the forehead or temples.

Several factors that can cause a cervicogenic headache include:

  • cervical spine irregularities
  • muscle tension
  • neck injuries

Occipital neuralgia is another type of headache that characterizes pain at the back of the head or the base of the skull. 

Treatment options for headaches occurring at the back of the head and neck include:

  • physical therapy
  • massages
  • occipital nerve block
  • exercises to improve neck posture and strength

Doctors may prescribe several medication options to alleviate pain and reduce inflammation in the neck area, including:

In some cases, nerve blocks or injections targeting the occipital nerves may provide relief.

Sinus region

Sinusitis can often result in headaches. You’ll typically feel pain in the forehead, cheeks, and around the eyes. Other symptoms may include:

  • nasal congestion
  • facial pressure
  • a feeling of fullness in the ears

Treating the underlying sinus condition, such as with decongestants, saline nasal irrigation, or antibiotics for bacterial infection, can help relieve sinus headaches.

Prevention

Several lifestyle measures can help prevent headaches or reduce their frequency and intensity. These include:

  • Maintaining a consistent sleep routine: Getting enough sleep and establishing a regular sleep schedule can help prevent headaches. Aim for 7–8 hours of sleep per night and try to go to bed and wake up at the same time each day.
  • Managing stress: Stress is a common trigger for headaches. Find healthy ways to cope with stress, such as practicing relaxation techniques like deep breathing, engaging in physical activity, or pursuing hobbies and activities you enjoy.
  • Staying hydrated: Dehydration can lead to headaches, so drinking enough water throughout the day is important. Aim to drink at least 8 glasses of water daily or more if you engage in physical activity or live in a hot climate.
  • Maintaining a balanced diet: Certain foods and drinks, such as processed foods, caffeine, alcohol, and can trigger headaches in some people. Opt for a nutritious diet rich in:
    • fruits
    • vegetables
    • lean proteins
    • whole grains
  • Exercising regularly: Regular physical activity can help reduce the frequency and intensity of headaches. Choose activities you enjoy and aim for at least 30 minutes of moderate exercise most days of the week.
  • Maintaining upright posture: Slouching, especially when sitting at a desk or using electronic devices, can strain the muscles in your neck and head, leading to tension headaches. Ensure you take regular breaks to stretch and move around.

Summary

Various headache locations may provide valuable insights into the type of headache one may be experiencing.

Recognizing the specific location of the headaches aids in accurate diagnosis and treatment, leading to better management and relief.

If you find that headache or migraine symptoms are affecting your day-to-day life, consider speaking with a healthcare professional to identify the best treatment solutions for you.

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