[42F] Experiencing persistent headaches with neck and jaw pain

Patient Description

A 42-year-old female has been experiencing persistent headaches for approximately three months, worsening over the last two weeks. The headaches are aching in nature, lasting from morning until night, and initially start on one side before spreading. Tylenol and sleep provide some relief. Additionally, the patient reports a history of neck pain since a car accident over 20 years ago, described as aching, dull, and stiff, rated at a severity of 5/10. Jaw pain has been present for 3 years, described as soreness and a tendency to lock, also rated at a severity of 5/10, with relief from massage and avoiding talking or chewing. The patient has a medical history of non-epileptic seizures on the temporal lobe diagnosed in 2021, and allergies to all penicillins, Bactrim, Biaxin, Cipro, and Keflex. Current medications include Ventolin and Breo for asthma, with Ventolin used as needed.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Tension-Type Headache: These are often described as a constant ache or pressure around the head, especially at the temples or back of the head and neck. They can be caused by stress, anxiety, or muscle strain, and can last for several hours to several days. Over-the-counter pain relievers such as Tylenol can often help, as can rest and relaxation techniques.

    • Treatment typically involves over-the-counter pain relievers, stress management, and sometimes prescription medications.
  • Temporomandibular Joint (TMJ) Disorder: This condition affects the joint that connects your jaw to the side of your head. It can cause pain in the jaw, face, and neck, and can sometimes cause headaches. It can be caused by a variety of factors, including injury to the jaw, arthritis, or grinding or clenching the teeth.

    • Treatment typically involves over-the-counter pain relievers, physical therapy, and sometimes dental treatments or surgery.
  • Chronic Migraine: This is a type of headache disorder where headaches occur on 15 or more days per month for at least three months. The headaches are often described as a throbbing or pulsating pain on one side of the head, and can be accompanied by other symptoms such as sensitivity to light and sound, and nausea or vomiting.

    • Treatment typically involves a combination of medications to prevent the headaches and to treat them when they occur, as well as lifestyle changes to avoid triggers.

Please note that these are only possibilities, and it's important to see a healthcare provider for an accurate diagnosis and treatment plan.

What you can do

  1. Keep a headache diary: Note when your headaches start, what you were doing at the time, how long they last and what, if anything, provides relief. This can help identify patterns or triggers.

  2. Try relaxation techniques: Deep breathing, yoga, and progressive muscle relaxation might help reduce the intensity of your headaches.

  3. Maintain a regular sleep schedule: Go to bed and get up at the same time every day, even on weekends.

  4. Stay hydrated: Dehydration can contribute to headaches.

  5. Avoid known triggers: These can include certain foods, smells, stress, and changes in sleep pattern.

What you should look out for

Seek immediate medical care if you:

  • Have a headache that is sudden and severe
  • Experience a headache accompanied by confusion, fainting, high fever, or other neurological symptoms
  • Have a headache after a head injury
  • Have a chronic headache that is worse after coughing, exertion, straining, or a sudden movement
  • Have new headache pain if you're over 50

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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8 mo ago


People Also Ask


What are the common causes of tension-type headaches?

Tension-type headaches are often caused by stress, anxiety, poor posture, or muscle strain. They can also be triggered by lack of sleep, dehydration, or skipping meals.


How can temporomandibular joint (TMJ) disorder be managed at home?

TMJ disorder can be managed at home by using over-the-counter pain relievers, applying warm compresses to the jaw area, practicing jaw relaxation exercises, and avoiding hard or chewy foods. Stress management techniques and avoiding teeth grinding can also help.


What lifestyle changes can help prevent chronic migraines?

To help prevent chronic migraines, maintain a regular sleep schedule, stay hydrated, eat balanced meals, manage stress through relaxation techniques, and avoid known migraine triggers such as certain foods, alcohol, and caffeine.


What should I do if my headache is accompanied by other severe symptoms?

If your headache is sudden and severe, or accompanied by symptoms like confusion, fainting, high fever, or neurological symptoms, seek immediate medical care. These could be signs of a more serious condition that requires prompt attention.


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