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The term migraine refers to periodic, throbbing headaches on one side of the head, which usually begins in childhood or adolescence, and occur with diminishing frequency during advancing years. Sometimes, along with the headache, nausea and vomiting may actually disable the affected individual for several hours each time the migraine occurs. Some variations are seen. Many
are forced to lie down and to shun light and noise for what they call a “sick headache.” Other milder forms do not require withdrawal from accustomed activities. Between attacks the migraine sufferer is essentially normal. In fact, the headache seems to be brought on during the “let down” period after many days of hard work or stress. Spasm in the blood vessels has been implicated and many powerful hormones are often released that perpetuate discomfort for several hours.

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The term headache encompasses all aches and pains associated in the head. Along with fatigue, hunger, and thirst, headache represents man’s most frequent discomfort. It must always be kept in mind that headache is a symptom, not a disease, and its cause should always be ascertained. Some types of headaches are quite easy to diagnose. Infection or blockage of sinuses is usually accompanied by pain over the sinus area and in the forehead. It is often associated with tenderness of the skin in the same area. Sometimes the head seems to throb. Often headaches tend to return at the same hour of the day.

Headache originating in the eye is usually located near the eye or in the forehead. It is of steady, aching type and tends to follow prolonged use of the eyes in close work. Muscle imbalance is often involved. A careful examination of the eyes by your doctor is recommended.

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The emotional state can influence greatly the perception of pain and its effect upon the body in general. Ambrose Pare, a French Huguenot barber and surgeon, remarked, “There is nothing that abateth so much the strength, as pain.” Continuous pain can be observed to have an adverse effect on the entire nervous system. There is increased irritability, fatigue, troubled sleep, poor appetite, and loss of emotional stability.

Courageous men are sometimes reduced to a whimpering, pitiable state in their reaction to severe pain. They become irrational about illness and may make unreasonable demands on their family. This condition is sometimes called “pain shock,” and, when established, requires delicate, but firm management. Depression is common, especially in chronic pain syndromes. At times unfortunately, the demands for and dependency on narcotic drugs often complicate the picture.

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This type of pain usually refers to the shooting extension of pain from the neck or low back. A disc that is pinching part of a root of the sciatic nerve usually sends a shock-like sensation down the nerve along the side or the back
of the leg. This may coexist with numbness in the involved extremity, and, at times, weakness or lack of reflexes can also be seen. Similar types of radicular pain are present in the upper extremities from disease in the spine at the neck.

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Deep pains within the body organs tend always to be referred to the surface structures within the similar and corresponding spinal segment. In the case of pain from the heart muscle, these nerve impulses refer such pain
primarily to the chest wall overlying the heart. Sometimes this extends up to the shoulder and the neck, most commonly on the left side. Pain from the rectum, prostate or female organs is usually referred into the low back. Sometime the back of the neck is involved in the referral from pain in the sinus region. Since a similar nerve innervates the shoulder and the diaphragm,
irritation under the diaphragm as in a liver or gallbladder condition, or upper abdominal abscesses can be felt near the shoulder blade.

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