Severe headaches can be acute or chronic, and can be caused by tension, vascular conditions, infection and trauma. In addition, other causes include sinusitis, hypertension, brain aneurysm and brain trauma. Severe headache is largely subjective, however, patients might report the pain as being intrusive to their daily routines or even painfully debilitating. Although disruptive, severe headaches are rarely caused by serious medication conditions and usually respond well to conventional treatment.
Step 1
See your doctor. You will need a comprehensive physical examination to determine the cause of your severe headaches. Your treatment plan will depend upon the post-examination diagnosis. In addition, if your examination with your general physician yields negative results, you might be referred to a medical specialist, such as a neurologist.
Step 2
Start with non-steroidal anti-inflammatory drugs, or NSAIDS. MedlinePlus, a service provided by the National Institutes of Health explains that severe headaches, such as migraines, might respond to over-the-counter NSAIDS. Talk to your health care provider before beginning treatment with these types of medications to ensure that they are not contraindicated with your existing medications or medical conditions.
Step 3
Ask about prescription medications. The National Headache Foundation states that patients who suffer from cluster headaches may respond to certain prescription medications, such as ergotamine preparations, corticosteroids, anti-epileptic drugs and lithium. Typical characteristics of cluster headaches include one-sided pain, nasal congestion, pain behind the eye, tearing and excessive sweating, says the National Headache Foundation. Discuss these medications with your doctor to evaluate the risks and benefits.
Step 4
Think about alternative therapies. Certain alternative therapies believed to relieve severe headaches include yoga, acupressure and acupuncture, explains the National Headache Foundation. In addition, certain herbs can also be beneficial in combating headaches. Always discuss alternative therapies with your health care provider before proceeding.
Step 5
Try relaxation techniques. Closing your eyes while resting with your head supported might prove beneficial in relieving headache pain, explains MedlinePlus. In addition, relaxation techniques, such as application of heat to the backside of the neck, and massage might be effective in the relief of tension headaches.
Tips and Warnings
- Keep a headache diary to determine the source of your symptoms. After identifying the triggers, modify your habits or environment to stave off future headaches.
- If you experience an explosive or violent headache, seek immediate medical intervention, either by going to the emergency room or calling 911. In addition, having "your worst ever" headache is a medical emergency and can signify a stroke.
Things You'll Need
- Physical examination
- Non-steroidal anti-inflammatory medications
- Prescription pain relievers
- Warm compress
- Yoga classes


