Cephalalgia is a common pain syndrome, which not only brings painful and exhausting feeling, but partially restricts the person in familiar activities.
Headache in the forehead manifests itself with varying intensity, has a heterogeneous character (throbbing, clenching, squeezing, prosverlivayut, sudden, repetitive), valid for a short time or a long time.
Pain in frontal part of the head provoke a variety of factors, sometimes associated with processes occurring in the cranial box. To overcome headache (GB) forehead should conduct a comprehensive diagnostic measures to identify the root cause of the formation of cephalgia.
- Group 1. Pain in the forehead, manifested as a result of traumatic brain injury (in particular: contact damage soft tissues of the head);
- Group 2. Pain in the forehead, resulting from chronic vascular injury or acute intracranial hemorrhage;
- Group 3. Pain in the forehead, accompanying infectious diseases, inflammatory processes, toxic poisoning, neoplastic formations;
- Group 4. Pain in the forehead, adjacent to the psycho-emotional disorders, wearing psychogenic in nature;
- Group 5. Pain in the forehead, chronic, corresponding to clinical features of migraine;
- Group 6. Pain in the forehead, resulting from prolonged overloads of the organism;
- Group 7. Pain in the forehead, emerged against the background of other reasons.
Treatment of headaches in the forehead are elected individually taking into account precipitating factors. Let us consider in more detail the organize the reasons and indicate possible treatment options.
Group 1 – traumatic brain injury
Factor 1: pain in the frontal part of the head cause mechanical effects on the brain and the bones of the skull: “landing” on the head, blows with heavy objects, injuries in a sudden braking of the vehicle, injuries from fights, damage from the blast. Impact on the soft tissues of the forehead in mild lead to the formation of a hematoma (bruise) and accompanied by a slight uncomfortable feeling.
Therapy: First aid for bruising on the forehead put a cold compress. The ice will have a narrowing effect on blood vessels, prevents swelling will reduce discomfort. Apply indovasin gel (Indovasin) with pronounced analgesic activity.
Factor 2: With a strong impact, a fracture may occur (violation of integrity) of the frontal bone. This severe injury is often associated with a concussion (concussion) of the brain or contusion (a bruise). Thus there is an intense sharp headache in the forehead, you may experience nausea and copious vomiting, dizziness, light-headedness (sometimes with fainting). When the fracture is localized in the area of the nose and the eye sockets, the pain syndrome accompanied by sensory defects: split objects, inability to focus the mind. In some cases that is fixed by bleeding from the ears and nasal passages, the appearance of swellings on his forehead and the bridge of the nose due to the accumulation of air under the skin.
Therapy: the Patient in the urgent and mandatory need to deliver in a medical institution for timely diagnostic interventions. The results of computed tomography (CT), radiography, electroencephalography (EEG) is determined by the severity of the injury and is elected by the therapy program.
Group 2 – chronic disease
Factor: the Culprit cephalgia is a vertebral artery syndrome. Headache in the forehead in that sharp, throbbing or intense, spreads down to the neck area. Pain in the forehead aggravated with movements of the head, after a long stay in the supine position.
Dyscirculatory encephalopathy (narrowing of the blood vessels of the brain) is a frequent cause of headache in forehead. This condition develops on the background of arterial hypertension (persistent high blood pressure) or atherosclerosis (the formation on the walls of cerebral arteries focal deposits). Headache in the forehead is of a permanent nature, manifested with different intensity, increases with fatigue.
Among the possible instigators of headache in forehead of vascular origin:
- Giant cell (temporal) arteritis, manifested sweltering stupid GB in the forehead and temporal zones.
- Global cerebral ischemia occurs with frequent GB attacks, feeling of heaviness in the head, dizziness.
- Soldier’s heart dystonia is accompanied by GB of compressive, compressive nature.
- Transient ischemic attack in which there is intense headache, there is a temporary loss of vision, impaired speech, numbness or tingling in the body.
Therapy: After the diagnosis is assigned to pharmacological treatment with drugs of different groups. Persons, which hurts the frontal part of the head attributed to medications, improving nutrition of the brain, such as: Cavinton (Cavinton). Used nootropics, such as piracetam (Pyracetamum). Resort to vitamin therapy.
Group 3 – virus attack, infectious diseases, neoplasms
Factor 1: Strong headache in frontal part of the head is manifested in viral attacks and infectious diseases. For example, the flu or SARS, together with classical phenomena: hyperthermia – increased body temperature, chills, weakness, a person often complains of pain in the frontal lobes.
If strong, bursting headache in the forehead occurs with a high body temperature, nausea or vomiting, this condition may indicate the development of an extremely dangerous disease – meningitis. Constant pressive cephalalgia, concentrated in the forehead, with a slight hyperthermia combined with persistent sleep disorders can be a testimony of encephalitis.
Symptoms of acute frontal sinusitis are a sharp pain in the forehead, which are aggravated by pressure on the anterior wall of the frontal sinus and in the area of the orbit in combination with photophobia, lacrimation, difficulty in nasal breathing. One of the main signs is very strong monotonous or pulsating, deep, systemic pain in the forehead and nose.
Often pain in the forehead, evidence of trigeminal neuralgia. In this disease the pain is incredibly painful, they are burning, stabbing, cutting in nature. Pain in frontal part of the head many patients spontaneous, however, the attack can be triggered by the cooling of the upper part of the face, for example: when washing with cold water.
Therapy: After a detailed diagnosis of the basic program of treatment aims at the elimination of foci of inflammation, overcoming the effects of viruses.
Factor 2: it is Worth noting that often, headache in the forehead, appears after the intoxication of alcoholic beverages or due to the inhalation of volatile toxic substances (compounds of mercury, arsenic, vapors of acetone, benzene, etc.).
Treatment: Use of antidotes to counteract poisons relevant.
Factor 3: In some cases, headache in the forehead indicates the formation of tumors in the brain.
Therapy: Treatment is elected by the oncologist on an individual basis.
Group 4 – emotional pathology
Factor: In some cases, a variety of psycho-emotional pathology (depression, neurosis, neurasthenia, anxiety disorders) or post-stress condition manifest by cephalalgia, with no clear localization. Psychogenic pain in the forehead, blunt, compressive, compressing (“head as in a vise”), or, conversely, bursting (“head split”).
Therapy: Despite the fact that this kind cephalgia is harmless and often does not bring much misery to a man, to completely overcome it is a long and complex process. Use a variety of medications depending on the underlying disease, including: antidepressants, seddiki, tranquilizers, vitamins, nootropics, neuroleptics.
Group 5 – migraine
Factor: Migraine (hemicrania) is a chronic disease in which the symptoms of pain has a pulsating character, localized unilaterally in the temporal-fronto-orbital area. At the beginning of the attack the pain in the forehead has a slight character, with the development of the crisis, its intensity increases.
Therapy: On the basis of the established criteria for the diagnosis of the treating doctor selects individual treatment regimen, including analgesics, nonsteroidal anti-inflammatory drugs, serotonergic drugs group triptanov, glucocorticosteroid hormones, beta-blockers.
Group 6 – long-term overload of the body
Factor: Pain in the forehead (GB voltage) occurs as a result of emotional stress, under the action of stress factors or manifested from the physical tension in the muscles of the head and neck due to improper posture. Cephalalgia this species is more common in persons who neglect physical activity, lead a “sedentary” lifestyle. Among the main reasons that provoke strong pain in the eyes radiating to the frontal region, doctors have identified a long stay in the vicinity of the monitors gadgets. People complaining of squeezing, clenching, tightening sensation in occipital, frontal lobes, parietal area.
Therapy: This type of cephalgia can be eliminated by changing the lifestyle to a more active, adhering to the strict regulations of the regime of work and rest. Pharmacological treatment involves a combined program including: NSAIDs, for example: Nurofen (Nurofen), antidepressants, such as amitriptyline (Amitriptylinum), tranquilizers benzodiazepinovogo series, for example: diazepam (Diazepamum).
In cases if the pain initially was caused by the factors described in the above-mentioned groups, a person must as soon as possible contact your doctor.
Only a medical specialist can evaluate the clinical picture of the disease and to determine why a headache in the forehead, to recommend necessary research to choose appropriate ways of overcoming the problem.