Types

Understanding Headache Pain

Choose a preferred language

Headache pain can start in different structures in the head. The brain itself doesn't hurt, but other parts of the head do. Headaches can happen without seeming to be linked to any illness. These are known as primary headaches. Examples of primary headaches include migraine, cluster, and tension headaches.

Some causes of headache are:

  • Blood vessels that become enlarged (dilated) or constricted

  • Muscles in the neck and head that become tight or tense

  • Muscles around the eyes that become strained because of overwork or poor vision correction

  • Sinuses that become swollen because of allergies, colds, or infections

  • Teeth that are decayed or damaged

  • Nerves that transmit abnormal pain signals

  • Joints in the jaw and neck that are overused or become damaged

View of side of head slightly from top showing headache causes.


What is referred pain?

Referred pain has its source in one place, but is felt in another. For instance, pain behind the eyes may actually be caused by tense muscles in the neck and shoulders. This means that the place that hurts may not be the part of the head that needs treatment.


When to contact your healthcare provider

Seek care now or call 911 if:

  • You have the worst headache you have ever had or a severe headache that starts suddenly.

  • You have a headache with:

    • Trouble talking or seeing

    • Extreme drowsiness, confusion, or fainting

    • Balance, numbness, or weakness

  • You have had a head injury

Online Medical Reviewer: Heather M Trevino BSN RNC

Online Medical Reviewer: Marianne Fraser MSN RN

Online Medical Reviewer: Vinita Wadhawan Researcher

Date Last Reviewed: 07/01/2024

© 2000-2026 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
user headset icon

Need Help? We're Here for You

Our Member Services team is here to help you understand your benefits, find care, or resolve concerns.

1-800-510-9132
quit smoking icon

Call NC Quitline

Need support to quit smoking, vaping, or to quit other nicotine products? You can receive support including medicines free of charge:

1-800-784-8669
car and bus icon

Schedule Transportation

Need transportation to a doctor's office, pharmacy, or other covered healthcare service? Contact us to arrange your ride.

1-800-510-9132
Stethoscope icon

Provider Directory

Need to find a provider like a Primary Care Physician, Specialist, OB/GYN, or a Psychiatrist? 

Provider Directory
Related Articles
Read article
Brain Health
Seizure: New Onset with Unknown Cause (Adult)

You've had a seizure. A seizure happens when a burst of electrical activity occurs in the brain. Here's what to know about caring for yourself at home.

Read article
Brain Health
Concussion

It's important to know what to do if you get a concussion. This sheet can help.

Read article
Brain Health
Migraine Headache

A migraine is a type of headache that's often severe. Learn about migraines, including symptoms, triggers, and how to care for yourself at home.

Read article
Brain Health
Encephalitis

Encephalitis is a viral infection of the brain. It may cause headache, stiff neck, irritability, fever, drowsiness, nausea and vomiting.