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Types of Headaches and Migraines: Understanding the Difference

March 2, 2026, 3:58 PM

Headaches are one of the most common health complaints, affecting people of all ages and lifestyles. While many headaches are temporary and mild, others can become persistent and disruptive. Counselman & Wade Chiropractic in Topeka, KS, provides evaluation and supportive care for individuals experiencing recurring headaches and migraines. Understanding the different types of headaches can help guide appropriate treatment and long-term relief.

Tension Headaches

Tension headaches are the most frequently reported type. They are often described as a dull, aching sensation or a feeling of tightness around the forehead or the back of the head and neck. Stress, muscle tension, poor posture, and prolonged screen time are common contributing factors.
These headaches may develop gradually and can last for several hours or even days. Muscle tightness in the neck and shoulders often plays a central role. Addressing spinal alignment and muscular imbalance may help reduce both frequency and severity.

Migraines

Migraines are more complex and typically more intense than tension headaches. They are often characterized by throbbing or pulsating pain, usually on one side of the head. Sensitivity to light and sound, nausea, and visual disturbances known as aura may accompany the pain.
Migraine episodes can last from several hours to several days and may significantly interfere with daily activities. While the exact cause is not fully understood, neurological and vascular changes are believed to contribute. Identifying triggers such as certain foods, hormonal fluctuations, or sleep disruptions can help reduce recurrence.

Cervicogenic Headaches

Cervicogenic headaches originate from issues in the cervical spine, or neck region. Dysfunction in the joints, discs, or soft tissues of the neck can refer pain to the head. Individuals may experience pain that begins in the neck and radiates toward the forehead or behind the eyes.
Limited range of motion and neck stiffness often accompany this type of headache. Because the source lies within the spine, addressing joint restrictions and muscular tension can provide meaningful relief.

Cluster Headaches and Other Variants

Cluster headaches are less common but intensely painful. They tend to occur in cyclical patterns, often at the same time each day for weeks. Pain is typically concentrated around one eye and may be accompanied by tearing or nasal congestion on the affected side.
Other headache types may be related to sinus pressure, dehydration, or underlying medical conditions. Accurate diagnosis is essential to determine the most effective course of care.

Schedule Your Appointment Today

A comprehensive evaluation helps identify the underlying cause of headache symptoms. Chiropractic care may focus on improving spinal mobility, reducing muscle tension, and supporting overall nervous system function. By addressing contributing factors, many individuals experience fewer and less severe episodes.
Counselman & Wade Chiropractic in Topeka, KS, at (785) 234-0521, offers personalized assessments and treatment options for headache and migraine sufferers. If recurring head pain is affecting your quality of life, call today to schedule an appointment and explore a path toward lasting relief.
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9:00 am — 6:00 pm
Tuesday
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Counselman & Wade Chiropractic
1408 SW Topeka Blvd
Topeka, KS 66612
We don't see patients between 1-3PM