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Headache Worksheet
It's amazing what one can do for headaches of all types once you have fully
described what you are experiencing and have determined the core cause and the
best treatments for them.
This is the worksheet I have developed over the years that has helped
countless clients in my own practice. I hope you see things on this page that
will help you. If you'd like additional help, feel free to call or email me and
schedule an appointment. (Tell me you specifically want to work on your headache
issue.)
Make an Appointment
with Dr. Moffat
The worksheet is divided into several extensive categories and includes:
What causes your headache to come on?
When does the headache happen?
Where does the pain start and extend to?
Characterization of the pain.
Things or experiences that happen with my headache.
When does the pain seem worse?
When does it feel better?
Types of headaches I usually experience are:
Common causes of headaches.
Foods and chemicals commonly associated with headaches.
Treatments for headaches including natural and allopathic forms.
Supplements that may be useful for your headache treatment.
Herbs that help headaches.
Aromatherapies that help headaches.
Homeopathics that help headaches.
Other alternative therapies for headaches.
"Real" drugs used in the treatment of headaches/pain.
What causes your headache to come on?
Altitude, High |
Hat Pressure |
Riding Against Wind |
Bathing |
Hemorrhage |
Riding in Cars |
Beer |
Hemorrhoids |
Sexual Excitement |
Bright' Disease |
Ice Cream |
Sleeping in Dampness
|
Candy/Sweets |
Ice Water |
Spinal Disease |
Catarrh (mucous) |
Influenza |
Stomach Pain |
Catarrh, suppressed |
Ironing |
Sunlight or Heat |
Coffee |
Lemonade/Wine |
Suppressed Emotions/Eruptions |
Constipation |
Liver Disease |
Suppressed Breathing |
Dancing |
Loss of Sleep |
Syphilis |
Diarrhea |
Lumbago-Back pain |
Tea |
Exhaustion |
Malaria |
Tobacco |
Eye Strain |
Mental Exertion |
Trauma |
Fasting |
Mercury Fumes |
Uremia (Kidney) |
Gastro-Intest. Probs |
Narcotics Abuse |
Uterine Disease |
Haircuts |
Nervous Exhaustion |
Vaccinations |
Hard Liquor |
Over Lifting |
Weather Changes |
When does the headache happen?
| |
When you are anemic? |
| |
When the barometer changes quickly?
|
| |
When you have stomach problems? |
| |
If female, when you have your period? |
| |
If female, do they cycle with your periods? |
| |
When you are nervous? |
| |
Are your headaches associated with weather changes? |
| |
Does the headache come on, peak then gradually go? |
| |
Does the headache come on gradually? |
| |
Does emotional upset bring a headache on? |
| |
Do they happen when you feel congested? |
| |
Do you have a history of having kidney problems? |
| |
Associated with
gouty arthritis? |
| |
Are your headaches chronic? |
| |
Are you in school? |
| |
Are you over the age of 65? |
| |
Would you consider yourself a sedentary person? |
| |
If female, have you had a hysterectomy? |
Where does the pain start and extend to?
| |
Along the sutures of the head |
| |
Back and neck |
| |
Back of head (base of head or occiput) |
| |
Behind the eyes
Left Right
or Both? |
| |
Ear to ear in line with the temples |
| |
Front extending to eyes, root of nose, or face |
| |
Frontal |
| |
Frontal extending to back of head, neck or spine |
| |
On one side only Left
Right (Circle which one) |
| |
On the crown of the head |
| |
On the temples |
| |
Other: |
Characterization of the pain:
| |
Dull, aching |
|
Every 8th day |
| |
Boring, digging |
|
Every week or two |
| |
Bruised, battered, sore |
|
Every two to three weeks |
| |
Burning, hot |
|
Every 6 weeks |
| |
Bursting, splitting |
|
Last days with pain flux |
| |
Constrictive, band-like |
|
Piercing as from a nail |
| |
Distensive, full |
|
Pressing |
| |
Drawing |
|
Pressing like a vice |
| |
Electric like stabbing |
|
Pressing in small spots |
| |
Excruciating, violent |
|
Shifting |
| |
Heaviness |
|
Shooting |
| |
Periodic and intermittent: |
|
Stinging |
| |
Alternating days |
|
Stitching or sticking |
| |
Every third day |
|
Stupefying |
| |
Every 7th day |
|
Throbbing, pulsating, hammering or pulsating |
Things or experiences that happen with my headaches
include:
| |
Abdominal Pain |
|
Hunger |
| |
Alternating Back Pain |
|
Sharp Low Rib Pain Rt. Side
|
| |
Anguish |
|
Irritability |
| |
Anxiety |
|
Liver Problems |
| |
Arteries Throb |
|
Talking Excessively |
| |
Back of Head is Sore |
|
Muscles Sore |
| |
Bad Breath |
|
Nausea |
| |
Blindness |
|
Nose is Dry |
| |
Bowel Problems |
|
Nosebleeds |
| |
Can't Hear |
|
Not Thinking Straight |
| |
Cold Hands/Feet |
|
Numbness |
| |
Coldness in Back of Head |
|
Overly Sensitive |
| |
Colic |
|
Pain in Low Back |
| |
Constipation |
|
Pain in the Limbs |
| |
Cough |
|
Profuse Sweating |
| |
Delirium |
|
Respiratory Problems |
| |
Depression |
|
Restlessness |
| |
Diarrhea |
|
Roaring in the Ears |
| |
Dizziness or Vertigo |
|
Salivating Excessively |
| |
Ears Burn |
|
Scalp Feels Bruised |
| |
Emotional Excitement |
|
Scotoma (DarkVisionAreas) |
| |
Empty Feeling in Stomach |
|
Sexual Excitement |
| |
Exhaustion |
|
Sleeplessness |
| |
Eyelids Feel Heavy |
|
Symptoms vary or not there |
| |
Eyes Feel Big |
|
Sore, Painful Eyes |
| |
Eyes Feel Heavy |
|
Spine Burns |
| |
Eyes Feel Injected |
|
Stitching Pain in Ears |
| |
Face Feels Flushed/Hot |
|
Stomach Pain |
| |
Face is Pale |
|
Tearing of Eyes |
| |
Faintness |
|
Temporal Veins Engorged |
| |
Fever |
|
Thirst Increases |
| |
Flatulence |
|
Tingling Lips, Tongue, Nose |
| |
Gouty nodules on Scalp |
|
Tongue is Coated |
| |
Hair Falls Out |
|
Toothaches |
| |
Head is Retracted |
|
Urinate w/ Increased Freq. |
| |
Head Nods |
|
Vision Returns Afterward |
| |
Heart Beats Harder |
|
Visual Disturbances |
| |
Heart Palpitations (define) |
|
Vomiting |
| |
Hemorrhoids |
|
Yawning |
When does the pain seem worse?
| |
Certain times of day: |
|
When Riding in Cars |
| |
After Sleep |
|
When Rising Up in Bed |
| |
With Certain Drugs |
|
When Sitting |
| |
At Night |
|
When Stooping Over |
| |
At Noon |
|
When Talking |
| |
During Menses |
|
When Waking + Opening Eyes |
| |
In the Morning |
|
When Walking |
| |
In the Open Air |
|
Working in the Dark |
| |
In the Winter Months |
|
With Stimulant Abuse |
| |
Walking to a Higher Place |
|
With Bright Objects |
| |
When Angry |
|
With Certain
Odors |
| |
When Bending Head Back |
|
With Drafty Cold Air |
| |
When Closing Teeth |
|
With Light |
| |
When Concentrating Hard |
|
With Mental Exertion |
| |
When Coughing |
|
With Jarring Motions |
| |
When Drinking Coffee |
|
With Motion |
| |
When Drinking Milk |
|
With Muscular Strain |
| |
When Drinking Wine |
|
With Narcotics |
| |
When Eating |
|
With Noise |
| |
When Hearing Clocks |
|
With Nosebleeds |
| |
When in Warm Areas |
|
With Over Heating |
| |
During a Bowel Movement |
|
With Physical Exertion |
| |
When Lying Down |
|
With Pressure |
| |
Lying on Pained Side
|
|
With Sunshine |
| |
Lying on Right Side |
|
With the Sight of Water |
| |
Lying on Back of Head |
|
With Touch |
| |
Lying on Left Side |
|
With Weather Changes |
| |
When Moving Eyes |
|
|
When does it feel better?
| |
After Rising |
|
When Stooping |
| |
During Menses |
|
When Talking |
| |
During Mental Exertion |
|
With Colder Environments |
| |
In the Open Air |
|
When Thinking of Pain |
| |
Partially Closing My Eyes |
|
Turning Head Forward |
| |
Upon Raising the Head |
|
Uncovering the Head |
| |
Bending my Head Back |
|
When Urinating |
| |
Bending my Head Forward |
|
Bandaging/Wrapping Head |
| |
When Closing my Eyes |
|
With Nose Bleeds |
| |
When Eating |
|
With Gentle Motion |
| |
With a Bowel Movement |
|
With Hard Continued Motion |
| |
With Hands on/near Head |
|
With Pressure |
| |
When in a Dark Room |
|
With Quiet Rest |
| |
When Lying Down |
|
With Rubbing |
| |
When Lying on Painful Side |
|
With Semi-Erect Posture |
| |
Above + Head Elevated |
|
With
Sleep |
| |
Above + Head Lowered |
|
With Coffee/Stimulants |
| |
When Perspiring |
|
With Tea |
| |
When Smoking |
|
With Warmth in General |
Types of headaches I usually experience are:
| |
Cluster (Vascular) |
| |
Migraines |
| |
Pinpoint |
| |
Sinus |
| |
Stress and Tension |
Common causes of headaches.
| |
Aneurysm |
|
Intense Anger |
| |
Anxiety |
|
Liver Disease |
| |
Barometric Changes |
|
Menstruation |
| |
Birth Control Pills |
|
Muscle Tension |
| |
Bladder Problems |
|
Not Validating the Self |
| |
Brain Tumors |
|
Not Going w/ Flow of Life |
| |
Control Issues |
|
Not on God Path |
| |
Dehydration |
|
Over Work |
| |
Emotional Let Down |
|
Ovulation |
| |
Emotional Changes |
|
Perfectionist Attitude |
| |
Exhaustion |
|
Poor Posture |
| |
Exposure to Sunshine |
|
Pounding Heart |
| |
Exposure to Fumes/Chem. |
|
Sinus Problems |
| |
Fear |
|
Spinal Tap Anes. Injury |
| |
Glare or Eye Strain |
|
Stress |
| |
Head Trauma |
|
Feeling Something's Wrong |
| |
High Blood Pressure |
|
Too Little/Too Much Sleep |
| |
Hormonal Changes |
|
TMJ Disease/Bruxism |
| |
Hurt Feelings Unexpressed |
|
Weather Changes |
| |
Inability to Face an Issue |
|
Whiplash |
| |
Injury to the Tail Bone |
|
Food Associated See Below: |
Click here to inquire about an appointment.
Foods and chemicals commonly associated with headaches.
| |
Alcohol (Esp. Beer/Wine) |
|
Low Serotonin Levels |
| |
Apples |
|
Melon |
| |
Aspartame/NutraSweet |
|
Mono Sodium Glutamate |
| |
Bananas |
|
Nitrites/Sulfites |
| |
Beef |
|
Nitroglycerin |
| |
Benzoic Acid |
|
Nuts |
| |
Cane Sugar |
|
Oats |
| |
Carrots |
|
Onions |
| |
Cheese (Yellow or Smelly) |
|
Oranges |
| |
Chicken |
|
Peaches |
| |
Chocolate |
|
Peanuts |
| |
Coffee |
|
Pork |
| |
Corn |
|
Potatoes |
| |
Cow's Milk |
|
Rice |
| |
Eggs |
|
Rye |
| |
Fish |
|
Soy, Soy Sauce, Miso |
| |
Goat's Milk |
|
Strawberries |
| |
Grapes |
|
Tartrazine |
| |
Histamine Containing Foods |
|
Tea |
| |
Histamine Releasing Foods: |
|
Tomatoes |
| |
Chocolate |
|
Walnuts |
| |
Beer |
|
Wheat |
| |
Cheese |
|
Withdrawal from Coffee |
| |
Wine |
|
Yeast |
Note: Detection of
food allergies depends on whether your body
is allergic, intolerant and what time it was eaten. Some symptoms can show up
within minutes, other symptoms within 36 hours. Muscle-testing will pick up
those foods that are a problem for you lately, but not always from way back in the
past. I can muscle-test out an approximate time period when the headache will
come on after you eat a specific food.
If you know what foods are causing your headaches, you can rotate your diet
appropriately and be your own Sherlock Holmes in knowing what you ate that
triggers pain. After you get used to this identification process, you will know
what you can get away with and what you can't. That helps a lot, say my clients.
Treatments for headaches including natural and allopathic forms are listed
below under supplements, herbs, aroma therapies, homeopathics, alternative therapies and "real drugs":
Supplements that may be useful for your headache treatment.
| |
5-HTP |
|
Magnesium: |
| |
Brewer's Yeast |
|
Magnesium Aspartate |
| |
Bromelain |
|
Magnesium Citrate |
| |
Calcium: |
|
Magnesium Glycinate |
| |
Calcium w/ Boron |
|
Mag. Malate (MalicAcid) |
| |
Calcium Citrate |
|
Magnesium Oxide |
| |
Calcium Carbonate |
|
Primrose Oil |
| |
Calcium Hydroxyapatite |
|
Quercetin |
| |
Cal-Ma Plus |
|
Rutin |
| |
Cal Mag Zinc |
|
Vitamin B Complex |
| |
Microcrystalline Form |
|
Vitamin B3 |
| |
Charcoal |
|
Vitamin B5 (Pantoth. Acid) |
| |
DLPA |
|
Vitamin B6 (Pyridoxine) |
| |
GABA |
|
Vitamin B-12
|
| |
Ionic Minerals |
|
Vit. B15 (Pangamic Acid) |
| |
L-Glutamine |
|
Vitamin E |
| |
L-Tyrosine |
|
Other: |
| |
Melatonin |
|
Other: |
| |
Potassium |
|
Other: |
Herbs that help headaches:
| |
Burdock Root |
|
Kava Kava |
| |
Ephedra |
|
Lavender |
| |
Fenugreek |
|
Lobelia (short term only) |
| |
Fever Few (if pregnant, No) |
|
Marshmallow |
| |
Germanium |
|
Mint |
| |
Ginger |
|
Parsley |
| |
Ginkgo biloba |
|
Skullcap |
| |
Goldenseal |
|
Thyme |
| |
Green Tea |
|
Valerian |
| |
Horsetail |
|
Wild Lettuce |
Aromatherapies Used in Headache Treatment:
| |
Basil |
|
Neroli |
| |
Benzoin |
|
Oregano |
| |
Clove |
|
Peppermint |
| |
Coriander |
|
Pine |
| |
Eucalyptus |
|
Roman Chamomile |
| |
Geranium |
|
Rose, Absolute |
| |
Juniper Berry |
|
Rosemary |
| |
Lavender Flower |
|
Tea Tree |
| |
Marjoram |
|
Thyme |
I carry
Starwest Botanical Essential Oils and have the
full line. Prices vary. Feel free to Email me if you can't find these oils locally and you'd
like to try them.
drmoffat@NaturalHealthTechniques.com
Homeopathics Used in Headache Treatments:
| |
Aconitum Nap. |
|
Ignatia |
| |
Belladonna |
|
Nux Vomica |
| |
Bryonia Alba |
|
Ruta Graveolens |
| |
Calcarea Phosphorica |
|
Veratrum Album |
| |
Ferrum Phosphoricum |
|
Natrum Mur. (Cell Salt) |
| |
Gelsemium |
|
Other: |
Alternative therapies for headaches
| |
Acupressure |
|
Isometric Presses |
| |
Acupuncture |
|
Juice Fast, Short (4 days) |
| |
Aromatherapy |
|
Magnets
(necklace #1497) |
| |
Avoid Certain Foods |
|
Massage |
| |
Biofeedback |
|
Masturbation (Early Onset) |
| |
Chiropractic |
|
Meditation/Breathing |
| |
Color Cleansing |
|
Ophthalmologist (Eye Exam) |
| |
Counseling |
|
Osteopathy |
| |
Cranio Sacral Work |
|
Real Drugs |
| |
Dehydration/Drink Water |
|
Reflexology |
| |
Determining Triggers |
|
Reiki |
| |
Dietary Changes |
|
Relaxation Techniques |
| |
Emotional Clearing |
|
Shiatsu |
| |
Exercise and Fresh Air |
|
Spiritual Guidance |
| |
Glandulars |
|
Spiritual Lessons Learned |
| |
Herbs |
|
Supplements |
| |
High Fiber Diets |
|
Support Groups |
| |
Homeopathics |
|
Vitamins |
| |
Hormone Therapy |
|
Yoga |
| |
Hydrotherapy |
|
Other: |
Click here to inquire about an appointment.

"Real" drugs used for headaches/pain.
| |
Acetominophen (Tylenol) |
|
Hydromorphone (Dilaudid) |
| |
Actron (Orudis) |
|
Ibuprophin (Motrin) |
| |
Advil |
|
Imitrex (Sumatriptan) |
| |
Amerge |
|
Imixpramine |
| |
Amitryptyline |
|
Inderal (Propranolol) |
| |
Anacin |
|
Indocin (Indomethacin) |
| |
Anaprox (AKA's) |
|
Kadian (M Contin) |
| |
Aleve |
|
Ketoprofen (Orudis) |
| |
Naprelan |
|
Ketorolac (Toraxdol) |
| |
Naproxen Sodium |
|
Lodine |
| |
Anolor (Fioricet or Esgic) |
|
Maxalt (Rizatriptan) |
| |
Ansaid |
|
Meperidine (Demerol) |
| |
Aspirin (AKA's) |
|
Methysergide |
| |
Ascriptin (Buff/Enteric) |
|
Midrin |
| |
Bayer |
|
Morphone (MS Contin) |
| |
Ecotrin(Enteric coated) |
|
Motrin |
| |
Empirin(Buffered) |
|
Naprosyn (Naproxen) |
| |
Butalbital |
|
Naratriptan |
| |
Cafergot |
|
Orudis or Orudis KT |
| |
Caffeine |
|
Pamprin |
| |
Calcium Channel Blockers |
|
Pentazocine/Asprn(Talwin) |
| |
Diltiazem |
|
Percocet |
| |
Nifedipine |
|
Phenaphen + Codeine |
| |
Varapamil |
|
Piroxicam (Feldane) |
| |
Cataflam (Voltaren) |
|
Propoxyphene (Darvocet N) |
| |
Choline Mag. Trisalicylate |
|
Propranolol |
| |
Ciclofenac (Voltaren) |
|
Roxicet (Percocet) |
| |
Clinoril |
|
Sertaline |
| |
Clonidine |
|
Sulindac (Clinoril) |
| |
Codeine |
|
Synalogos-DC |
| |
Cyproheptadine |
|
Tolectin (Tolmetin) |
| |
Darvocet-N |
|
Toradol |
| |
Darvon |
|
Tramadol HCl (Ultram) |
| |
Decongestants |
|
Trylox (Percocet) |
| |
Demeral |
|
Tylenol |
| |
Diflunisal (Dolobid) |
|
Tylenol + Codeine |
| |
Dihydrocodeine Bitartrate |
|
Panadol (Tylenol) |
| |
Dihydroergotamine mesylate (Migranal) |
|
Ultram |
| |
Dilaudid |
|
Vicodin (AKA's) |
| |
Dolbid |
|
Anexsia (Vicodin) |
| |
Ergonovine maleate |
|
Co-Gesic (Vicodin) |
| |
Ergotamine |
|
Hydrocet (Vicodin) |
| |
Etodolac (Lodine) |
|
Hydrocodone + Acetmnph |
| |
Excederin |
|
Lorcet (Vicodin) |
| |
Feldane |
|
Lortab (Vicodin) |
| |
Fiorinal |
|
Zydone (Vicodin) |
| |
Fiorinal + Codeine |
|
Vicoprofen |
| |
Fluoxetine |
|
Zomig (Zomitriptan) |
| |
Flurbiprofen (Ansaid) |
|
Other: |
| |
Hydrocodone + Iboprofen |
|
Other: |
Holy Smokes! I hope that's all of them. It appears to me I have not been up
to speed for a couple of years on all the pain killers on the market!
Hope this worksheet helps in giving you some clues for YOUR headache
challenges.
Dr. Moffat's Bio
FAQ's About My Practice
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Phone
Consultation Appt. Requests/Costs
What I
Do & Costs
Which Supplements
are
Best for Me?
Ionic Minerals
Supplements I Personally
Take
Drug Interaction Checker
Disclaimer
© 2005-2010 by Dr. Denice M. Moffat
For educational use only.
Permission to make copies by you for you and your friends is granted. If
you find this site to be of value, a donation of any kind or amount (including
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Enjoy.
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