Migraine or Headache? How to Tell the Difference and What to Do About It

Overview

Is it just a headache… or is it a migraine? If you’ve ever asked yourself that question, you’re not alone. Many people struggle to tell the difference — and it matters, because the treatment you need depends on the type of pain you’re actually dealing with.

Let’s break down the most common types of headaches, the key migraine symptoms, and how to know when it’s time to see a doctor.

What Does a Migraine Feel Like?

One of the biggest clues that you’re having a migraine — not just a headache — is how intense and multisensory the pain is.

• Pain on one side of your head
• Pulsating or throbbing sensation
• Nausea or vomiting
• Sensitivity to light, sound, or smells
• Visual disturbances like flashing lights or blurry vision (auras)

Common migraine triggers include skipped meals, dehydration, hormone changes, stress, lack of sleep, or even foods like chocolate, red wine, or aged cheese.

Tension Headaches: The Stress-Related Culprit

Tension headaches are more common than migraines and feel different. The pain is usually:

• Mild to moderate in intensity
• On both sides of your head
• Like a tight band wrapping around your forehead or temples

They're usually triggered by stress, posture issues, or muscle tension. Try stretching, staying hydrated, and limiting screen time. If they keep coming back, you may need a professional assessment.

Could It Be a Sinus Headache?

Sinus headaches and migraines can feel similar — especially with pressure around the eyes, cheeks, or nose.

• If your mucus is thick and yellow or green, it’s likely a sinus infection.
• If it’s clear and watery, it might actually be a migraine mimicking sinus pain.

If symptoms don’t improve after treating congestion or allergies, it might be time to look into migraine care.

What About Cluster Headaches?

Cluster headaches are rare but extremely intense. They come on suddenly and feel like stabbing pain behind or around one eye.

• Can cause teary eyes, facial sweating, or a runny nose on one side
• Often happen daily for weeks, then disappear for months

These headaches need medical attention. Treatments like oxygen therapy or prescription meds can bring relief.

When Should You See a Doctor?

• You get the worst headache of your life, suddenly
• You lose vision, balance, or consciousness
• You vomit without relief
• The headache lasts more than 72 hours
• Your headaches are affecting work, sleep, or daily life

Keep a journal of your symptoms, triggers, and patterns. It helps your provider uncover the root cause faster and build a treatment plan that fits you.

The Bottom Line: Don’t Guess, Get Answers

From mild tension headaches to intense migraines, understanding the difference is key. If you’re tired of pushing through or relying on temporary fixes, it’s time to try something new.

Your pain is real — and it’s trying to tell you something. We’re here to help you listen, heal, and take control.

Start with our $47 Total Function Blueprint at Absolute Integrative Physical Medicine — your personalized roadmap to relief.

Call us today at (707) 452-3330 or book online.

Watch: Migraine vs Headache Explained