Headache or Eye Strain? Your Symptoms and Next Steps

Q: Headache or Eye Strain? Your Symptoms and Next Steps

Hello： In addition to considering eye-related issues, your symptoms may also suggest cervical myofascial headache or tension-type headache. <br>Tension-type headache is caused by muscle tightness in the head. <br>Common manifestations include a tightening pain in the forehead and

I'm not sure if it's a headache or an eye problem?

Hello Doctor, I would like to ask about my issue.
Two weeks ago, I started experiencing pain above my left eye, possibly due to staying up late or high stress.
Last Friday evening, I visited an ophthalmologist who said my intraocular pressure was normal but that my eyes were a bit dry.
He mentioned it could be due to ciliary muscle fatigue.
After that, I was given eye drops—one for improving ocular muscle symptoms and another for artificial tears.
A few days after using them, I noticed that the pain starts to intensify around noon, but I feel fine when I wake up in the morning.
I only feel a bit of soreness when I massage the area above my eyebrow.
I am unsure of what to do now; I am worried about losing my vision and also concerned it might be a brain issue.
I don't want to undergo brain surgery, as this is the first time I have encountered such a problem.
I seek your advice on whether I should see an ophthalmologist again or schedule an appointment at a larger hospital for further examination.

A-Jiang, 20~29 year old female. Ask Date: 2020/07/28

Dr. Jiang Junyi reply Neurology

Hello: In addition to considering eye-related issues, your symptoms may also suggest cervical myofascial headache or tension-type headache.
Tension-type headache is caused by muscle tightness in the head.
Common manifestations include a tightening pain in the forehead and temples, resembling the sensation of wearing a tight headband.
Since it is caused by muscle fatigue, it typically starts in the afternoon and peaks in the evening or at night.
Taking a hot shower, getting a massage, or sleeping can provide relief.
Lack of sleep, stress, or anxiety can exacerbate the severity of the headache.

In terms of treatment, muscle relaxation exercises such as yoga, maintaining good posture, and avoiding looking down are recommended.
Medication treatment usually involves muscle relaxants, anxiolytics, and mild analgesics.
It is advisable to discuss your condition with a neurologist or a rehabilitation specialist for further evaluation.
Wishing you good health and peace.

Best regards,
Dr.
Jiang, Department of Neurology, Taoyuan Hospital

Reply Date: 2020/07/28

More Info

It sounds like you're experiencing a combination of symptoms that could be related to either eye strain or a headache, and it's understandable to feel concerned about your health. Based on the information you've provided, let's break down your symptoms and discuss potential next steps.

Understanding Your Symptoms
1. Location of Pain: You mentioned that the pain is located above your left eye, near the eyebrow area. This could suggest a few possibilities, including tension headaches, sinus issues, or eye strain.

2. Timing of Pain: The fact that your pain intensifies around midday and is less noticeable in the morning could indicate that it is related to prolonged use of your eyes or stress throughout the day. Eye strain often worsens with extended screen time or focusing on tasks without breaks.

3. Dry Eyes: The eye doctor noted that your eyes are a bit dry, which can contribute to discomfort and pain, especially if you're using screens frequently. Dry eyes can lead to a sensation of heaviness or pain in the eye area.

4. Muscle Fatigue: The mention of ciliary muscle fatigue suggests that your eye muscles may be overworked. This can happen if you are not using proper lighting, if your prescription glasses are outdated, or if you are spending long hours on screens without adequate breaks.

Next Steps
1. Follow-Up with Eye Care: Since your symptoms are persisting, it would be wise to return to your eye doctor for a follow-up. They can reassess your eye health, check for any changes in your vision, and ensure that your prescription is up to date. They may also recommend additional treatments for dry eyes or muscle fatigue.

2. Consider Stress and Lifestyle Factors: Stress can exacerbate headaches and eye strain. It might be beneficial to evaluate your daily habits. Are you getting enough sleep? Are you taking regular breaks from screens? The 20-20-20 rule is a good guideline: every 20 minutes, look at something 20 feet away for at least 20 seconds.

3. Pain Management: For immediate relief, consider over-the-counter pain relievers, but consult with your healthcare provider before starting any new medication. Additionally, applying a warm compress to your eyes can help alleviate discomfort.

4. Consult a Neurologist: If your symptoms do not improve with eye care or if you begin to experience new symptoms (such as severe headaches, visual disturbances, or neurological symptoms), it may be prudent to consult a neurologist. They can evaluate for any underlying neurological issues that may be contributing to your symptoms.

5. Eye Exercises and Relaxation Techniques: Incorporating eye exercises and relaxation techniques into your daily routine can help reduce strain. Simple exercises include rolling your eyes, focusing on distant objects, and practicing deep breathing to alleviate tension.

Conclusion
Your symptoms could be a result of eye strain, tension headaches, or a combination of both. It's essential to take your symptoms seriously and seek appropriate care. A follow-up with your eye doctor is a good first step, and if necessary, a referral to a neurologist can help rule out any serious conditions. Remember to take care of your overall well-being, manage stress, and ensure you are giving your eyes the rest they need. Your health is important, and addressing these symptoms early can lead to better outcomes.

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