FMS Community Index Page
Headaches and Trigger Points
Headache Pain Treatment Publications
Symptom | Yes | No | Sometimes | Comments/Notes |
The Pain occurs in: |
Right Eye |
Left Eye |
Both Eyes |
Forehead |
Right Temple |
Left Temple |
Both Temples |
Temple and Jaw |
Back of Head and Neck |
Front of Head and Teeth |
Other |
Vision: |
My Vision Blurs in Left Eye |
My Vision Blurs in Right Eye |
My Vision Blurs in Both Eyes |
I Lose Vision in One/Both Eyes |
My Headaches Occur |
Daily |
2 - 3 Times Weekly |
4-6 Times Weekly |
Before my Menstrual Cycle |
During my Menstrual Cycle |
After my Menstrual Cycle |
Headaches occur when: |
I exert myself |
When I am at rest |
Both |
Headaches Cause Sensitivity to: |
Light |
Sound |
Odors |
All of the above |
I Experience: |
Nausea |
Vomiting |
Sinus Congestion |
Sinus Draining |
Tooth Pain |
Dizziness |
Diarrhea |
Constipation |
Confusion |
Depression |
Anxiety |
Foods Consumed before the Headache Occured |
Wheat products. (bread, rolls, pizza, pitas, cereal, cookies) |
Sugar (Donuts, cookies, hard candy, soda) |
Dairy (milk, ice cream, cottage cheese, cheese) |
Chocolate |
Wine |
Beer |
Other alchohol |
Coffee/Tea |
Soda |
Diet Soda |
I have been checked for a sleep disorder |
I have recently had my blood pressure checked |
I have been tested for TMJ (Temporomandibular Joint Disorder) |
I am currently taking medication for my headaches |
I am currently taking medications for another condition |
I sleep |
Eight hours a night |
Five hours a night |
I twilight sleep all night |
I wake up every few hours |
I fall asleep immediately but wake up easily and toss and turn. |
I have no trouble sleeping |
I sleep all night unless I am experiencing my menstrual cycle. |