Published on: 7/4/2025
What does a pounding headache mean and when should I be concerned?
A pounding headache might be a migraine, especially if it comes with nausea or light sensitivity. If headaches are frequent, severe, worsening, or come with other symptoms, it's important to see a healthcare provider for a personalized medical assessment.
Explanation
A pounding headache can be a sign of a migraine, but other health conditions can also cause a pounding headache. One way to describe a typical migraine is with the mnemonic "POUND" (Pulsating pain, lasts 4 to 72 hOurs, Unilateral [on one side], associated with Nausea, and Disabling intensity). If your headache has many of these features, it might be a migraine.
Some reasons to be concerned and seek help from a healthcare provider:
Frequency and Severity: If headaches are frequent, severe, and/or worsening, it’s a good idea to talk to a healthcare provider.
Additional Symptoms: If the headache comes with other symptoms like changes in vision, trouble speaking, fever, or weakness, it’s important to get medical help.
Remember, it’s always best to talk to a healthcare provider about any health concerns. They can help identify the cause of your symptoms and recommend the most appropriate treatment for you.
(References)
- Tejero Mas M, Burgos Blanco R, Gato Núñez C, Rivera Jiménez N, Aguirre Sánchez JJ, & Buitrago F. (2019). [Validity and applicability of the mnemonic POUNDing rule .... Semergen, 30529010.
- Robbins MS. (2021). Diagnosis and Management of Headache: A Review. JAMA, 33974014.
- Torrente A, Vassallo L, Alonge P, Pilati L, Gagliardo A, Ventimiglia D, et al. (2024). Insomnia and Migraine: A Missed Call?. Clocks & sleep, 38390947.
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