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Headache is defined as pain in the head that is located above the eyes or the ears, behind the head, or in the back of the upper neck. Headache, like chest pain or dizziness, has many causes.

There are two types of headaches: primary headaches and secondary headaches. Primary headaches are not associated with other diseases. Examples of primary headaches are migraine headaches, tension headaches, and cluster headaches. Secondary headaches are caused by associated disease. The associated disease may be minor or serious and life threatening.

Tension headaches are the most common type of primary headache; as many as 90% of adults have had or will have tension headaches. Tension headaches are more common among women than men.

Migraine headaches are the second most common type of primary headache. An estimated 28 million people in the United States (about 12% of the population) will experience migraine headaches. Migraine headaches affect children as well as adults. Before puberty, boys and girls are affected equally by migraine headaches, but after puberty, more women than men are affected. An estimated 6% of men and up to 18% of women will experience a migraine headache.

A migraine headache is a form of vascular headache. Migraine headache is caused by a combination of the enlargement of blood vessels and the release of chemicals from nerve fibers that coil around the blood vessels. During a migraine attack, the temporal artery enlarges. Enlargement of the temporal artery stretches the nerves that coil around the artery and causes the nerves to release chemicals. The chemicals cause inflammation, pain, and further enlargement of the artery. The increasing enlargement of the artery magnifies the pain.


Ultram is one of the most frequently prescribed pain medications in the world. More than 55 million people worldwide have used Ultram to treat their moderate to severe pain. Ultram is a prescription medication intended for people who have moderate to moderately severe chronic pain. Ultram helps relieve pain in two ways: First Ultram acts directly on parts of the brain and spinal cord to reduce pain. Secondly, it reduces the size of pain signals that travel from one nerve cell to another. Before using Ultram, tell your doctor if you're are pregnant or plan on becoming pregnant. The safety of Ultram during pregnancy has not been established.


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