To understand the cause of your achy spine and headache, learn about primary and secondary headaches and the conditions that might result in these symptoms.
Headaches and backaches are extremely common complaints that most people experience at some point. But there are many possible causes behind an achy spine or throbbing head, and some are more serious than others. Here, we'll take a look at the common culprits.
Common Causes of Headaches
Headaches not caused by medical conditions are usually categorized as migraine, tension or cluster headaches.
- Migraine: Severe, throbbing headache that can last for three days; visual disturbances can occur as well
- Tension headache: Results from muscle tension around the head and neck
- Cluster headache: One-sided, with nasal congestion, a watery eye on the same side as the headache and stabbing pain
Read more: 8 Surprising Things Giving You a Headache
Primary Headache with Backache
Dr. Mikhael explains that there are actually two kinds of headaches: a primary headache and a secondary headache. “A primary headache is a headache that is not a symptom or a complication of a disease or an incident,” he says. Migraine, tension and cluster headaches are all examples of primary headaches.
Factors such as strain or poor posture could contribute to a primary headache, as well as genetics, meaning some people are more susceptible to getting migraines and doctors can’t always explain why.
Primary headaches can be caused by overactivity of the pain-sensitive features in your head, according to the Mayo Clinic 12. Certain activities can also trigger headaches, such as sex, exercise or coughing.
If a primary headache is severe enough, the pain may radiate to the upper back. But the most common cause of a backache, says Dr. Mikhael, is a muscle strain, which may be unrelated to the headache.
Read more: 25 of the Best Stress-Relief Techniques
Secondary Headache with Backache
Secondary headaches are triggered by an incident, disease or other condition, says Dr. Mikhael. Some possible causes include:
- Head trauma, including a concussion
- Brain tumor
- Ischemia or stroke
- Cerebral infection
- Dural puncture (such as an epidural)
- Viral or bacterial infection, including encephalitis, influenza, meningitis or sinusitis
Some of these conditions can cause a backache as well.
Premenstrual Syndrome and Postpartum
Women who are postpartum may also experience headaches and back pain, which can be normal thanks to birth and baby-related factors such as:
- lack of sleep
- hormonal changes
- physical aspects of labor
But Dr. Mikhel notes that a persistent and severe headache after labor could be serious, as it could be a preeclampsia symptom caused by severe hypertension that must be treated immediately. Left untreated, preeclampsia can lead to major complications including stroke, bleeding and possibly even death.
Alternating Irritable Bowel Syndrome
Headaches — and sometimes even backaches — can be symptoms of alternating irritable bowel syndrome (IBS). IBS causes major abdominal pain and severe cramps that are usually transferred to the back, says Dr. Mikhael. “Migraine headaches and IBS are actually very common symptoms to accompany each other,” he adds. “Some theories link it genetically [and] some link it to the serotonin neurotransmitter.”
The serotonin receptor responsible for migraine headaches is actually found to a much greater degree in the gut than in the brain, says Betz. She adds that diarrhea is also closely associated with migraine headaches.
Although there is no cure for IBS, symptoms can be managed with the help of added soluble fiber in the diet, along with anti-diarrhea medications and other drugs.
Read more: Foods to Eat to Stop Diarrhea
When to See a Doctor
If you are experiencing the occasional headache and achy spine, there is no need to worry, says Dr. Mikhael — simple things like a muscle strain or even stress can lead to headaches and backaches. These symptoms could signal a more serious condition, such as an infection, encephalitis, meningitis, influenza or sinusitis.
“A headache that is severe, associated with systemic symptoms like altered level of consciousness, chills, fever, blurring in vision or neurological symptoms including seizures warrant an immediate trip to the ER as this could be a sign of a serious illness,” he explains. “The earlier you have a doctor treat it, the better the outcome.”
You should also see your doctor for frequent, severe headaches or back pain that doesn't improve within 72 hours. The Mayo Clinic advises seeking emergency medical care if back pain spreads down your legs, causes weakness and tingling in legs or is accompanied by incontinence 12.
- Migraine: Severe, throbbing headache that can last for three days; visual disturbances can occur as well Tension headache: Results from muscle tension around the head and neck Cluster headache: One-sided, with nasal congestion, a watery eye on the same side as the headache and stabbing pain Some of the most common causes of these types of headaches include stress, a lack of sleep and muscle tightness, Medhat Mikhael, MD, pain management specialist and medical director of Orange Coast Medical Center for Spine Health in Fountain Valley, California, tells LIVESTRONG.com. But Dr. Mikhel notes that a persistent and severe headache after labor could be serious, as it could be a preeclampsia symptom caused by severe hypertension that must be treated immediately. Factors such as strain or poor posture could contribute to a primary headache, as well as genetics, meaning some people are more susceptible to getting migraines and doctors can’t always explain why.