What Are The Symptoms Of Ice Pick Headaches
An ice pick headache may cause a single stabbing pain or a series of quick pains. In 8 out of 10 instances, each stabbing pain lasts less than three seconds.
These head pains:
- Happen without warning.
- Move from front to back on the same side of the head.
- Move from right to left on either the front or back of the head.
- Occur sporadically once a day or several times a day. Its rare to get ice pick headaches over several consecutive days.
Living With Constant Headaches
For most of us, an occasional headache is nothing more than a temporary speed bump in the course of a busy day. Even so, most men can ease the problem with simple lifestyle measures and nonprescription medications. Relaxation techniques, biofeedback, yoga, and acupuncture may also help. But for some of us, headaches are a big problem. Learn to recognize warning signs that call for prompt medical care. Work with your doctor to develop a program to prevent and treat migraines and other serious headaches. And don’t fall into the trap of overusing medications for some gents, rebound headaches are the biggest pain of all.
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Thunderclap Headache Symptoms What Do They Feel Like
Sometimes, people mistake the sudden, intense pain for the first moments of a stroke or other major health event in or around the head. Thunderclap headaches are very painful, but they do not cause halos or other migraine-like symptoms. They are usually distinguished from other headaches by their short duration and high intensity.
While these headaches can have some unusual features, they dont appear for everyone or in every instance. Sufferers have reported things like vision changes, nausea, numbness, general weakness, vomiting, and confusion. These symptoms can linger significantly after the initial pain goes away. Sometimes, they are so severe a sufferer might go to the hospital.
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What Questions Should I Ask My Doctor
You may want to ask your healthcare provider:
- What is causing my head pain?
- How can I prevent ice pick headaches?
- What is the best treatment for me?
- Should I look out for signs of complications?
A note from Cleveland Clinic
Because ice pick headaches happen sporadically and go away so quickly, many people dont tell their healthcare providers about them. But these headaches may be more than a painful nuisance. In rare instances, theyre a sign of a more serious problem. You should share your symptoms with your provider. They can find whats causing the pain and work with you to prevent head pains.
Last reviewed by a Cleveland Clinic medical professional on 08/25/2021.
References
Are Ice Pick Headaches Serious

Not necessarily. Primary stabbing headache is the formal diagnosis for ice pick headacheprimary is a term meaning that the head pain itself is the problem, and the pain doesnt have another cause.
However, if youre experiencing what you think may be primary stabbing headache, please dont assume thats what they are. Because these brief stabbing pains can also be seen with other more serious conditions, people who experience these head pains should speak with a qualified clinician.
Other primary headache disorders that are similar to primary stabbing headache include:
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Symptoms To Never Tough Out
- MSN Healthy Living
A sudden, severe headache that reaches maximum intensity instantly should always be checked, says Dr. Mark W. Green, MD, director of the Center for Headache and Pain Medicine and Professor of Neurology and Anesthesiology at the Icahn School of Medicine at Mount Sinai. “A cerebral hemorrhage is always a concern and cannot be excluded even if the headache goes away on its own.” Small hemorrhages may seal up on their own and go away quickly, but it doesn’t mean the next one won’t kill you, says Dr. Green. On occasion, migraines can feel explosive, and not all sudden “thunderclap” headaches are serious, but you should get to an ER immediately to rule out a hemorrhage, says Dr. Green. -Dr. Mark W. Green, Director, Center for Headache and Pain Medicine, Professor, Neurology, Anesthesiology, Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai
Sudden Sharp Pain In Chest That Goes Away Quickly What Could It Be
Sudden sharp pains that disappear quickly can be caused due to gas, heartburn, smoking, heart problems, stress, and lack of exercises among other factors. Often sudden sharp chest pain lasting a few seconds is not an indication of a serious condition. However, a sharp pain in heart for a second may be dangerous and should be treated.
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Sudden Sharp Pain In Chest Symptoms
Chest pain that occurs suddenly should not be ignored at all. In fact, a sudden sharp pain in the chest is commonly a symptom of a heart attack. However, it is not always associated with heart attack. For example, a sudden sharp pain in chest that goes away quickly left side can be an indication of a heart problem. Below are some symptoms of sudden chest pain.
- Chest Discomfort
How Are Headaches Diagnosed
Your doctor will do an exam and get your child’s to help see what might be causing the headaches. The doctor will ask about:
- how severe the headaches are and how often they happen
- when the headaches first started
- what the headaches feel like, and where they hurt
- whether the headaches have a pattern or change over time
- any other symptoms
- any medicines your child takes
- any family history of headaches
To help pin down the problem, doctors often ask parents and older kids and teens to keep a headache diary. In the diary, list:
- how long they last
- a few notes about what might have brought them on
The doctor will do a complete neurological exam. This can involve looking in the eyes, testing nerves, and having your child do things like walk or touch his or her nose. To look for medical problems that might be causing headaches, the doctor may order:
- imaging tests, such as a CAT scan or MRI of the brain
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Stroke Cause By Blockage
A sudden blood vessel blockage caused by a blood clot or thrombosis, or from a cholesterol build-up, can result in a different kind of stroke. Ischemic strokes are caused by a lack of blood flow, but are without bleeding. Any stroke can cause immediate severe head pain, often with other symptoms such as weakness, problems with speech, sensation, consciousness, or vision. A thrombosis can occur in the veins surrounding the brain, brought on by an injury or fall, or made more likely by certain medications such as estrogen or testosterone, or by an inherited tendency to form blood clots.
What Is The Prognosis For People With A Thunderclap Headache
The prognosis for a thunderclap headache depends on the specific cause. Doctors can often successfully manage and treat these headaches when they are diagnosed promptly.
Some people experience ongoing thunderclap headaches throughout their lives. These headaches are usually not associated with an underlying condition. People can often manage them with medication.
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When To See A Doctor For Severe Headaches
Make an appointment with your medical provider if:
- Your headaches are becoming more severe or more frequent
- Your headaches are accompanied by certain signs that are typical of headache syndromes: Such as visual changes like spots or lines, nausea, inability to tolerate light and sound, and a runny nose or eye tearing on the same side as the headache
- You have tenderness over your temple
- Your headaches are severe enough to interfere with your daily life
- You recently had a lumbar puncture or epidural anesthesia
Understanding What Causes Headaches And Finding Treatments To Relieve The Pain

Nearly everyone has had headache pain, and most of us have had it many times. A minor headache is little more than a nuisance that’s relieved by an over-the-counter pain reliever, some food or coffee, or a short rest. But if your headache is severe or unusual, you might worry about stroke, a tumor, or a blood clot. Fortunately, such problems are rare. Still, you should know and how to control the vast majority of headaches that are not threatening to your health.
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How Are Serious Headaches Treated
If you have headache symptoms to worry about, your doctor may order different tests and have you see a neurologist. A neurologist is a nervous system and brain specialist.
Some common tests are:
- Spinal fluid test
If youre suffering from heatstroke or dehydration, your doctor might need to give you treatment through an IV.
How Is A Thunderclap Headache Managed Or Treated
Treatment for thunderclap headaches depends on the cause. If a thunderclap headache is not associated with an urgent underlying condition, your doctor may treat it with medication. A non-steroidal anti-inflammatory medicine can help reduce swelling. Other drugs can manage blood pressure. If the thunderclap headache is caused by spasms in the brains blood vessels, IV or oral nimodipine may be given.
Some thunderclap headaches require surgery to repair torn or ruptured blood vessels or remove a blockage. Your doctor will determine the best treatment option based on the cause of the headache.
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When Should I Call The Doctor Or Seek Emergency Care
Go to the emergency room if you are experiencing a thunderclap headache for the first time. It is urgent to determine if a dangerous condition is the underlying cause so it can be treated quickly if necessary. Some conditions associated with a thunderclap headache can be fatal without prompt treatment.
Sudden Headache That Goes Away Quickly
Symptoms include pain that. When the pain affects the eyes it is known as ophthalmodynia periodica which comes with intense brief stabbing headaches often described as an ice pick feeling.
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Concussion Not Needing Imaging
A concussion is also known as traumatic brain injury or TBI.
Concussion is the result of being struck in the head. In some cases, especially with infants, being violently shaken so that the head whips back and forth can also cause a concussion.
Most susceptible are those playing contact sports. However, concussion is often the result of an automobile accident or simple fall and can happen to anyone.
Symptoms include headache loss of balance and coordination difficulty with memory and concentration and sometimes, but not always, loss of consciousness.
If symptoms do not clear within a few hours, or seem to get worse, take the patient to the emergency room or call 9-1-1.
Diagnosis is made through patient history and physical examination. A mild concussion does not show up on imaging because there is no bleeding or swelling in the brain. Mild concussion is entirely a disruption in brain function, with nothing to see on an image.
A concussion does not usually need treatment, but head injuries can result in more serious complications, like bleeding in the brain, you should be seen for an evaluation today, just to be sure. The health care provider will determine if imaging of your head, like a CT scan, is necessary. If your symptoms change or worsen, go to the ER immediately.
Rarity: Common
Top Symptoms: dizziness, irritability, depressed mood, difficulty concentrating, trouble sleeping
Symptoms that always occur with concussion not needing imaging: head or face injury
What Causes Sudden Sharp Pain In Chest That Goes Away Quickly
Chest pain refers to pain in any section of the chest. Chest pain may be felt anywhere from the neck to the upper abdomen. In most cases, depending on the cause, chest pain can be
- Sharp pain- This is a sudden or intense pain in the chest region
- A tight, crushing, or squeezing sensation
In most cases, people associate chest pain with heart complications. However, this is not always the case. For example, chest pain can come from the lungs, ribs, or esophagus. Chest pain also varies from one person to another depending on some factors like age, weight, stress levels, lifestyle, and sex among other factors.
Chest pain is a common condition, for instance in the U.S, about 6-8 million patients annually, report to emergency departments with chest pains.Other associated symptoms of chest pain include vomiting, nausea, dizziness, anxiety, shortness of breath, and sweating.
It should also be noted that some chest pain may be serious while others may not. The type, duration, and severity of the pain among other symptoms can guide more on diagnosis and treatment.
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Other Types Of Headaches
Headaches also can be caused by other conditions or situations. These are often short-lived and easily treated. For example:
Sinus headaches. A sinus infection can cause pain over the forehead, around the nose and eyes, over the cheeks, or in the upper teeth. When the infection resolves, the pain disappears.
Brain freezes. Some people develop a sharp, sudden headache when they eat or drink something cold. The pain usually goes away within a few minutes. If this is a common problem, try to warm the cold food at the front of your mouth before swallowing.
Exercise headaches. Strenuous exercise can sometimes trigger a headache. Make sure you are well hydrated before and after exercise. Taking an OTC anti-inflammatory beforehand also may help.
Dr Juliana Vanderpluym Of Mayo Clinic Discusses Ice Pick Headache Its Relationship With Migraine Its Causes Symptoms And Treatments

In terms of the phrases that people often use to describe their headaches, stabbing is probably near the top of the list. For people who try searching the internet for answers, this might lead to the discoveryand useof the term ice pick headache or ophthalmodynia periodica.
But according to Dr. Juliana VanderPluym of Mayo Clinic, ice pick headache is not just a simple way to describe itits a type of headache all its own.
I would say more often than not, people come across the term ice pick accidentally, Dr. VanderPluym says. They might not have gone and searched Dr. Google to find out what they have, but just because of what the headache feels like, they end up accidentally diagnosing it themselves.
Ice pick headache is not to be confused with other kinds of headacheincluding migraine. Dr. VanderPluym walks us through how this disease is diagnosed and treated.
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See Your Doctor As Soon As Possible If You Experience Any Of These Troubling Symptoms
We all get headaches from time to time. They can be brought on by annoying but manageable reasons such as stress,dehydration or your menstrual cycle, or they could be the result of an ongoing medical issue, such as migraines.
But how can you tell when a headache is a symptom of an even more serious or life-threatening problem? Here are some signs to look for.
How Are Ice Pick Headaches Managed Or Treated
Ice pick headaches disappear quickly. They arent like other headaches or migraines, which can last for hours or linger for days.
There isnt time to take pain relievers to treat ice pick headaches. By the time the medicine kicks in, the ice pick headache is long gone.
Instead, treatments focus on preventing pain. Preventive steps include:
- Headache medications taken daily to ward off head pain like migraines.
- Melatonin to reduce migraine frequency.
- Prescription nonsteroidal anti-inflammatory drugs , such as indomethacin , to minimize headache pain when it occurs.
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Getting The Correct Ice Pick Headache Diagnosis
According to the International Classification of Headache Disorders, the official name for ice pick headache is primary stabbing headache. When the pain affects the eyes, it is known as ophthalmodynia periodica which comes with intense, brief, stabbing headaches often described as an ice pick feeling.
Dr. VanderPluym says a lot of different problems may cause stabbing headaches. But with ice pick headache , there are no other symptoms beyond the pain itself. Dr. VanderPluym notes that if youre getting tearing or redness of the eye, a runny or stuffy nose, swelling or redness of the face, you might not have ice pick headache.
When we talk about primary stabbing headache, we are talking about a primary headache disorder, Dr. VanderPluym says. It can happen more commonly in patients who have migraine, but it is not necessarily a symptom of migraine.
Primary Thunderclap Headache And Rcvs
If no obvious cause is found, TCH is considered primary, or idiopathic. Primary TCH typically affects young adults. It is commonly associated with physical triggers such as cough, exercise, and sexual activity.
Rarely, people can develop multiple, recurrent TCHs within a span of a few days. In such cases, imaging invariably shows alternating areas of narrowing and dilation of multiple brain arteries. This condition is called reversible cerebral vasoconstriction syndrome, or RCVS. RCVS can also develop in patients with a single TCH.
Approximately 30% to 50% of patients with RCVS go on to develop brain hemorrhage, strokes, and brain swelling. Thus, if you are diagnosed with RCVS, you will likely be admitted to the hospital for a few days of observation. Despite these possible complications, people with RCVS generally do well the flurry of TCHs usually subsides within days, and the arterial narrowing resolves on its own within a few weeks.
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Your Headache Isn’t Your Only Issue
A bad headache accompanied by a fever is concerning. “This could indicate an infection of the brainsomething like meningitis,” Morocco says. It could also be a warning sign of encephalitis, or inflammation of the brain. Especially if your bad headache and fever are accompanied by an altered mental stateyou can’t remember your kids, or are otherwise acting unlike yourselfthat’s a good reason to call 9-1-1 or head to the ER.