Headaches are a common symptom of COVID-19, with about one in four individuals experiencing this discomfort. They often emerge as an initial indicator, and for some, it may be the only symptom present. These headaches can vary in duration, sometimes lasting days, weeks, or months, particularly in cases of long COVID.
Common Locations and Sensations
COVID-19 headaches frequently present with moderate to severe intensity. The pain is often described as pressure-like, throbbing, or a dull ache, sometimes feeling like a tight band around the head or a constant pressure likened to a vise.
Common locations include the front of the head, behind the eyes, and near the temples. The pain can also affect both sides of the head or manifest as an all-over head pain. Movement, coughing, or physical activity can sometimes worsen the pain.
Distinguishing a COVID Headache
COVID-19 headaches often exhibit characteristics that help differentiate them from other common headache types like tension headaches or migraines. They are frequently bilateral, affecting both sides of the head, unlike typical migraines which are often unilateral. While some COVID headaches can resemble migraines with throbbing pain and sensitivity to light and sound, they may not always include other migraine symptoms such as nausea or visual disturbances.
These headaches can be resistant to common over-the-counter pain relievers. They might also feel different from an individual’s usual headache patterns. Their onset often coincides with other viral symptoms, which helps in identifying them as potentially COVID-related.
Other Accompanying Symptoms
COVID-19 headaches rarely occur in isolation and are typically accompanied by other symptoms. Common co-occurring symptoms include fever, fatigue, muscle or body aches, cough, or a sore throat.
The loss of taste or smell, known as anosmia, is another distinctive symptom that frequently appears alongside a COVID-19 headache. Shortness of breath, congestion, or a runny nose can also be present. The presence of these additional symptoms can help indicate the likelihood of a COVID-related headache.
When to Seek Medical Advice
It is important to seek medical advice if you suspect your headache is related to COVID-19, especially if you have risk factors for severe illness. If you experience a sudden, severe headache, particularly if accompanied by confusion, difficulty speaking, or visual disturbances, immediate medical attention is necessary. These neurological signals could indicate a more serious complication.
Worsening symptoms, despite self-care efforts, also warrant a medical evaluation. A healthcare provider can help determine if your headache is COVID-19 related or due to another condition. They can also provide guidance on testing, diagnosis, and management strategies.