Positional Headache: Causes, Symptoms, & Treatment


Lying in a flat position can help to keep more CSF in place surrounding the spinal cord, which is why it eases the pain. When you’re suffering from a positional headache, the pain is primarily exacerbated and alleviated by your body position. Standing and sitting upright tend to bring on the aching, while lying down reduces or completely eliminates the pain.

Only a few conditions can cause them, most notably CSF leaks and POTS. You cannot identify the reason behind your headaches with symptoms alone. So it is always better see post to consult a neurologist to reach the actual diagnosis. Describe the headache to your physician to learn more about triggers, relieving factors and management options.

This type of headache is characterized by pain and other symptoms when you’re upright, which then go away when you’re lying down. Instead of fixating on pain severity, think about this content whether any feature of your headache is out of the ordinary for you. Compare the headache with others you’ve had over the course of the last few days, weeks or months.


While migraine is a common disease that affects 39 million Americans, no two migraine experiences are the same. Symptoms can vary from light sensitivity and dizziness to food cravings or body chills. Explore these Frequently Asked Questions about migraine symptoms to see if you might be experiencing migraine. Treatment options vary, from acute treatment to relieve symptoms to preventive treatment to reduce the number of attacks you experience. There are also behavioral treatment options and lifestyle changes that can help. If you think that have the symptoms of SIH, it’s important to consult your doctor to conduct a series of tests.


It’s worth exploring what you can do to live free of low CSF pressure headache pain and discomfort. A positional headache is one that occurs when sitting or standing and improves when lying down. It often results from a leak of cerebrospinal fluid (CSF) and symptoms internet usually localize to the back of the head. Intracranial hypotension literally means that there is low spinal fluid pressure in the brain. In SIH, there is a leak of spinal fluid from the spine, either in the neck (cervical) or mid-back (thoracic) area.

These people are often tall and thin, have a slender neck, are double-jointed or unusually flexible. Their dura is probably thinner and prone to tearing than in most people. Likewise, a post-traumatic headache may be prevented by wearing a helmet during potentially high-impact sports or recreational activities.

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