Many people experience headaches only on one side of their head. Possible causes of a headache on the right-hand side include medication use, allergies, migraine, and neurological problems.

Headaches are the most common type of pain people experience. They can vary in duration, frequency, and the area they affect.

Read on to learn more about headaches on the right side of the head and remedies to help manage the pain.

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Some conditions typically cause headaches on a singular side while other normally affect both, but can, in instances, be more localized.

Single-sided conditions

A headache on the right side of the head may be caused by:

  • Temporal arteritis: Temporal arteritis is an inflammation of the temporal artety, usually just on one side. Other symptoms include fatigue, jaw pain, and tender temples.
  • Trigeminal neuralgia: This causes intense pain in the face and head. The pain usually affects only one side at a time. It occurs due to a disruption to the trigeminal nerve at the base of the brain.
  • Sinus headaches: Sinus headaches are common in people with a deviated septum. This predisposes them to headaches occurring only on the one side.

Bilateral conditions

Occipital neuralgia typically affects both sides of the head, but can cause one-sided symptoms. Occipital neuralgia occurs when occipital nerves, which run from the top of the spinal cord to the scalp, become damaged or inflamed. Symptoms include sharp pain in the back of the head and neck, and sensitivity to light.

Other causes of headaches can lead to pain across the entire head or just one side.

These include:

Medication use

Headaches can be a side effect of prescription or over-the-counter (OTC) medications. They can also occur due to someone overusing medication, including OTC painkillers such as:

This type of headache is called a medication overuse headache. It is a common type of headache, which may affect 0.5 to 2.6% of the global population.

Medication-overuse headaches can be migraines or tension headaches. They may affect both sides of the head or only one, and they do not always affect the same location.

There are over 200 types of headaches. Some are primary headaches, where headache is the main symptom. Some are secondary, where headache occurs as a symptom of another condition.

However, a migraine or a cluster headache are the most likely causes of a headache on one side of the head. Tension headaches may also cause pain on one side in some people.

Migraine

Researchers believe genetics play a role in migraine. Migraine headaches cause severe symptoms, including a pulsating sensation or throbbing pain in the head.

These headaches should not always be on the same side with every episode. Always having a headache on the same side – and not the other side – may indicate a serious complication, such as a tumor.

The severe pulsating sensations or throbbing are usually accompanied by:

»Learn more:Migrain triggers

Cluster headaches

Cluster headaches are rare but severe headaches that occur in cyclical patterns. The pain is intense and usually around one eye. It may also radiate to other areas of the head and face, as well as the neck and shoulders.

People typically experience frequent headache attacks for weeks or months before a period of remission. Other symptoms of cluster headaches include:

Tension headaches

Tension headaches are the most common type of headache, affecting around 1 in 5 people. Some people may experience chronic tension-type headaches, where people have headaches on more than 15 days every month that last several hours or may come and go.

They usually affect both sides of the head, but some people may have symptoms on one side only.

Signs include:

  • dull, aching pain
  • scalp tenderness
  • tender or tight shoulder and neck muscles
  • tightness or pressure across the forehead, sides, or back of the head

Many headaches resolve themselves without intervention. However, people who experience headaches regularly should make an appointment with their doctor to identify the underlying cause.

Anyone who experiences the following symptoms alongside a headache must seek medical attention urgently:

Some types of headaches can affect just one side of the head, but when headaches occur only on the same side every time, this is a cause for concern and requires a medical evaluation.

Understanding and identifying the location of a headache may make it easier for a doctor to diagnose the type of headache affecting someone and plan appropriate treatment.

For example, headache pain at the front or on one side of the head may indicate migraine or cluster headaches.

Some headaches may go away on their own. People can use at-home treatments, such as OTC pain relief medications or having a nap, to relieve symptoms.

However, if headaches are severe, frequent, progressively painful, or occur alongside other symptoms, including vision changes or slurred speech, people should speak with a doctor.

Dehydration can cause or worsen headache symptoms and headache disorders. Staying adequately hydrated is the best method to prevent dehydration headaches.

To treat this type of headache, doctors typically treat the person’s dehydration, usually by replenishing their fluids.

Migraines often affect one side of the head. An individual person’s migraines should not always be on the same side of the head – and episodes can affect the left side or the right side.

No, a one-sided headache is not always migraine. Other causes include neurological issues, tension headaches, medication side effects, and allergies.

Headaches are a widespread health complaint, affecting most people at least occasionally.

Most headaches are not a cause for concern. Usually, symptoms will resolve within minutes to hours. Alternatively, people can ease symptoms with OTC medications, lifestyle changes, and home remedies.

People should see a doctor if headaches are severe, persistent, or get progressively worse. Even if a migraine or a cluster headache is responsible for the pain, a doctor can prescribe treatments to manage symptoms and reduce the frequency of the headaches.