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Migraine headaches are generally very painful and may be associated with nausea, neurological symptoms and an overwhelming sense of fatigue.Tension headaches are usually relatively easy to control with mild medication and rest. Tension headaches cause head pain and are not normally associated with other symptoms.Your healthcare provider can develop a schedule for you to gradually decrease the use of pain medication so that you will not continue to suffer from medication overuse headaches. The use of pain medication generally provides temporary relief for a few hours, often followed by a mild withdrawal effect that can induce pain. Medication overuse headaches are the consequence of excessive pain medication.