Brain & Nervous System Headaches Causes & Risk Factors Coping With Noise-Triggered Headaches By Colleen Doherty, MD Colleen Doherty, MD, is a board-certified internist living with multiple sclerosis. Learn about our editorial process Colleen Doherty, MD Medically reviewed by Medically reviewed by Diana Apetauerova, MD on May 25, 2020 linkedin Diana Apetauerova, MD, is board-certified in neurology with a subspecialty in movement disorders. She is an associate clinical professor of neurology at Tufts School of Medicine. Learn about our Medical Review Board Diana Apetauerova, MD on May 25, 2020 Print You are not alone if you avoid fireworks on July 4th or frequently find yourself telling your children that their loud voices are giving you a headache. In fact, noise is a commonly reported headache trigger, and there is even research to back this up. Cecillie_Arcurs / Getty Images Let's take a closer look at the science behind these types of headaches, and how you can cope with them. The Science Behind Noise as a Headache Trigger You may be surprised to learn that noise is a scientifically proven potential headache trigger. In one small study in Headache, 79 percent of people exposed to 50 dB of white noise developed a headache, and 82 percent reported that a headache was the same or similar to their usual headaches, which were either migraines or tension-type headaches. Noise can even be a headache trigger for people who do not generally suffer from headaches, although people with a headache disorder usually have a lower tolerance for noise and report worse headaches than those who are not typically headache sufferers. In other words, people with underlying headache disorders appear more vulnerable to loud noise as a potential trigger. The Many Forms of Migraines The Mechanism Behind Noise-Triggering Headaches Like all triggers, the precise mechanism behind how noise triggers a headache is unclear. Since noise is a trigger for both migraines and tension-type headaches, there is likely more than one mechanism involved. One study found that those who developed a headache from noise had an increase in their temporal pulse amplitude, which refers to distention or widening of a superficial blood vessel in the face. According to more recent migraine theories, the distension of blood vessels surrounding the skull may activate trigeminal sensory nerve fibers. This then evokes the release of proteins, like calcitonin gene-related peptide, or CGRP, which worsens brain inflammation and thus pain. Overall, the precise way loud noises cause headaches is likely complicated, but very well could be linked to blood vessel dilation. Nervous system hyperarousal likely plays a role too, as evidenced by the other symptoms (besides headaches) that occur with persistent and loud noise exposure, including: Sleep disturbances (for example, having trouble falling asleep and waking up too early)FatigueEyestrainHypersensitivity to odors How to Stop Loud Noises from Triggering Headaches Stopping noises from triggering your headaches can certainly be a dilemma. Since avoiding loud noises may be impossible in some instances (your children or ongoing construction near your home are inevitably going to be loud, for example), learning how to cope with loud noises through a process called desensitization may be your best bet. Desensitizing oneself to headache triggers, like loud noises, means gradually exposing yourself to the headache trigger to decrease your head pain or number of headaches in the future when exposed to that same trigger. This therapy is also commonly used for people with anxiety disorders, especially people with phobias. The idea of learning to cope with triggers through gradual exposure is becoming a more popular treatment for headache health. More studies need to be done, but regardless, this is an exciting, non-invasive intervention and something people with headaches get to take an active role in. BLAM! What Are Symptoms and Causes of Exploding Head Syndrome? A Word from Verywell Everyone is different when it comes to headache triggers. If you find that noise is triggering headaches, you may consider avoiding the trigger if it's easy to do so, such as avoiding the fireworks that occur once a year or avoiding indoor music concerts. Likewise, if you find that loud noises at work are triggering headaches, talk with your boss about how this can be minimized. Maybe you can wear earplugs or headphones during certain parts of the day. If you are sensitive to everyday noises, then a coping strategy like desensitization may be more useful. Talk to your doctor if you are unsure. Don't let noise-triggering headaches affect your happiness. Was this page helpful? Thanks for your feedback! Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit Article Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Ishikawa T, Tatsumoto M, Maki K, Mitsui M, Hasegawa H, Hirata K. Identification of Everyday Sounds Perceived as Noise by Migraine Patients. Intern Med. 2019;58(11):1565-1572. doi:10.2169/internalmedicine.2206-18 Martin PR, Mackenzie S, Bandarian-balooch S, et al. Enhancing cognitive-behavioural therapy for recurrent headache: design of a randomised controlled trial. BMC Neurol. 2014;14:233. doi:10.1186/s12883-014-0233-9 Additional Reading Bigal ME, Walter S, Rapoport AM. Calcitonin gene-related peptide (CGRP) and migraine current understanding and state of development. Headache. 2013 Sep;53(8):1230-44. doi: 10.1111/head.12179 Lee S, Lee W, Roh J, Won JU, Yoon JH. Symptoms of nervous system related disorders among workers exposed to occupational noise and vibration in Korea. J Occup Enviro Med. 2017 Feb;59(2):191-97. doi: 10.1097/JOM.0000000000000935 Martin, P.R. (2010). Behavioral management of migraine headache triggers: learning to cope with triggers. Current Pain and Headache Reports, Jun;14(3):221-7. doi: 10.1007/s11916-010-0112-z Martin, P.R. et al. (2014). Behavioral management of the triggers of recurrent headache: a randomized controlled trial. Behaviour Research and Therapy, Oct;61:1-11. Behaviour Research and Therapy, Oct;61:1-11. doi: 10.1016/j.brat.2014.07.002 Wöber, C. & Wöber-Bingö,l C. (2010). Triggers of migraine and tension-type headache. Handbook of Clinical Neurology, 97:161-72. doi: 10.1016/S0072-9752(10)97012-7