Headaches: Why You Have Them What you Can Do About Them

by Egilius L.H. Spierings

Dr. Spierings is a pharmacologist, neurologist, headache and face pain specialist, and clinical trialist. He was born in Helmond, the Netherlands, in 1953. He attended the Erasmus University Faculty of Medicine in Rotterdam, the Netherlands, where he received bachelor's and master's degrees in medical sciences, a medical doctor degree, and a doctor of philosophy degree in experimental pharmacology.



In terms of postgraduate education, he trained in neurology and neurosurgery at the University Hospital Dijkzigt, now Erasmus Medical Center, in Rotterdam, the Netherlands; in psychiatry at the Reinier de Graaf Gasthuis in Delft, the oldest hospital in the Netherlands; and in headache management at the Headache Research Foundation at Faulkner Hospital in Boston, Massachusetts.



He was a professor of neurology and craniofacial pain, part-time academic faculty, at Tufts University Schools of Medicine and Dental Medicine until he retired from academia in 2018. Since, he has been the medical director of the Boston Headache Institute and MedVadis Research at Boston Advanced Medicine, formerly Boston PainCare, in Waltham, Massachusetts.







Egilius L. H. Spierings, BS, MS, MD, PhD



Medical director at Boston Headache Institute and MedVadis Research, Boston Advanced Medicine, Waltham, MassachusettsRetired clinical professor of neurology and craniofacial pain at Tufts University Schools of Medicine and Dental Medicine, Boston, MassachusettsFormer associate clinical professor of neurology at Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts

317 pages, Kindle Edition

Published April 17, 2025

About the author

Dr. Egilius L.H. Spierings is a neurologist and pharmacologist with nearly 50 years of clinical experience specialising in the diagnosis and treatment of headache and facial pain. He has served as Associate Clinical Professor of Neurology at Brigham and Women's Hospital and Harvard Medical School, and as Clinical Professor of Neurology and Craniofacial Pain at Tufts University Schools of Medicine and Dental Medicine in Boston. He is currently Medical Director of the Greater Boston Headache Center at Boston Advanced Medicine in Waltham, Massachusetts. His book, Headaches: Why You Have Them, What You Can Do About Them, distills a lifetime of clinical experience into a clear and compassionate guide for anyone living with headaches or caring for someone who does.

Reviews

[Almee · Rating 5 out of 5]

⭐⭐⭐⭐⭐ **An Essential Guide for Anyone Living with Headaches**

As a book club coordinator, I have had the opportunity to feature many books across different genres and subjects, but *Headaches: Why You Have Them, What You Can Do About Them* by Dr. Egilius L.H. Spierings stands out as one of the most informative and genuinely helpful health books I have encountered.

What impressed me most was the author's ability to translate decades of medical expertise into language that everyday readers can easily understand. Rather than overwhelming readers with complex medical terminology, Dr. Spierings carefully explains the science behind headaches, migraines, facial pain, and related conditions in a way that is both accessible and engaging.

The book goes far beyond simply describing symptoms. It helps readers understand why headaches occur, how different headache disorders differ from one another, and what practical steps can be taken to manage them. I especially appreciated the discussions on triggers, treatment options, lifestyle factors, stress management, sleep, hormones, and the importance of proper diagnosis. These sections provide readers with actionable information they can use in their daily lives.

What makes this book particularly valuable is the balance between scientific authority and compassion. Dr. Spierings clearly understands the frustration, uncertainty, and emotional burden that chronic headaches can place on individuals and families. His writing reflects not only his extensive clinical experience but also a genuine desire to help people regain control of their health and quality of life.

Whether you are someone who suffers from migraines, a caregiver seeking a better understanding of a loved one's condition, or a healthcare professional interested in patient-centered headache education, this book offers meaningful insights and practical guidance.

Our book club found this to be an educational, empowering, and highly relevant read. It is a resource that readers can return to again and again whenever they need clarity, reassurance, or guidance. Highly recommended for anyone looking to better understand headaches and the path toward effective relief.

[Andrew Robinson · Rating 5 out of 5]

I discovered this book through my book clubs, where it kept coming up as a highly recommended read, and it’s easy to see why. Written by a well-qualified medical professional, the book does an excellent job of breaking down the complex issue of chronic headaches into clear, easy-to-understand explanations.

The author explores the many possible causes, from genetic factors to lifestyle triggers, while also highlighting who may be more susceptible. What stood out most is how approachable the content is; it avoids overly technical language and instead offers practical, sensible insights that anyone can follow.

In addition, the book reviews a range of treatment options that have developed over time, giving readers a broader perspective on how to manage their symptoms. Overall, it’s an informative and accessible guide that can be especially helpful for anyone struggling to find lasting relief from headaches.

[Steven Finkelstein · Rating 5 out of 5]

The author of this book is a highly credible doctor who is knowledgeable about many subjects. He wrote this book to make people aware of the many reasons why they might potentially have chronic headache problems, and he also wanted to propose some solutions to the issue.

He discusses in plain and simple language the most common reasons for headaches and who is most prone to them. He talks about genetics and discusses various treatment options that have surfaced over the years. It’s nice to be able to read a book geared toward the layperson that provides common-sense solutions to an issue as widespread as this one. Anyone who has headaches and who hasn’t been able to figure out a satisfactory way to alleviate them would do well to read this book without delay.

[Diana · Rating 5 out of 5]

What I liked most about reading Headaches: Why You Have Them, What You Can Do About Them by Dr. Egilius Spierings was the clarity with which the author explains this frustrating topic of headaches. I can say that I was impressed by the way Dr. Spierings combines his scientific knowledge with his simple way of explaining things. I especially liked how Dr. Spierings addresses the causes of different types of headaches and, above all, what can actually be done to manage them. He offers practical explanations and options ranging from everyday habits to medical treatments. For me, this book was a mix of practical guidance and also a profound learning experience about my own body. I highly recommend it.

[Liz H]

Headaches: Why You Have Them What You Can Do About Them is an informative, authoritative, and reassuring guide that helps readers better understand the causes, diagnosis, and management of headache disorders.

Drawing on extensive clinical experience and research, Dr. Egilius L. H. Spierings explains complex neurological topics in a clear, practical, and compassionate way. The result is a valuable resource that empowers readers to make informed decisions while dispelling common misconceptions about headaches and facial pain.

Overall, it's an engaging read for patients, caregivers, healthcare professionals, medical students, and anyone seeking a trustworthy, evidence-based guide to understanding and managing headaches.

[Wyatt Coleman · Rating 5 out of 5]

I first heard about this book through a few book clubs that kept recommending it, and I’m glad I paid attention. The author brings decades of medical expertise into a format that’s surprisingly easy to follow. He carefully explains the different causes of headaches, including migraines and less commonly discussed conditions, while also highlighting why so many cases go untreated or misunderstood.

What I appreciated most is how practical the book is, it doesn’t just explain the problem but also walks you through realistic treatment approaches and how to work with healthcare providers. It’s a thoughtful and highly useful resource for anyone dealing with ongoing headaches.

[Logan Davis · Rating 5 out of 5]

This book came onto my radar through a book club discussion, and it turned out to be one of the most insightful reads on headaches I’ve come across. The author does an excellent job of translating complex neurological concepts into language that’s accessible without losing depth.

He covers everything from underlying causes to diagnostic processes and treatment options, all while emphasizing that headaches are often underestimated as a serious health issue. It’s a well-rounded guide that offers both knowledge and reassurance for readers searching for answers.

[Brielle Carson · Rating 5 out of 5]

After seeing this book recommended in a book club, I decided to give it a try, and it exceeded expectations. The author’s extensive background in neurology really shows, yet the writing remains approachable and engaging throughout.

The book dives into various types of headaches, including migraines and cluster headaches, and explains not just what they are but why they happen. More importantly, it provides actionable guidance on managing them. It’s both educational and empowering, especially for those who feel stuck without clear solutions.

[Carter Wells · Rating 5 out of 5]

This book was recommended in a book club I follow, and it turned out to be an incredibly informative read. The author approaches the subject of headaches with both authority and empathy, making it easier to understand a condition that is often frustrating and confusing.

He not only explains the medical side, like causes, triggers, and genetics, but also focuses heavily on treatment and management strategies. It’s refreshing to read something that doesn’t just inform but also guides you toward possible solutions. A great resource for anyone looking to better understand and manage headaches.

[Harper Lewis · Rating 5 out of 5]

I came across Dr. Spierings’ book while looking for something that could help me better understand migraine management, and I’m so glad I did. His writing is calm, professional, and compassionate. You can tell he really cares about helping people, not just sharing research. I appreciated that he covered both physical and psychological factors, that kind of holistic understanding is rare. A must read for anyone who wants real answers about headaches.

[Lucas Bennett · Rating 5 out of 5]

Dr. Spierings brings a level of expertise that’s hard to find. I loved how he drew on decades of clinical and academic experience without ever making it feel overwhelming. His background at Tufts and Harvard really shows through, but what stands out most is how human his approach is. I walked away from this book feeling more informed and empowered about my own health. It’s definitely earned a permanent spot on my bookshelf.

[Fisher Jones · Rating 5 out of 5]

I came across Dr. Spierings’ book while looking for something that could help me better understand migraine management, and I’m so glad I did. His writing is calm, professional, and compassionate. You can tell he really cares about helping people, not just sharing research. I appreciated that he covered both physical and psychological factors, that kind of holistic understanding is rare. A must-read for anyone who wants real answers about headaches.

[Avery Collins]

Dr. Spierings brings a level of expertise that’s hard to find. I loved how he drew on decades of clinical and academic experience without ever making it feel overwhelming. His background at Tufts and Harvard really shows through, but what stands out most is how human his approach is. I walked away from this book feeling more informed and empowered about my own health. It’s definitely earned a permanent spot on my bookshelf.

[Hunter Lawson · Rating 5 out of 5]

I actually came across this book through Evelyn Carter, who highly recommended it, and I’m so glad she did. Dr. Spierings’ expertise really shines through every page. He takes something as frustrating and complicated as chronic headaches and makes it understandable, even hopeful. The mix of science, real-world experience, and compassion in his writing is refreshing. This isn’t just another medical book; it’s a guide that truly helps you feel seen and informed.

[Hunter Lawson · Rating 5 out of 5]

I found this book through Evelyn Carter’s recommendation, and it turned out to be one of the most insightful reads I’ve had this year. Dr. Spierings explains the science of headaches with such clarity and empathy that it feels like having a personal consultation with an expert. His background in neurology and pharmacology really adds depth, but what stood out most to me was how practical his advice is. Thanks to Evelyn for pointing me toward such a valuable resource!

[David Miller · Rating 5 out of 5]

After years of living with daily headaches I had almost given up on finding real answers. A friend recommended this book and I read it cover to cover in two days. What struck me most was the respect Dr. Spierings has for his readers. He never oversimplifies but he also never loses you. I went to my next neurology appointment with more knowledge than I had ever had before and it completely changed the conversation with my doctor.

[Jeffrey Gerald · Rating 5 out of 5]

My daughter was recently diagnosed with chronic migraine at sixteen and as a father I felt completely lost. This book gave me the vocabulary, the understanding and the confidence to advocate for her properly. Dr. Spierings explains the genetic nature of migraine so clearly and compassionately. Knowing it is not something she caused or can simply push through made a profound difference to both of us. I cannot recommend this highly enough.

[Oliver Miles · Rating 5 out of 5]

I am a school nurse and I see children dealing with headaches and migraines regularly. This book has completely changed how I approach those conversations with students and their parents. Dr. Spierings covers everything from diagnosis to treatment to lifestyle factors in a way that is both medically sound and completely accessible. I have already shared it with several colleagues. Essential reading for anyone working in student health.

[Collins Miller · Rating 5 out of 5]

I have tried every treatment available for my migraines over the past fifteen years. What I had never done was truly understand what was happening in my body. This book filled that gap completely. The sections on triggers, prevention strategies and medication options are the most practical and clearly written I have ever come across. Dr. Spierings writes like someone who has spent a lifetime listening to patients because he has.

[Charlotte White · Rating 5 out of 5]

I have had migraines since I was seventeen and spent years being told it was stress or anxiety. This book changed everything for me. Dr. Spierings explains in the clearest and most compassionate way why headaches happen and what is actually going on in your body. The chapter on triggers alone was worth the entire read. I finally feel like I understand my own condition. Highly recommend to anyone who has ever felt dismissed by the medical system.

[Mike Lewis · Rating 5 out of 5]

As someone who spent three years being treated for sinus headaches before realising they were actually migraines this book hit very close to home. Dr. Spierings tackles that exact myth head on and backs it up with decades of clinical experience. The writing is clear, never condescending, and genuinely useful. I bought a second copy for my sister who has been struggling with the same misdiagnosis for years.

[Tallone Rihana · Rating 5 out of 5]

I work in healthcare and I am very selective about what I recommend to patients. This is now the first book I point people to when they come to me with chronic headache complaints. Dr. Spierings distills nearly fifty years of expertise into something any patient can actually use. The sections on medication and prevention are particularly strong. A rare combination of scientific rigour and genuine accessibility.

[Brooke Lynn · Rating 5 out of 5]

I downloaded this after my third emergency room visit for a severe migraine and I wish I had found it years earlier. Dr. Spierings has a gift for explaining complex neurology in plain language without making you feel talked down to. The glossary at the back is incredibly helpful and the discussion about genetics finally helped me understand why my mother and I both suffer from the same condition. This is patient education at its very best.

[Rodney P. · Rating 5 out of 5]

My mother has struggled with facial pain and headaches for most of her adult life without ever receiving a satisfactory explanation. I bought this book for her and she called me the day after she started reading it to say she finally felt understood. That says everything. Dr. Spierings writes with the authority of a specialist and the warmth of someone who genuinely cares about his patients. This book is a gift to anyone living with chronic head pain.

[Livia Banks · Rating 5 out of 5]

I have been reading about migraine for years and I thought I knew everything there was to know. This book proved me wrong in the best possible way. Dr. Spierings approaches the subject from a clinical perspective that is backed by genuine decades of experience and it shows on every page. The discussion of concussion related headaches was particularly revelatory for me personally. A thorough, compassionate and deeply useful guide.

[Precious Uriah · Rating 5 out of 5]

I picked this up while pregnant after developing headaches for the first time in my life. The chapter on headache management during pregnancy was exactly what I needed and gave me the confidence to have an informed conversation with my obstetrician. Beyond that the entire book is a masterclass in understanding head pain. Dr. Spierings is the kind of doctor you wish you could have a one on one consultation with. This book is the next best thing.

[Laura Jackson · Rating 5 out of 5]

What separates this book from everything else I have read on the subject is the honesty. Dr. Spierings does not overclaim. He tells you what is known, what is uncertain, and what you can realistically expect from treatment. That kind of intellectual integrity is rare in popular medical writing. I came away feeling genuinely more informed and more empowered. This is the book I will be recommending to every headache patient I know.

[Eleanor Brooks · Rating 5 out of 5]

I have been reading about migraine for years and I thought I knew everything there was to know. This book proved me wrong in the best possible way. Dr. Spierings approaches the subject from a clinical perspective that is backed by genuine decades of experience and it shows on every page. The discussion of concussion related headaches was particularly revelatory for me personally. A thorough, compassionate and deeply useful guide.

[William Cooper · Rating 5 out of 5]

I’ve struggled with recurring headaches for years, and this is the first book that truly helped me understand what’s going on in my body. Dr. Spierings’ explanations are clear, practical, and based on real medical experience. You can tell he’s spent decades working with patients. I’ve already started applying some of his suggestions and noticed a real difference.

[Abigail Fisher · Rating 5 out of 5]

This book was a game-changer for me. Dr. Spierings combines deep medical knowledge with real empathy for people living with chronic headaches. It’s not just theory, he gives real-world advice you can actually use. I appreciated that he explains the “why” behind headaches, not just how to treat them.