OUCH FILES: Neurological Edition Cluster Headaches: When Your Brain Hosts a Tiny Laser Tag Tournament at 3 A.M. Have you ever woken up at 3:07 a.m. convinced a tiny goblin is stabbing your eyeball with a glow stick? That’s a cluster headache. One minute you’re dreaming about free pizza, next minute you’re pacing your house like a haunted Roomba whispering, “Why does my skull hate me?” You try water, snacks, and bargain with the ceiling fan. Nothing works. Even your pillow looks nervous. The Science (Simplified for Mortals) Cluster headaches involve the hypothalamus (your body clock boss) and the trigeminal nerve (face-pain hotline). When misfiring happens, blood vessels around the eye dilate, inflammation spikes, and nerves scream. That’s why the pain is one-sided, intense, and comes in predictable bursts—aka “clusters.” Tears, runny nose, droopy eyelid? That’s the trigeminal nerve throwing confetti. Translation: your brain’s alarm clock is broken and set to “dramatic soap opera.” The Fix (3 Tiny Wins That Matter) 1. Oxygen Is Your Friend 🫁 High-flow oxygen therapy can abort attacks quickly. Ask your doctor about it. 2. Protect Your Sleep Like It’s a Rare Pokémon 😴 Same bedtime. Same wake time. Avoid alcohol during cycles. 3. Preventive Meds + Triggers Audit 💊 Verapamil, lithium, CGRP treatments—track patterns and identify triggers. Pro tip: pacing helps. Suffering silently does not. Join people who get it at ItHurts.com. The Sign-Off Cluster headaches are like uninvited rave DJs in your skull. You can’t stop the music instantly—but with oxygen, rhythm, and the right meds, you can unplug their speakers. Join the ItHurts Community Join Now Disclaimer: Enjoy the “Ouch” Files for the laughs and the lessons, but treat us like a witty friend rather than a diagnostic tool. We aren’t doctors, and our stories are no substitute for a professional in a white coat. If you’re actually broken, put down the phone and go see a real medic.