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External Compression Headache is caused by any type of headwear. This includes headwear that places pressure on the head — including tight hats, helmets, headbands, headphones and goggles. It is not known why some people are more sensitive than others to this type of pressure. External compression headaches can affect anyone who uses headwear Treatment: To end your headache, remove the headwear that's causing the pressure. Further treatment is rarely needed. If you have a history of migraines, wearing tight headwear may trigger an attack that requires migraine medication for relief