A few weeks ago, I experienced a persistent headache that refused to go away. It started out as a dull ache behind my eyes and was worse each time I gazed at my laptop or phone. Hours spent looking at the screens left me seeing blurry visions and throbbing temples. I suspected it was due to stress, but the eye exam said it was from uncorrected vision and digital eye strain. The optometrist suggested new glasses and the 20-20-20 rule. It was a wake-up call because within days of wearing the right prescription and taking frequent screen breaks, the headaches subsided.

Headaches are a common complaint, varying from mild annoyance to debilitating pain interfering with daily activities. While stress, dehydration, and underlying health conditions often dominate the conversation about headache triggers, eye-related issues can also be a significant cause. Understanding the connection between headaches and eye health is essential for proper diagnosis and management.

The eyes are delicate organs working continuously to understand the world. Any form of stress, misalignment, or an existing condition of the eye can cause irritation. According to Dr. Neeraj Sanduja, MBBS, MS, Ophthalmologist, and Eye Surgeon, "Headaches from eye conditions usually present with distinct characteristics, like temple or forehead pain, even behind the eyes, often after tasks requiring long-term concentration of the gaze."

This discomfort can often radiate to surrounding areas, such as the temples or forehead, manifesting as headaches. These are known as ocular headaches, which are distinct from migraines or tension headaches but can often feel similar.

Common Eye-Related Causes of Headaches

1. Eye Strain (Asthenopia)

Prolonged activities such as reading, watching computer screens, or driving are very focused activities. The muscles used in these functions are overused, which in turn often gives a dull ache around the eyes or temples-a common headache type known as eye strain. Not functionally disabling, this kind of headache has become increasingly more common in our digital age. "Eye strain, while uncomfortable, is often manageable with proper rest and corrective measures," says Dr. Sanduja.

2. Uncorrected Vision Problems

Conditions like myopia, hyperopia, or astigmatism make the eyes work harder to focus. Extra effort to have clear vision results in headaches, especially after performing long tasks such as reading or screen usage.

3. Outdated or Incorrect Eyewear Prescriptions

Using glasses or contact lenses with an outdated or incorrect prescription can cause headaches. Regular eye checkups are essential to ensure that your prescription aligns with your current vision needs.

4. Computer Vision Syndrome (Digital Eye Strain)

With increased screen time, digital eye strain has emerged as the primary cause of headaches. This condition is often accompanied by other symptoms, including dry eyes, blurred vision, and neck pain. Inadequate breaks during screen use increase the strain on the eyes, leading to headaches.

5. Glaucoma

This condition presents with increased intraocular pressure. The patient suffers from intense headache, especially in the eyes, and sometimes, it is associated with nausea and vomiting or by the presence of halos in the lights. Early detection and intervention help prevent vision loss.

6. Eye Muscle Imbalance (Binocular Vision Dysfunction)

Even the slightest misalignment of the eyes can cause strain as the muscles work to keep things in focus. The result is a common condition called binocular vision dysfunction, often bringing on headaches and an inability to concentrate.

7. Inflammatory Eye Disorders

Inflammatory disorders like uveitis or optic neuritis may bring about severe headaches, usually with additional symptoms, including redness, photophobia, or a change in vision.

What is Eye Strain and Why Does It Matter?

Not every headache is ocular in etiology, and some symptoms differentiate ocular headache from others. You should look for medical consultation if:

• The headache improves or worsens as time passes on.
• Associated symptoms include double vision, pain in the eye, or even redness.
• Nausea, sensitivity to light, or seeing halos around lights occurs with the headache.
• You haven't had a comprehensive eye exam in more than a year.

An eye examination may determine if the headaches are indeed related to some vision problem. In the process, an ophthalmologist may check the eyes' nerves and inspect the optic discs to dismiss conditions such as increased intraocular pressure. Dr. Sanduja further advises, "For most individuals, eye strain-related headaches can be alleviated by addressing refractive errors with proper lenses or improving visual ergonomics."

In some instances, referred pain may account for the relationship between headaches and eye discomfort: pain can be felt in one location even though it is caused by an injury or condition elsewhere. A complete assessment will determine the cause.

How to Manage Eye-Related Headaches

- Corrective lenses for nearsightedness, farsightedness, or astigmatism can help relieve headaches caused by uncorrected vision problems.

- Adopt the 20-20-20 rule: focus on something that is 20 feet away for 20 seconds every 20 minutes.

- For more critical conditions such as glaucoma or inflammatory conditions, treatment includes medication, lifestyle adjustments, or even surgery.

• Take breaks regularly when using your screen.
• Always ensure proper lighting when reading or working.
• Stay hydrated to help keep your eyes healthy.

Not all headaches associated with the eyes are caused by vision problems. Referred pain can originate from tension headaches or sinus infections, radiating discomfort to the eyes. This makes professional evaluation critical in determining the true cause.

While headaches can stem from a variety of causes, eye-related issues are often overlooked. If you experience frequent headaches with accompanying eye symptoms, consulting an ophthalmologist is essential. Dr. Sanduja concludes, "Regular eye checkups are not just about vision—they are vital for overall health. Addressing eye-related headaches can significantly improve quality of life and well-being."Regular eye checkups not only protect your vision but also help identify potential triggers for your headaches.

Dr Neeraj Sanduja is a practising Ophthalmologist and Eye Surgeon at Viaan Eye and Retina Centre in India

It’s déjà vu Braves fans didn’t ask for. Ronald Acuña Jr., Atlanta’s powerhouse baseball outfielder and reigning National League MVP, has hit the injured list again, this time with tightness in his right Achilles tendon. Just months after returning from a torn ACL in his left knee, Acuña pulled up sore after sprinting the bases and later chasing a fly ball, exiting Tuesday’s game against the Royals mid-inning.

But what does Achilles tendon tightness actually mean, and why does it freak out athletes and sports doctors alike?

The Achilles tendon, also known as the calcaneal tendon, is the thick band of tissue that connects your calf muscles to your heel bone. It is the biggest and strongest tendon in the human body. But it can bring even the fittest athletes to their knees.

It helps you run, jump, pivot and push off the ground, basically every move an outfielder like Acuña makes in a single play. When it is tight, inflamed or partially torn, that springy propulsion becomes painful and unstable. Cue the limping, grimacing and, in some cases, weeks on the injured list.

Why Achilles Pain Is a Red Flag

Achilles tightness might sound like a minor complaint, but it is often the body’s early warning system. It could stem from overuse, fatigue, poor footwear, or biomechanical imbalances.

In Acuña’s case, the discomfort reportedly began the night before while sprinting around the bases and got worse chasing fly balls. That is a classic setup: high-intensity bursts, sudden stops, and quick direction changes, all high-risk moves for the Achilles.

If ignored, tightness can escalate to tendonitis (inflammation), partial tears, or the dreaded rupture, which is basically the tendon snapping in two. That is a season-ending injury, often requiring surgery and months of rehab.

When the Body Says No

Beyond the physical pain, repeated injuries hit hard on the mental game. Acuña admitted he did not want to sit out, even though the pain intensified, because he has already missed too much time.

But ignoring Achilles issues can backfire in the worst way. What starts as tightness today could be crutches tomorrow. The tendon does not heal fast, and re-injury is a very real risk if recovery is rushed.

The Game Plan for Recovery

For now, Acuña’s been placed on the 10-day injured list, but tendon issues do not always follow a schedule. He will likely undergo scans to rule out structural damage, followed by rest, anti-inflammatories, and physical therapy to stretch and strengthen the area.

Recovery is not just about waiting for the pain to stop; it is about rebuilding strength, restoring flexibility, and ensuring both legs are balanced and strong.

Why This Matters for Everyone Who Plays

This is not just a pro-athlete problem. Achilles injuries are surprisingly common in runners, dancers, and gym-goers. If you feel stiffness in your heel or lower calf, especially first thing in the morning or during exercise, do not brush it off.

Stretch regularly, warm up before activity, avoid sudden ramp-ups in intensity, and listen to your body. And if the pain lingers or worsens, see a specialist. Ronald Acuña Jr.’s Achilles flare-up might just be tightness, but it is the kind of tightness that turns trainers serious and fans anxious. It’s also a timely reminder that this tendon is small but mighty, and when it acts up, rest is not optional. Whether you are chasing fly balls or your morning run goal, treat your heels with the caution they deserve.

A recent tragic shooting in Midtown Manhattan has pulled an obscure but alarming brain disease back into the headlines. The shooter reportedly left behind a suicide note claiming he suffered from CTE, short for chronic traumatic encephalopathy, a condition linked to repeated head trauma. As shocking as the incident was, it has opened up a floodgate of questions: What exactly is CTE? Can it really make someone act out violently? And how can we even know if someone had it?

What Exactly Is CTE?

CTE is not your everyday concussion aftermath. It is a progressive, degenerative brain disease caused by repeated head injuries, the kind you get from rough contact sports, military service, or just too many unfortunate falls. Over time, these impacts seem to trigger the buildup of an abnormal protein in the brain called tau. This sticky substance does not just sit there quietly. It gradually spreads through the brain, messing with vital functions and causing serious, irreversible damage.

The Symptoms

People with CTE do not wake up one morning knowing something is wrong. The symptoms can creep in slowly, subtle at first, then increasingly hard to ignore, leading to memory lapses, confusion, impulsive behaviour, unexplained aggression, mood swings, deepening depression and, in many tragic cases, suicidal thoughts.

It is the sort of change that can feel like a personality transplant. Loved ones often report seeing someone “become a different person” over time.

Not Just a Pro Athlete Problem

For a long time, CTE seemed to be the unwanted souvenir of retired American football players. The sport's culture of full-body collisions made it the perfect storm for head trauma. But recent research is telling a more disturbing story. A 2023 study uncovered CTE in younger, amateur athletes, including teens as young as 17.

Back to the Manhattan case. While the shooter’s note mentioned CTE, we still do not know whether he actually had it, let alone whether it influenced his behaviour. This brings up messy territory: should possible brain disease be considered in criminal responsibility? Can CTE be a mitigating factor in violent crime?

It is a grey zone. And until we develop reliable tools to diagnose CTE in the living, we are mostly left guessing.

What Can We Do?

CTE is a slow, silent thief, robbing people of their memory, emotions, and identity. And while scientists are racing to understand it better, prevention remains our best bet for now. That means:

• Rethinking how we approach youth and professional sports
• Reducing repeated head trauma wherever possible
• Keeping an eye out for changes in behaviour following head injuries

CTE is not some mysterious ailment that only haunts linebackers. It is a very real, very scary consequence of repeated trauma to the brain, and as we are learning, it can touch more lives than we ever thought. It is time we start treating our heads with the same care we give the rest of our bodies, maybe even more.

Hepatitis is not nicknamed the “silent killer” for nothing. What makes it so dangerous is how symptomless it often is for years. It can quietly chip away at your liver without so much as a warning sign. By the time symptoms like fatigue, jaundice, or abdominal pain appear, significant harm may already have occurred. This eerie silence allows hepatitis to go undetected until it has done some serious damage.

Just Because You Cannot Hear It Does Not Mean It Is Not There

Dr Vikram Vora says that hepatitis is a major global health threat, killing over a million people each year. What is even more tragic? These deaths are, in his words, “largely preventable”. The villains in this tale, cirrhosis and liver cancer, often stem from untreated or undiagnosed hepatitis infections.

Prevention Helps

“The cornerstone of hepatitis control is prevention,” Dr Vora says. And the good news is that you have got some powerful tools at your disposal. “Vaccination, especially against Hepatitis B, is one of the most effective tools available,” he says, adding that infants, healthcare workers, and at-risk adults should be prioritised. Other prevention measures include safe injection practices, steering clear of needle-sharing, and ensuring blood transfusions are properly screened.

But danger often hides in plain sight. Dr Vora warns that something as seemingly harmless as getting a tattoo or piercing can carry lifelong consequences if done in an unregulated facility. His advice? “Choosing safe, licensed establishments is non-negotiable.”

Why You Should Not Wait for Symptoms

If there is one thing hepatitis is good at, it is staying undetected. That is why Dr Vora champions regular screening, especially if you have had medical procedures, blood transfusions, or close contact with someone infected. “Early diagnosis is a game-changer,” he says. Caught in time, hepatitis can be treated effectively, helping patients avoid severe liver disease or even make a full recovery.

A Diagnosis Is Not a Death Sentence

Dr Vora offers hope to those living with hepatitis. “With proper medical care and lifestyle adjustments, a healthy life is achievable,” he insists. That means ditching alcohol, sticking to a balanced diet, maintaining a healthy weight, and closely following medical advice. He also points out the mental and emotional toll a diagnosis can take. “Support from family, community, and healthcare providers can make a significant difference in outcomes.”

The Stigma That Silences

Perhaps just as damaging as the virus itself is the social stigma surrounding it. Dr Vora identifies this as a major hurdle in tackling hepatitis. “Fear of social exclusion keeps many from seeking help,” he explains. And that delay can cost lives. According to him, building a culture of empathy and understanding is critical. He encourages public health campaigns, education, and open dialogue as essential tools to dismantle this stigma.

Make Noise Against the Silence

In Dr Vora’s words, “Hepatitis may be silent, but it is not invincible.” Every little step, whether it is getting vaccinated, getting screened, or just talking about it, can chip away at the power hepatitis holds. Silence has cost too many lives already. Awareness can save them.