Immediate Management of Summer-Related Burning Headache Using Hydrotherapy – A Case Study

Abstract

Burning-type headaches associated with a sensation of internal heat are an uncommon but distressing presentation, particularly in hot environmental conditions. Evidence regarding immediate non-pharmacological management strategies remains limited. This case report describes the rapid effect of cold hydrotherapy in a 26-year-old female presenting with an acute-onset severe burning headache accompanied by a subjective sensation of intense internal heat, especially during inhalation. Symptoms were aggravated by heat exposure and direct airflow. Pain intensity was assessed using the Visual Analog Scale (VAS), and associated symptoms were graded using a Likert scale. Cold compress hydrotherapy was applied over the forehead and periorbital region for 20 minutes. A marked reduction in symptoms was observed, with VAS scores decreasing from 8/10 to 1/10 and complete resolution of heat sensation and breathing discomfort. No adverse effects were noted. This case highlights the potential role of cold hydrotherapy as a simple, cost-effective, and rapid intervention in managing acute heat-associated headache conditions. Further studies are required to validate its efficacy and underlying mechanisms.