The BookViral Review: In Headaches: Why You Have Them and What You Can Do about Them, Dr. Egilius L. H. Spierings distills nearly half a century of medical practice, academic research, and patient care into a clear, comprehensive, and highly practical guide for headache sufferers. Drawing on his expertise as a neurologist, pharmacologist, and internationally recognized headache and face pain specialist, Spierings delivers not only a medical reference but also a compassionate handbook grounded in clinical reality. From the outset, Spierings rejects the false promise of a “cure” for most headache disorders. He frames the issue honestly: migraine, the most common cause of intense headaches, is a genetically determined vulnerability that cannot be eradicated—only managed. This sets the tone for a book rooted in both science and pragmatism. The author’s candor about the limitations of medicine enhances his credibility, while his focus on effective management offers hope. The book’s structure mirrors the diagnostic journey patients often take. It begins with the common and often anxiety-provoking question—“Do I have a brain tumor?”—and methodically explains how physicians rule out serious but rare causes through history, examination, and imaging. From there, Spierings moves into the far more prevalent triggers and types of headache, including migraine, chronic tension headache, cluster headache, and rarer conditions. He devotes substantial attention to differentiating headache types, dispelling myths (such as the idea of “bad sinus headaches” as a distinct entity), and explaining physiological mechanisms in layperson-friendly language. A particular strength of the book is its integration of patient vignettes, which humanize the science and illustrate nuanced diagnostic challenges—such as when a vascular malformation masquerades as migraine, or how hypothyroidism can present with persistent low-grade headaches. These stories make the text relatable and show how textbook definitions often intersect with the unpredictable realities of patient experience. Equally valuable is Spierings’s emphasis on the interplay between lifestyle factors and headache occurrence. He devotes thoughtful discussion to fatigue, sleep patterns, diet, hormonal cycles, and stress, connecting each to migraine vulnerability with physiological explanations. His guidance on medication—both acute and preventive—is balanced, evidence-based, and mindful of side effects, including overlooked issues such as medication-induced gastritis from NSAIDs. Importantly, the book does not limit itself to pharmacologic strategies. Spierings underscores the role of patient education, reassurance, and self-management—principles sometimes underemphasized in standard medical texts. His writing is remarkably accessible given the medical depth, aided by a glossary and clear explanations of terms without condescension. If there is a minor shortcoming, it lies in the book’s dense detail, which, while a boon for thorough readers, may feel overwhelming to those seeking only a quick reference. However, for patients serious about understanding their headaches—or clinicians looking for a reliable resource to recommend—this depth is precisely its value. In sum, Headaches stands out as an authoritative yet empathetic guide. It demystifies complex neurological concepts, empowers patients to participate actively in their care, and reflects a career spent listening to and learning from those who live with headaches. Dr. Spierings succeeds in translating decades of clinical insight into a resource that is both scientifically rigorous and genuinely patient-centered. Our Verdict: A must-read for anyone seeking to understand, manage, and live better with headaches, delivered by a luminary leader in his field of expertise. It is unreservedly recommended!