{"id":45024,"date":"2015-08-25T13:19:19","date_gmt":"2015-08-25T18:19:19","guid":{"rendered":"https:\/\/www.ou.org\/life\/?p=45024"},"modified":"2015-09-09T11:42:24","modified_gmt":"2015-09-09T16:42:24","slug":"headaches-and-head-coverings-part-ii","status":"publish","type":"post","link":"https:\/\/www.ou.org\/life\/torah\/headaches-and-head-coverings-part-ii\/","title":{"rendered":"Headaches and Head Coverings Part II"},"content":{"rendered":"<figure id=\"attachment_45036\" class=\"thumbnail wp-caption alignleft\" style=\"width: 243px\"><a href=\"https:\/\/www.ou.org\/life\/files\/photo-on-8-1-14-at-3-19-pm.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-post-45024 wp-image-45036\" src=\"https:\/\/www.ou.org\/life\/files\/photo-on-8-1-14-at-3-19-pm-243x300.jpg\" alt=\"Andrea Grinberg of the blog, Wrapunzel.\" width=\"243\" height=\"300\" srcset=\"https:\/\/www.ou.org\/life\/files\/photo-on-8-1-14-at-3-19-pm-243x300.jpg 243w, https:\/\/www.ou.org\/life\/files\/photo-on-8-1-14-at-3-19-pm.jpg 583w\" sizes=\"auto, (max-width: 243px) 100vw, 243px\" \/><\/a><figcaption class=\"caption wp-caption-text\">Andrea Grinberg of the blog, Wrapunzel.<\/figcaption><\/figure>\n<p><a href=\"https:\/\/www.ou.org\/life\/inspiration\/headaches-and-head-coverings\/\">Headaches and Head Coverings<\/a> received an inordinate amount of attention when we posted it last week. On <a href=\"http:\/\/www.torahmusings.com\/\">Torah Musing<\/a>, the blog where the story was originally posted, the following fascinating exchange took place between \u00a0Dr. Tovia Berk, a Headache Medicine Fellow, and the post&#8217;s original author, Rabbi Alex Ozar.<\/p>\n<p style=\"padding-left: 30px;\">My\u00a0name is Tovia Berk \u2013 I am currently a Headache Medicine Fellow at the Jefferson Headache Center in Philadelphia, a graduate of Ner Israel and the NYU School of Medicine. I have had the pleasure of following your website for years (the Daily Reyd and Audio Roundup are never missed by me or my wife). I read the article this morning entitled \u201cHeadcovernigs [sic] and Headaches\u201d and was interested in giving you feedback regarding this article \u2013 both regarding my interest in headaches and as an avid reader of your website.<\/p>\n<p style=\"padding-left: 30px;\">Regarding the topic of headaches addressed in the article \u2013 as the author mentioned, the scope of the article could not include the intricate pathophysiology that cause headache in general, however, the author does not even describe the characteristics of the headache pain that he refers to. It is also not clear where he received his information regarding these headaches \u2013 he simply refers to \u201ctestimony from the front lines\u201d. Headache medicine takes great pride in describing and differentiating headache syndromes and although the latest classification of headaches does not describe the phenomenon of \u201cHead Covering Headache\u201d in my personal experience there are two general categories: people who have a primary headache syndrome, such as migraine, who develop a painful sensation of the scalp called allodynia which can be exacerbated by any pressure on the hair, and those who aren\u2019t prone to other types of headache but develop a kind of scalp fatigue when they either balance a loose fitting covering or have a very tight fitting covering on their head for extended periods of time. It is essential to make this distinction as there are treatments for both of these conditions which vary greatly \u2013 the first category describes an underlying medical condition that needs to be appropriately addressed, the other may benefit from more practical solutions such as alternating head covering and giving the scalp ample rest time when appropriate and necessary.<\/p>\n<p style=\"padding-left: 30px;\">In extreme situations I am aware of individual heterim after exhaustion of medical and practical solutions and after discussion with relevant medical professionals . The author states that \u201cthis is not an epidemic, the threat isn\u2019t cataclysmic, and the response shouldn\u2019t be over-dramatic\u201d \u2013 the relevant discussion should not be about those in the extreme circumstances who can\u2019t tolerate head coverings at all, rather the \u201chamon am\u201d \u2013 the typical woman on the street who finds head coverings uncomfortable at the end of a long day and at the end of a long week. Rabonim who get these shailos and women who have these problems should know that in most circumstances there are treatment options available.<\/p>\n<p style=\"padding-left: 30px;\">Thomas Berk, MD<\/p>\n<p>Rabbi Alex Ozar responded:<\/p>\n<p style=\"padding-left: 30px;\">Dr. Berk,<br \/>\nThanks so much for the info and analysis. Consulting with medical professionals on these kinds things is certainly something I\u2019d wholeheartedly recommend, for what it\u2019s worth.<\/p>\n<p style=\"padding-left: 30px;\">One interesting hypothetical, and you can tell us if it\u2019s a real possibility: What would we do, halakhically speaking, if someone (1) had an underlying condition, (2) that condition was not severe enough to require medical treatment, (3) medical treatment becomes necessary as a result of head covering. Is such a person obligated to add a course of medical treatment (possibly perpetual?)? I don\u2019t know.<\/p>\n<p style=\"padding-left: 30px;\">I should also say that I was in fact intending to address the more mundane, \u201chamon am\u201d case of women who just need some pragmatic adjustment to their routine. The hope was just to allow those kinds of adjustments a little more space. So, for another hypothetical: Someone, afternoon on a long day in a long series of long days, considers uncovering their hair for an hour or two at their desk in a quiet office, thereby keeping everything contained and making sure the stuffy August subway commute doesn\u2019t compound the day\u2019s effects.<\/p>\n<p style=\"padding-left: 30px;\">More generally \u2014 this is no longer directed at you, good Dr. Berk \u2014 I do want to say that I don\u2019t think a regime of suspicion, or even more than rudimentary skepticism, is appropriate here, given the nature of the obligation. People shouldn\u2019t feel they\u2019re going to need to plead their case, certainly not withstand interrogation, before a team of rabbis, doctors, psychologists etc. before reaching the conclusion that this is an issue to be addressed.<\/p>\n<p>Looking for another story about head coverings? Check out our story on <a href=\"https:\/\/www.ou.org\/life\/education\/something-to-wrap-your-head-around\/\">Wrapunzel.<\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Headaches and Head Coverings received an inordinate amount of attention when we posted it last week. On Torah Musing, the blog where the story was originally posted, the following fascinating exchange took place between \u00a0Dr. Tovia Berk, a Headache Medicine Fellow, and the post&#8217;s original author, Rabbi Alex Ozar. My\u00a0name is Tovia Berk \u2013 I<\/p>\n","protected":false},"author":730,"featured_media":45036,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_cloudinary_featured_overwrite":false,"footnotes":""},"categories":[85,83],"tags":[],"class_list":["post-45024","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-inspiration","category-torah","series-headaches-and-head-coverings"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Headaches and Head Coverings Part II - OU Life<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ou.org\/life\/torah\/headaches-and-head-coverings-part-ii\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Headaches and Head Coverings Part II - OU Life\" \/>\n<meta property=\"og:description\" content=\"Headaches and Head Coverings received an inordinate amount of attention when we posted it last week. On Torah Musing, the blog where the story was originally posted, the following fascinating exchange took place between \u00a0Dr. Tovia Berk, a Headache Medicine Fellow, and the post&#8217;s original author, Rabbi Alex Ozar. 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