Pain or pressure in the head can have many different sources and causes. Therefore, it can be tough to tell whether you’re suffering from a traditional headache or a migraine. It’s important to know the difference so you can get the right treatment and even prevent them in the future. In general, migraines are characterized by throbbing that worsens with any kind of physical exertion, such as walking upstairs. Headaches are more chronic and steady, characterized by a band-like pressure or tightness.