As the end of 2009 approaches, Thanksgiving turkey and holiday spending are probably on your mind. For those of you with Flexible Spending Arrangements (FSA) you should be thinking about health care expenses, as well. Many employers have FSAs available to their employees that they can use for certain medical expenses. One drawback with the FSA, however, is that if you don't use money you've contributed to your account during the year, you lose it. In other words, you can't roll over 2009 contributions to 2010 expenses.

FSAs can reimburse you for "qualified medical expenses," and IRS Publication 502 lists these out for you. As headache sufferers some of the following may be of special interest:

• Acupuncture, Chiropractic care, or Osteopathic Manipulation
• Dental work (including exams and x-rays)
• Eyeglasses
• Laboratory fees
• Prescription medications
• Physical examinations
• Stop smoking programs

Non-prescription medications are not deductible as qualified medical expenses, but an FSA can be used to pay for them.

The IRS reminds us that the following are not "qualified medical expenses":

• Amounts paid for health insurance premiums
• Amounts paid for long-term care coverage or expenses
• Amounts that are covered under another health plan

So, if you have health insurance or other health coverage that pays for something already, you can't use your FSA.

For questions regarding FSAs and other tax-advantaged medical savings programs (like Health Savings Accounts) refer to IRS publication 969, or speak to a qualified tax professional.

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Migraine headaches strike all types of individuals in all types of professions. Shawn Nelson, rookie tight end for the National Football League's Buffalo Bills, has recently been dealing with a bout of migraine headaches but is finding a way to stay active with his team. Nelson injured his neck blocking in a game a few weeks ago and feels like this was the most recent trigger, but he has suffered from migraines for at least the last 10 years. His mother was also a migraine sufferer

Nelson spoke a little bit about what it feels like to have a migraine, and how athleticism and size are no guarantees for good health:

Some people get injuries and some people's bodies react in different ways. From the outside looking in some players' afflictions look really small. But you won't know unless you've had migraines yourself, especially the way I get them. They are unreal. I can't even move.

This just underscores the fact that migraines can strike anyone and can be debilitating no matter what that person's overall health may be like.

What other headache triggers are out there?

Many NFL players experience concussions, which can be a secondary cause for headaches.

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The U.S. House of Representatives could begin debating their revised health care reform bill. There is even talk of voting as early as this Friday, but as we all know, the political process can take many different turns and detours. Whatever your personal thoughts on the proposals at hand, be sure to contact your own representative and express those views. Read more about health care reform. Will you need to find a new doctor? What questions should you be asking doctors?

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We all know that pollution is unsightly, smells horrible, and generally detracts from a community. Now researchers believe that pollution may also contribute to headaches. In a study published earlier this month in the American Journal of Epemiology, researchers looked at the effect pollution is having in urban centers in Chile. They found that increased pollution levels were associated with higher rates of hospitalization for headaches of all types. So now we have one more reason to clean up the environment.

Do you know of other headache triggers?

What about headache triggers in your diet?

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related to headaches and migraines,
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Headaches and Migraines Newsletter.
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