Tension Headache
Description
Tension headache is the most common type of headache. Frequently, these headaches result in mild to moderate pain in the neck, face, or head; described as feeling like a tight band around the head. Typically, they do not result in other symptoms (like nausea or vomiting). Also, it is not a sign of any other health condition. Most medical professionals do not view tension headaches as hazardous. Tension headache is not hereditary. Because tension headaches are so frequent, they have a significant impact on quality of life and work performance, especially if they are chronic. The persistent pain could prevent you from participating in activities. You might not be able to go to work, or if you can, your performance might be compromised. There are two types of tension headaches:
- Chronic tension headache: when your headache days exceed your headache-free days. It occurs 15 or more days per month for three consecutive months.
- Episodic tension headache: happens less often than the chronic type; it lasts from 30 minutes to one week.
Symptoms
- Head usually hurts on both sides
- Pain may involve the back part of the head or neck
- Pain is usually mild to moderate, but not severe
- Sensation of tightness or pressure across the forehead or on the sides and back of the head
- Tenderness in the scalp, neck, and shoulder muscles
Visit a General Practice doctor if you have any of these symptoms for proper diagnosis and treatment; he may refer you to a Neurologist if needed.
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View MoreCauses
The exact cause of tension headache is unknown; the following factors may affect the development of this type of headache:
- Stress
- Sleep disturbance
- Caffeine
Diagnostics
There is no specific test for tension headache diagnosis. Your general practitioner may ask the following questions during your initial visit:
- Do your symptoms worsen at certain times of the day?
- Do your symptoms worsen by eating certain foods?
- Do over-the-counter pain relievers help you feel better?
- How often do you get symptoms and how long do they last?
- How would you describe your stress levels?
Treatment
Over-the-counter painkillers may be able to effectively manage your pain if you occasionally experience tension headaches. Your general practitioner might advise you to start by trying one of these medications to treat your symptoms: acetaminophen, aspirin, ibuprofen, Naproxen sodium.
An antidepressant medicine (called amitriptyline) is sometimes recommended to help prevent tension headache.
