In: Bradley's Neurology in Clinical Practice. Using medications in conjunction with stress management techniques may be more effective than either treatment alone in reducing your tension-type headaches.Īdditionally, living a healthy lifestyle may help prevent headaches: You can learn relaxation techniques in classes or at home using books, videos or apps. Anything that helps you relax, including deep breathing, yoga, meditation and progressive muscle relaxation, may help your headaches. This type of talk therapy may help you learn to manage stress and may help reduce the frequency and severity of your headaches. You then learn how to reduce muscle tension and slow your heart rate and breathing yourself. During a biofeedback session, you're connected to devices that monitor and give you feedback on body functions such as muscle tension, heart rate and blood pressure. This technique teaches you to control certain body responses that help reduce pain. In addition to regular exercise, techniques such as biofeedback training and relaxation therapy can help reduce stress. You might need to stay home from work, or if you do go to your job, your ability to function may be impaired. The frequent pain may render you unable to attend activities. Complicationsīecause tension-type headaches are so common, their effect on job productivity and overall quality of life is considerable, particularly if they're chronic. Stress is the most commonly reported trigger for tension-type headaches. Increased muscle tenderness, a common symptom of tension-type headaches, may result from a sensitized pain system. The most common theory supports a heightened sensitivity to pain in people who have tension-type headaches. But research suggests that muscle contraction isn't the cause. Experts used to think tension-type headaches stemmed from muscle contractions in the face, neck and scalp, perhaps as a result of heightened emotions, tension or stress. The cause of tension-type headaches is not known. Headache after a head injury, especially if the headache gets worse.Headache with a fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness or speaking difficulties.If you have any of these signs or symptoms, seek emergency care: Occasionally, headaches may indicate a serious medical condition, such as a brain tumor or rupture of a weakened blood vessel (aneurysm). If tension-type headaches disrupt your life or you need to take medication for your headaches more than twice a week, see your doctor.Įven if you have a history of headaches, see your doctor if the pattern changes or your headaches suddenly feel different. When to see a doctor Make an appointment with your doctor An increased sensitivity to either light or sound can occur with a tension-type headache, but this symptom isn't common. Although physical activity typically aggravates migraine pain, it doesn't make tension-type headache pain worse. Unlike some forms of migraine, tension-type headaches usually aren't associated with visual disturbances, nausea or vomiting. Plus, if you have frequent episodic tension-type headaches, you can also have migraines. Tension-type headaches can be difficult to distinguish from migraines. If your headaches occur 15 or more days a month for at least three months, they're considered chronic. This type of tension-type headache lasts hours and may be continuous. Frequent episodic tension-type headaches may become chronic. Frequent episodic tension-type headaches occur less than 15 days a month for at least three months. Episodic tension-type headachesĮpisodic tension-type headaches can last from 30 minutes to a week. Tension-type headaches are divided into two main categories - episodic and chronic. Tenderness in the scalp, neck and shoulder muscles.Sensation of tightness or pressure across the forehead or on the sides and back of the head. doi:10.1212/WNL.Signs and symptoms of a tension-type headache include: Red and orange flags for secondary headaches in clinical practice: SNNOOP10 list. What is spontaneous intracranial hypotension (SIH)? Occipital neuralgia diagnosis and treatment: The role of ultrasound. "Sinus headache": Diagnosis and dilemma? An analytical and prospective study. Cervicogenic headaches: an evidence-led approach to clinical management. Cluster headache: Epidemiology, pathophysiology, clinical features, and diagnosis. Intrinsic coagulation pathway, history of headache, and risk of ischemic stroke. Van Os HJA, Wermer MJH, Rosendaal FR, Govers-riemslag JW, Algra A, Siegerink BS. Headaches in brain tumor patients: primary or secondary? Headache. Headache attributed to trauma or injury to the head and/or neck.
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