Tension Headache
(Muscle Contraction Headache; Tension-Type Headache)
Definition
Tension headache is a spreading, steady head pain that can be mild or severe.
Tension Headache: Areas of PainCopyright © Nucleus Medical Media, Inc. |
Causes
Tension headaches develop when muscles in the neck, face, and scalp contract.
The cause is not known. Genes are thought to play a role.
Risk Factors
This problem often starts in people who are 25 years of age and older. It is also more common in women.
Other things that may raise the risk are:
- Stress
- Mental tension
- Being emotionally upset
Symptoms
Some tension headaches happen often. Others happen only once in a while. They do not often get in the way of daily activities. Tension headaches are:
- Felt on both sides of the head
- Have a pressing or tightening feeling
Diagnosis
The doctor will ask about symptoms and past health. A physical exam will be done. This is often enough to make the diagnosis.
Treatment
The goal is to manage symptoms and lower the risk of future headaches. Choices are:
Medications
Over-the-counter pain medicine, such as ibuprofen, is often enough to ease headaches.
A caffeine supplement with a pain reliever may also help. Antidepressants may be given for those with severe headaches. It can lower the risk of future headaches.
Other Management
Easing muscle tension can prevent future headaches. It can also ease headaches that have already started. Steps that may help include:
- Find and stop causes of tension such as poor posture or movement that causes strain in neck and shoulders
- Regular exercise to strengthen area and ease tension
- Massage
- Hot or cold packs—whichever works best
- Physical therapy to address regular tension or pain problems in neck
- Stress management and relaxation methods
- Biofeedback to learn how to control muscle tension
Prevention
Managing stress and regular healthy movement may prevent headaches.
RESOURCES:
http://www.americanheadachesociety.org
http://www.headaches.org
CANADIAN RESOURCES:
https://headachesociety.ca
http://www.headache-help.org
References:
Last Updated: 4/9/2021
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