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.
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.
The exact cause of tension headache is unknown; the following factors may affect the development of this type of headache:
Stress
Sleep disturbance
Caffeine
Your general practitioner may perform a physical examination during your initial visit and assess your eyesight, coordination, reflexes, and sensations; these will assist in eliminating some additional potential underlying causes of your problems.
If you have headaches, your doctor may ask about your headaches if they:
On one side of your head
Cause pulsating pain that interferes with daily activities
Made worse by movement or exercise
Cause nausea or vomiting
Come with sensitivity to light and noise
It may be helpful to keep a record of your migraine attacks for a few weeks to aid in the diagnosis. It may include the date and time, symptoms, duration of the attack, and medicines you use.
You may be referred to a neurologist for further assessment.
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.
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