tension headache

There are two major types of tension headaches.

 

Episodic tension headaches occur when the person experiences a stressful event. These headaches are of moderate intensity, self-limited, and usually respond to non-prescription medications.

 

Chronic tension headaches are associated with contraction of the muscles in the head and neck. These often occur daily and are bilateral (occur on both sides of the head).

 

Episodic tension headaches follow a stressful event. Chronic tension headaches are associated with contraction of the muscles that stretch from the back of the neck over the top of the head.

 

Symptoms of tension headaches include tight, squeezing, gripping pain. The pain may be felt in the following areas:

 

The pain often settles in the back of the neck, and is worse when the person moves. The person may have insomnia, or be sensitive to sounds and light.

 

Tension headaches are associated with muscle contractions, but there is no proof that the contractions cause the headache. The following are believed to contribute to tension headaches: anxiety depression poor posture psychological disorders social concerns stress

Stress management may prevent some cases of tension headache, as can relaxation routines, biofeedback and meditation.

Diagnosis of a tension headache begins with a history and physical exam. The healthcare provider may order tests to rule out other causes of the headache. These may include a cranial CT scan or cranial MRI.