Tension headaches are often described as a dull ache, pressure, or tightness on both sides of the head – starting from the forehead and continuing to the base of the skull. They are very common, and approximately 30-70% of people will experience at least one in their lifetimes.
Tension Headache falls under thePaincategory.
Tension headaches or tension-type headaches were formerly called “muscle contraction headaches.” They are often described as dull aches, pressure, or tightness on both sides of the head. They can be further classified into frequent or infrequent episodic or chronic tension type headaches.
Tension headaches typically do not require an official diagnosis if they are not very severe or frequent and do not occur secondary to another health condition. Tension headaches can be differentiated from other types of headaches because they usually respond to over-the-counter treatments such as acetaminophen and ibuprofen.
Most often, tension headaches are treated with over-the-counter treatments including non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil), diclofenac (Voltaren), and naproxen (Aleve). Other commonly used medications include acetaminophen (Tylenol) and aspirin. Botulinum toxin (botox) injections have been used with limited success. To avoid the development of chronic headache, it is recommended that these treatments are used no more than two times weekly.
Certain modalities are beneficial for stress reduction and also seem to help reduce tension headaches. Some examples include acupuncture, chiropractics, trigger point therapy, massage, magnet therapy, and others.
The exact cause of tension headaches is unknown and can differ if the tension headache is infrequent or frequent (chronic). Some research suggests that the pain occurs from muscle tenderness and nerve sensitization on the outside of the head. This can be brought on by stress, poor posture, and possibly weak neck muscles. Increased frequency of tension headache is thought to occur because the nerves around the head become more and more sensitive over time. Episodic headaches can be secondary to factors such as poor sleep, muscle tension, eye strain, low blood sugar, and others.