Tension-Type Headache

Overview

Tension-type headaches are the most common form of headache, experienced by almost everyone at some point. They are characterized by a pressing or tightening pain on both sides of the head, often described as a band-like pressure. Episodic tension headaches occur occasionally, while chronic tension-type headaches occur 15 or more days per month. They are often triggered by stress, poor posture, eye strain, and muscle tension in the neck and shoulders.

Symptoms

Common Symptoms

• Pressing or tightening pain (not throbbing)
• Pain on both sides of the head
• Mild to moderate intensity
• No nausea or vomiting (unlike migraine)
• No worsening with routine physical activity
• Tenderness in the scalp, neck, and shoulder muscles
• Chronic form: headaches 15+ days per month for 3+ months
• Often triggered by stress, fatigue, or poor posture

Diagnosis

Diagnosis typically involves clinical evaluation, medical history, blood tests, and appropriate imaging studies. A healthcare provider will assess symptoms, order relevant laboratory work, and may refer to a specialist for confirmation.

Treatments

Treatment depends on the underlying cause and severity. Options may include medication, lifestyle modifications (diet, exercise, stress management), and ongoing monitoring. Always work with a qualified healthcare provider to develop an appropriate treatment plan.