About Tension-type Headache
What Is A Tension-type Headache?
Tension-type headaches are a common form of primary headache disorder, characterised by a dull, non-throbbing pain that feels like a tight band around the head. While they are not typically severe or life-threatening, tension-type headaches can significantly impact an individual’s quality of life. The fact that it is a ‘primary’ headache disorder means that there is no cause for the headache occurring, but this can be difficult to determine. Cervicogenic headaches can present in a remarkably similar way as tension-type headaches, so often an upper neck assessment is an important for a correct diagnosis.
Tension-type headaches are often described as a bilateral pressure or tightness around the forehead, temples, or back of the head. The pain is usually mild to moderate in intensity and does not worsen with routine physical activity. Unlike migraines, tension-type headaches are not typically accompanied by nausea, vomiting, or sensitivity to light and sound but if they are the symptoms are very mild.
Tension-type Headache Diagnosis
How Do We Diagnose A Tension-type Headache?
Diagnosing tension-type headaches involves a comprehensive evaluation of the patient’s symptoms, medical history, and physical examination. The healthcare provider may ask questions about the frequency, duration, and characteristics of the headaches. It is essential to rule out other plausible causes of headaches before confirming tension-type headache diagnosis.
Tension-type Headache Symptoms

Headache
Mild to moderate painPain on both sides of head
Lasting from a few hours to several days, sometimes months or even years

Muscle tightness
· Muscle tenderness or tightness in the scalp, neck, or shoulder muscles

No Sensitivity
Not usually associated with associated symptoms such as nausea, vomiting, sensitivity to light (photophobia), or sound (phonophobia).
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