TENSION HEADACHES

Tension type headaches are by far the most common type of headaches experienced.  They are sometimes also referred to as "stress headaches".

They may be classified according to the number of headache days a month: Episodic if < 14 days/month or Chronic if > 14 days/month on average for more than 3 months.

Symptoms:

Tension headaches are typically described as being mild to moderate in severity, the pain being a constant, pressing, heavy or pressure sensation,  affecting the front, top or sides of the head.

There is generally  no associated nausea or vomiting, and the pain is not aggravated by routine physical activity such as walking or climbing the stairs.

Tension headaches are often associated with fatigue, irritability, disturbed concentration, and muscle aches/tightness over the upper back and shoulder region.

Triggers:

Tension headaches usually occur as a result of an accumulation of factors.

These triggers may include:

• Emotional or mental stress
• Inadequate rest, fatigue
• Anxiety
• Overexertion
• Poor posture

Treatment:

Tension headaches respond to pharmacological as well as non-pharmacological treatments, either alone or in combination.

Treatment of acute attacks:
Simple pain-killers such as paracetamol (with or without a muscle relaxant) and the NSAID (non-steroidal anti-inflammatory drugs) group of medication, may be used for pain relief.  The newer cyclooxygenase-2 inhibitors (COX-II inhibitors) can also provide relief.

Prophylactic treatment:
Prophylaxis (preventive) treatment should be considered with your doctor if your headaches are very frequent.  Medication such as amitriptyline may be used for prophylaxis.

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The article above is meant to provide general information and does not replace a doctor's consultation. 
Please see your doctor for professional advice.