Tension headache

Question 1

define a tension headache?

Answer 1

• the most common type of headache, which is considered a ‘normal, everyday headache’.

Question 2

classification for tension headache?

Answer 2

o Episodic - occurs on < 15 days per month

o Chronic - occurs on > 15 days per month

Question 3

triggers of tension headaches?

Answer 3

o	Stress/anxiety  
o	Squinting  
o	Poor posture  
o	Fatigue  
o	Dehydration 
o	Missing meals  
o	Bright sunlight  
o	Noise

Question 4

epidemiology of tension type headaches?

Answer 4

• MOST COMMON type of headache
• More common in WOMEN
• Most common in YOUNG ADULTS
• Most people will experience a tension headache at some point in their lives

Question 5

presenting symptoms and signs of tension type headaches?

Answer 5

• Mild-moderate in severity
• Pressure/tightness around the head like a tight band
• Pain tends to be bilateral
• Often a relationship with the neck
• Can be disabling for a few hours but does not have specific associated symptoms (unlike migraines)
• Gradual onset
• Variable duration
• Usually responsive to over-the-counter medication

Question 6

investigations for tension type headaches?

Answer 6

none

Question 7

conservative management of tension type headaches?

Answer 7

o Reassurance
o Address triggers (e.g. stress, anxiety)
o Advice on avoiding medications that can cause medication-induced headaches (e.g. opioids)

Question 8

medication management of tension type headaches?

Answer 8

o First line: Simple analgesia (e.g. NSAIDs, paracetamol, aspirin)
o Prophylaxis: 10 sessions of acupuncture
o Tricyclic antidepressants may be considered

Question 9

complications of tension headaches?

Answer 9

none

Question 10

prognosis for tension headaches?

Answer 10

• GOOD
• Not very severe or disabling
• Recurs