Tension-type headache

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Tension-type headache

Tension-type headache (pronunciation: /ˈtɛnʃən taɪp ˈhɛdˌeɪk/), often abbreviated as TTH, is the most common type of primary headache. The pain can radiate from the lower back of the head, the neck, eyes, or other muscle groups in the body typically affecting both sides of the head. Tension-type headaches account for nearly 90% of all headaches.

Etymology

The term "tension-type headache" is derived from the belief that the headache is caused by muscle tension around the neck and the scalp. This belief, however, is controversial and not fully accepted in the medical community.

Symptoms

Tension-type headaches are characterized by a constant dull, aching sensation on both sides of the head. Some people experience a tight, constricting feeling around the forehead, often described as a “tight band” or “vise,” and tenderness on the scalp, neck and shoulder muscles.

Causes

The exact cause of tension-type headaches is not known. Factors that have been implicated include stress, anxiety, lack of sleep, skipped meals, poor posture, and eye strain.

Diagnosis

Diagnosis of tension-type headache is typically based on the description of the headache and a physical examination. There are no specific tests to confirm the diagnosis, but a doctor may order tests such as an MRI or a CT scan to rule out other causes of the headache.

Treatment

Treatment for tension-type headaches typically involves the use of over-the-counter pain relievers such as aspirin, ibuprofen, and acetaminophen. In some cases, prescription medications, physical therapy, or stress management techniques may be recommended.

Related Terms

  • Migraine: A type of headache characterized by severe pain on one side of the head, often accompanied by other symptoms such as nausea, vomiting, and sensitivity to light and sound.
  • Cluster headache: A type of headache characterized by severe, piercing pain on one side of the head, often around the eye.
  • Chronic daily headache: A term used to describe a group of headache disorders that occur at least 15 days a month for a period of three months or longer.

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