Tension Headache

Tension Headache

  • Most common type of HA
  • More common in women usually by age 20
  • Acute more common than chronic
  • Pain originates from myofascial tissues, exacerbated by physical/mental stress
  • Symptoms:  pain is mild-moderate, band-like, dull, non-pulsating & bilateral               often coexists with depression
  • Muscle tension is common:  patients have difficulty relaxing on command, have restless movements & twitching is common
  • Treatment of tension headaches:
    • Acute:  APAP, ASA, IBU
    • Chronic:  amitriptyline & Botox

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