(Tension headache)
Tension headache causes mild to moderate pain without holokraniale everyday disability, nausea or photophobia as migraine.
Tension headache causes mild to moderate pain without holokraniale everyday disability, nausea or photophobia as migraine.
(See also examination of headache patients.) Tension headache causes mild to moderate pain without holokraniale everyday disability, nausea or photophobia as migraine. Tension headache may be episodic or chronic: Episodic tension headaches occur at <15 days to a month. Episodic tension headache is common. Most patients achieve pain relief with over the counter analgesics and do not seek medical help. Chronic tension headaches occur on ? 15 days a month. Symptoms and complaints The pain is mild to moderate in general and is often described as a vice-like. These headaches begin bilaterally in the occipital or frontal area and spread over the entire head. Unlike migraine headaches Tension headaches are not accompanied by nausea and vomiting and will not be aggravated by physical activity, light, sounds or smells. Possible triggers for chronic tension headaches are sleep disorders, stress, craniomandibular dysfunction, neck pain and eye strain. Episodic headaches can last from 30 minutes to several days. They typically begin several hours after waking up and become worse during the day. They rarely bring the patient from sleep. Chronic headaches can vary in intensity during the day, but are almost always present. Diagnosis Clinical Evaluation The diagnosis of tension headaches is based on characteristic symptoms and a normal result of the physical examination, including a neurological examination. Possible triggers for chronic tension-type headache should be identified and treated. Tension headache should be distinguished from a non-corresponding to the frame shape of migraine, which have many patients with migraine; these headaches show only some features of migraine and tension headaches are similar to, but they are light and respond to migraine-specific drugs to. If it is assumed that severe headaches are tension headaches, the diagnosis should be reviewed as severe tension headaches are rare. Tips and risks Reconsider the diagnosis of tension headache when headaches are worse. Treatment analgesics Sometimes behavioral and psychological interventions Some medications that are used for migraine prophylaxis (medication for migraine and cluster headache *), particularly amitriptyline, chronic tension headache can prevent. For most mild to moderate tension headaches-the-counter analgesics can remedy (eg., Aspirin, acetaminophen). Massaging the affected area can help. Behavioral and psychological interventions (eg. As relaxation and stress management techniques) are commonly used and are effective, especially when combined with drug treatment.