Cefalea tensional (Tension Headache)

12 min read

Cefalea tensional, also known as tension headache, is a type of primary headache disorder. It is the most common type of headache, and is characterized by a dull, aching pain in the head, neck, and shoulders. It is often accompanied by muscle tightness in the same areas. Cefalea tensional is usually caused by stress, anxiety, or fatigue, and can be triggered by physical or emotional stressors. It is usually not serious, and can be managed with lifestyle changes and over-the-counter medications.

Causes of Cefalea Tensional

Cefalea tensional is caused by a combination of physical and emotional stressors. Physical stressors include poor posture, muscle tension, and dehydration. Emotional stressors include anxiety, depression, and stress. Other factors that can contribute to tension headaches include lack of sleep, poor nutrition, and certain medications.

Diagnosis of Cefalea Tensional

Cefalea tensional is usually diagnosed based on a patient's medical history and physical examination. A doctor may also order imaging tests, such as an MRI or CT scan, to rule out other causes of headache. Blood tests may also be ordered to check for underlying medical conditions.

Prevention of Cefalea Tensional

Cefalea tensional can be prevented by managing stress, practicing good posture, and getting enough sleep. Regular exercise, relaxation techniques, and a healthy diet can also help reduce the risk of tension headaches. Avoiding certain medications, such as caffeine and alcohol, can also help prevent tension headaches.

Take the Cefalea tensional (Tension Headache) Assessment

Symptoms

  • Dull, aching pain in the head, neck, and/or shoulders
  • Pain that is described as a tight band or vice-like sensation around the head
  • Pain that is worse in the afternoon or evening
  • Pain that is worse with stress or fatigue
  • Difficulty concentrating
  • Sensitivity to light and sound
  • Tenderness in the scalp, neck, and shoulders

If you are experiencing any of these symptoms, it is important to speak to your doctor to determine the cause of your headache. Your doctor may recommend lifestyle changes, medications, or other treatments to help relieve your symptoms.

Causes

Stress

Stress is one of the most common triggers for tension headaches. Stress can be caused by a variety of factors, such as work, family, or financial issues. When a person is under a lot of stress, their body releases hormones that can cause the muscles in the head and neck to become tense, leading to a tension headache.

Poor Posture

Poor posture can also contribute to tension headaches. When a person slouches or hunches over, it can cause the muscles in the neck and shoulders to become tense. This tension can then spread to the head, leading to a tension headache.

Lack of Sleep

Not getting enough sleep can also lead to tension headaches. When a person is sleep deprived, their body releases hormones that can cause the muscles in the head and neck to become tense. This tension can then lead to a tension headache.

Dehydration

Dehydration can also be a factor in the development of tension headaches. When a person is dehydrated, their body does not have enough fluids to function properly. This can lead to muscle tension, which can then lead to a tension headache.

Caffeine

Caffeine can also be a trigger for tension headaches. Caffeine is a stimulant that can cause the muscles in the head and neck to become tense. This tension can then lead to a tension headache.

Alcohol

Alcohol can also be a trigger for tension headaches. Alcohol is a depressant that can cause the muscles in the head and neck to become tense. This tension can then lead to a tension headache.

Getting a Diagnosis

Medical History

The first step in diagnosing tension headache is to take a detailed medical history. Your doctor will ask about your symptoms, such as the location and intensity of the pain, how long it has been going on, and any other medical conditions you may have. Your doctor may also ask about your lifestyle, such as your diet, exercise habits, and stress levels. This information can help your doctor determine if tension headache is the likely cause of your symptoms.

Physical Exam

Your doctor may also perform a physical exam to look for signs of tension headache. This may include checking your posture, examining your neck and shoulders for tenderness or tightness, and testing your reflexes. Your doctor may also order imaging tests, such as an X-ray or MRI, to look for any underlying conditions that could be causing your symptoms.

Diagnostic Tests

Your doctor may also order certain tests to help diagnose tension headache. These tests may include blood tests to check for inflammation or infection, or a CT scan to look for any structural abnormalities in the brain. Your doctor may also order an electroencephalogram (EEG) to measure the electrical activity in your brain.

Treatment

Once your doctor has diagnosed tension headache, they will recommend a treatment plan. This may include lifestyle changes, such as reducing stress, improving posture, and getting regular exercise. Your doctor may also prescribe medications, such as pain relievers or muscle relaxants, to help relieve your symptoms. In some cases, physical therapy or other forms of therapy may be recommended to help manage your symptoms.

Questions for Your Doctor

Discuss Your Symptoms

When discussing tension headaches with your doctor, it is important to provide as much detail as possible about your symptoms. Describe the type of pain you are experiencing, such as a dull ache or a throbbing sensation. Also, note how long the headache lasts and how often it occurs. Additionally, mention any other symptoms you may be experiencing, such as nausea, dizziness, or sensitivity to light or sound.

Discuss Your Medical History

Your doctor will also want to know about your medical history. Tell your doctor if you have a family history of tension headaches or if you have any other medical conditions that may be contributing to your headaches. Additionally, mention any medications you are taking, as some medications can cause tension headaches as a side effect.

Discuss Your Lifestyle Habits

Your doctor may also ask about your lifestyle habits. Tell your doctor if you are under a lot of stress or if you have any unhealthy habits, such as smoking or drinking alcohol. Additionally, mention if you are getting enough sleep and if you are eating a healthy diet.

Discuss Treatment Options

Finally, discuss treatment options with your doctor. Your doctor may recommend lifestyle changes, such as getting more sleep or reducing stress. Additionally, your doctor may prescribe medications to help relieve your symptoms. It is important to follow your doctor's instructions and to let your doctor know if your symptoms do not improve.

Treatment

Medication

Over-the-counter medications such as ibuprofen, acetaminophen, and aspirin can help reduce the pain associated with tension headaches. If these medications are not effective, your doctor may prescribe stronger medications such as muscle relaxants or tricyclic antidepressants. It is important to talk to your doctor before taking any medication for tension headaches.

Relaxation Techniques

Relaxation techniques such as deep breathing, progressive muscle relaxation, and guided imagery can help reduce the tension associated with tension headaches. These techniques can be done at home or with the help of a trained therapist. Regular practice of these techniques can help reduce the frequency and intensity of tension headaches.

Exercise

Regular exercise can help reduce the frequency and intensity of tension headaches. Exercise can help reduce stress and tension, which can help reduce the pain associated with tension headaches. It is important to talk to your doctor before starting any exercise program.

Massage

Massage can help reduce the tension associated with tension headaches. Massage can help relax the muscles in the neck and shoulders, which can help reduce the pain associated with tension headaches. It is important to talk to your doctor before starting any massage therapy.

Acupuncture

Acupuncture is a traditional Chinese medicine technique that involves the insertion of thin needles into specific points on the body. Acupuncture can help reduce the pain associated with tension headaches by stimulating the body's natural healing processes. It is important to talk to your doctor before starting any acupuncture treatments.

Biofeedback

Biofeedback is a technique that uses electronic devices to help people become aware of their body's physiological responses. Biofeedback can help reduce the pain associated with tension headaches by teaching people how to control their body's responses to stress and tension. It is important to talk to your doctor before starting any biofeedback treatments.

Drugs & Medications

Causes of Cefalea Tensional

The exact cause of tension headaches is not known, but they are thought to be related to stress, muscle tension, and poor posture. Other potential causes include dehydration, lack of sleep, and certain medications. In some cases, tension headaches can be triggered by certain foods or environmental factors.

Symptoms of Cefalea Tensional

The most common symptom of tension headaches is a dull, aching pain that is usually felt on both sides of the head. Other symptoms may include tightness in the neck and shoulders, fatigue, difficulty concentrating, and irritability. In some cases, people may also experience sensitivity to light and sound.

Treatment for Cefalea Tensional

Treatment for tension headaches typically involves lifestyle changes, such as reducing stress, getting enough sleep, and practicing good posture. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can also be used to relieve the pain. In some cases, prescription medications may be necessary to control the pain. In severe cases, physical therapy or other forms of treatment may be recommended.

Prevention of Cefalea Tensional

The best way to prevent tension headaches is to reduce stress and practice good posture. Other preventive measures include getting enough sleep, drinking plenty of water, and avoiding certain foods or environmental triggers. Regular exercise can also help to reduce stress and improve overall health.

Diet

Eat Regularly

Eating regular meals and snacks throughout the day can help keep your blood sugar levels stable, which can help reduce the frequency and intensity of tension headaches. Eating regular meals and snacks can also help reduce stress and fatigue, which can be triggers for tension headaches.

Drink Plenty of Water

Staying hydrated is important for overall health, and it can also help reduce the frequency and intensity of tension headaches. Make sure to drink plenty of water throughout the day, and avoid sugary drinks and caffeinated beverages, which can be triggers for tension headaches.

Eat Foods Rich in Magnesium

Magnesium is an important mineral for overall health, and it can also help reduce the frequency and intensity of tension headaches. Foods that are rich in magnesium include dark leafy greens, nuts, seeds, legumes, and whole grains. Eating foods that are rich in magnesium can help reduce the frequency and intensity of tension headaches.

Avoid Trigger Foods

Certain foods and drinks can be triggers for tension headaches, so it is important to identify and avoid these trigger foods. Common trigger foods include processed foods, sugary foods and drinks, caffeinated beverages, and alcohol. Identifying and avoiding trigger foods can help reduce the frequency and intensity of tension headaches.

Lifestyle

Get Enough Sleep

Getting enough sleep is essential for reducing tension headaches. Aim for 7-8 hours of sleep each night. If you have trouble falling asleep, try to establish a regular sleep schedule and avoid caffeine and alcohol before bedtime.

Exercise Regularly

Regular exercise can help reduce stress and tension, which can help reduce the frequency and intensity of tension headaches. Aim for at least 30 minutes of moderate exercise each day. This can include walking, jogging, swimming, or any other activity that gets your heart rate up.

Eat a Balanced Diet

Eating a balanced diet can help reduce tension headaches. Make sure to include plenty of fruits, vegetables, and whole grains in your diet. Avoid processed foods and sugary snacks, as these can cause spikes in blood sugar levels, which can lead to headaches.

Manage Stress

Stress is one of the most common causes of tension headaches. Try to find ways to manage your stress levels, such as yoga, meditation, or deep breathing exercises. You can also try to limit your exposure to stressful situations, such as avoiding arguments or difficult conversations.

Practice Good Posture

Poor posture can lead to tension headaches. Make sure to sit up straight and keep your head and neck in line with your spine. If you work at a desk, make sure your chair is at the right height and your computer monitor is at eye level.

Stay Hydrated

Dehydration can lead to tension headaches. Make sure to drink plenty of water throughout the day. Avoid caffeinated and alcoholic beverages, as these can lead to dehydration.

See a Doctor

If lifestyle changes don't help reduce the frequency and intensity of your tension headaches, it's important to see a doctor. They can help diagnose the cause of your headaches and recommend treatments to help reduce the pain.