Tension Headache

11 min read

A tension headache is a type of headache that is caused by muscle tension in the neck, scalp, and jaw. It is the most common type of headache, and it can range from mild to severe. It is usually felt as a dull, aching pain on both sides of the head. It can last anywhere from 30 minutes to several days.

Tension headaches are often caused by stress, anxiety, depression, or fatigue. Other factors that can contribute to tension headaches include poor posture, dehydration, and certain medications. In some cases, tension headaches can be caused by an underlying medical condition, such as a sinus infection or a migraine.

Tension headaches can be managed with lifestyle changes, such as getting enough sleep, exercising regularly, and practicing relaxation techniques. Over-the-counter medications, such as ibuprofen or acetaminophen, can also help relieve the pain. In some cases, a doctor may prescribe stronger medications or recommend physical therapy.

Take the Tension Headache Assessment

Symptoms

  • A dull, aching pain in the head, neck, or shoulders
  • Pain that feels like a tight band around the head
  • Pain that is worse when you move your head or neck
  • Pain that is worse when you are under stress
  • Tenderness in the scalp, neck, and shoulders
  • Fatigue
  • Difficulty concentrating
  • Irritability

If you are experiencing any of these symptoms, it is important to see your doctor to rule out any other medical conditions. Your doctor may recommend lifestyle changes, such as stress management, improved posture, and regular exercise, to help reduce the frequency and severity of tension headaches.

Causes

Stress

Stress is one of the most common causes of tension headaches. Stress can be caused by a variety of factors, including work, family, relationships, and 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 put extra strain on the muscles in the neck and shoulders, leading to tension headaches. It is important to maintain good posture throughout the day to help reduce the risk of tension headaches.

Dehydration

Dehydration can also be a contributing factor to tension headaches. When the body is dehydrated, it can cause the muscles in the head and neck to become tense, leading to a tension headache. It is important to drink plenty of water throughout the day to help prevent dehydration and reduce the risk of tension headaches.

Caffeine

Caffeine can also be a contributing factor to tension headaches. Caffeine is a stimulant that can cause the muscles in the head and neck to become tense, leading to a tension headache. It is important to limit caffeine intake to help reduce the risk of tension headaches.

Lack of Sleep

Lack of sleep can also be a contributing factor to tension headaches. When a person does not get enough sleep, it can cause the muscles in the head and neck to become tense, leading to a tension headache. It is important to get enough sleep each night to help reduce the risk of tension headaches.

Getting a Diagnosis

Symptoms of Tension Headaches

Tension headaches can cause a variety of symptoms, including a dull, aching pain on both sides of the head, a feeling of tightness or pressure around the head, neck, and shoulder muscles, and sensitivity to light and sound. Other symptoms may include fatigue, difficulty concentrating, and irritability.

Causes of Tension Headaches

Tension headaches can be caused by a variety of factors, including stress, poor posture, dehydration, and muscle tension. Other potential causes include certain medications, alcohol, and caffeine.

Diagnosing Tension Headaches

In order to diagnose a tension headache, a doctor will typically ask questions about the patient's medical history, lifestyle, and symptoms. The doctor may also perform a physical exam to check for signs of muscle tension or other potential causes. If the doctor suspects a tension headache, they may order imaging tests, such as an MRI or CT scan, to rule out other potential causes.

Treatment of Tension Headaches

Treatment for tension headaches typically involves lifestyle changes, such as reducing stress, improving posture, and avoiding certain medications, alcohol, and caffeine. Other treatments may include relaxation techniques, massage, and physical therapy. In some cases, medications may be prescribed to help relieve pain and other symptoms.

Questions for Your Doctor

Symptoms

Describe your symptoms to your doctor in as much detail as possible. This includes the location of the pain, the intensity of the pain, and how long the headache lasts. It is also important to note any other symptoms you may be experiencing, such as nausea, dizziness, or sensitivity to light or sound.

Triggers

Discuss any potential triggers for your tension headaches with your doctor. Common triggers include stress, lack of sleep, certain foods, and certain activities. Knowing what triggers your headaches can help you avoid them in the future.

Treatment Options

Your doctor can recommend a variety of treatment options for tension headaches. These may include over-the-counter medications, prescription medications, lifestyle changes, or alternative therapies. Discuss the pros and cons of each option with your doctor to determine which one is best for you.

Follow-Up Appointments

Your doctor may recommend follow-up appointments to monitor your progress and adjust your treatment plan if necessary. Make sure to schedule these appointments as recommended by your doctor.

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.

Relaxation Techniques

Relaxation techniques such as deep breathing, progressive muscle relaxation, and meditation can help reduce stress and tension, which can help reduce the frequency and intensity of tension headaches. Regular exercise can also help reduce stress and tension.

Massage

Massage can help reduce muscle tension, which can help reduce the pain associated with tension headaches. Massage can also help reduce stress and promote relaxation.

Acupuncture

Acupuncture is an ancient Chinese practice that involves the insertion of thin needles into specific points on the body. Acupuncture can help reduce muscle tension and promote relaxation, which can help reduce the pain associated with tension headaches.

Biofeedback

Biofeedback is a technique that involves monitoring and controlling bodily functions such as heart rate and muscle tension. Biofeedback can help reduce stress and tension, which can help reduce the frequency and intensity of tension headaches.

Drugs & Medications

Over-the-Counter Medications

The most common over-the-counter medications used to treat tension headaches are acetaminophen, ibuprofen, and aspirin. These medications can help reduce pain and inflammation, but they should not be taken for more than 10 days in a row without consulting a doctor. Other over-the-counter medications that may be used to treat tension headaches include naproxen sodium, caffeine, and combination medications such as Excedrin.

Prescription Medications

Prescription medications are usually reserved for more severe cases of tension headaches. These medications include triptans, which are serotonin receptor agonists, and ergotamines, which are vasoconstrictors. These medications can help reduce the intensity and frequency of tension headaches, but they should only be taken under the supervision of a doctor.

Alternative Treatments

In addition to medications, there are a variety of alternative treatments that may be used to treat tension headaches. These include massage, acupuncture, biofeedback, and relaxation techniques. These treatments can help reduce stress and muscle tension, which can help reduce the frequency and intensity of tension headaches.

Conclusion

Tension headaches can be a debilitating condition, but there are a variety of medications and alternative treatments available to help relieve the pain and discomfort associated with them. Over-the-counter medications such as acetaminophen, ibuprofen, and aspirin can help reduce pain and inflammation. Prescription medications such as triptans and ergotamines can help reduce the intensity and frequency of tension headaches. Finally, alternative treatments such as massage, acupuncture, biofeedback, and relaxation techniques can help reduce stress and muscle tension, which can help reduce the frequency and intensity of tension headaches.

Diet

What to Eat

Eating a balanced diet is important for managing tension headaches. Here are some foods that can help reduce the frequency and intensity of tension headaches:

  • Fruits and vegetables: Fruits and vegetables are packed with vitamins, minerals, and antioxidants that can help reduce inflammation and improve overall health.
  • Whole grains: Whole grains are a great source of complex carbohydrates, which can help provide sustained energy and reduce fatigue.
  • Lean proteins: Lean proteins, such as fish, chicken, and beans, are a great source of essential amino acids that can help reduce inflammation and improve overall health.
  • Healthy fats: Healthy fats, such as olive oil, avocados, and nuts, can help reduce inflammation and improve overall health.

What to Avoid

Certain foods can trigger tension headaches or make them worse. Here are some foods to avoid if you suffer from tension headaches:

  • Processed foods: Processed foods are often high in sugar, sodium, and unhealthy fats, which can trigger tension headaches.
  • Caffeine: Caffeine can trigger tension headaches or make them worse. It's best to limit or avoid caffeine if you suffer from tension headaches.
  • Alcohol: Alcohol can trigger tension headaches or make them worse. It's best to limit or avoid alcohol if you suffer from tension headaches.
  • MSG: Monosodium glutamate (MSG) is a common food additive that can trigger tension headaches. It's best to avoid foods that contain MSG if you suffer from tension headaches.

Eating a healthy diet is an important part of managing tension headaches. Eating the right foods can help reduce the frequency and intensity of tension headaches, while avoiding certain foods can help prevent them from occurring. If you suffer from tension headaches, it's important to talk to your doctor about the best diet for you.

Lifestyle

Get Enough Sleep

Getting enough sleep is essential for overall health and wellbeing, and it can also help reduce the frequency and intensity of tension headaches. Aim for 7-9 hours of sleep each night, and try to go to bed and wake up at the same time each day. If you have trouble sleeping, try avoiding caffeine and alcohol in the evening, and establish a relaxing bedtime routine.

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, such as walking, jogging, swimming, or cycling. If you’re new to exercise, start slowly and gradually increase the intensity and duration of your workouts.

Manage Stress

Stress is one of the most common triggers of tension headaches, so it’s important to find ways to manage stress. Try relaxation techniques such as deep breathing, yoga, or meditation. You can also try talking to a friend or family member, or writing in a journal. If stress is a major issue, consider talking to a therapist or counselor.

Eat a Healthy Diet

Eating a healthy, balanced diet can help reduce the frequency and intensity of tension headaches. Avoid processed and sugary foods, and focus on eating plenty of fruits, vegetables, whole grains, and lean proteins. You should also stay hydrated by drinking plenty of water throughout the day.

Limit Caffeine and Alcohol

Caffeine and alcohol can both trigger tension headaches, so it’s important to limit your intake. If you do drink caffeine or alcohol, try to do so in moderation. Avoid drinking too much caffeine or alcohol in one sitting, and try to avoid drinking late in the day.

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. Your doctor can help diagnose the cause of your headaches and recommend treatments to help you find relief.