Tension Headaches

11 min read

Tension headaches, also known as tension-type headaches, are the most common type of headache. They are caused by muscle contractions in the head, neck, and shoulders. Tension headaches can be mild, moderate, or severe, and can last anywhere from 30 minutes to several days.

Causes of Tension Headaches

Tension headaches are often caused by stress, anxiety, depression, or fatigue. Other potential causes include poor posture, dehydration, eyestrain, and certain medications.

Risk Factors for Tension Headaches

Certain factors can increase your risk of developing tension headaches, including:

  • Age: Tension headaches are most common in adults between the ages of 30 and 50.
  • Gender: Women are more likely to experience tension headaches than men.
  • Family history: If you have a family history of tension headaches, you may be more likely to experience them.
  • Stress: Stress can trigger tension headaches.

Diagnosis of Tension Headaches

Your doctor will ask you questions about your symptoms and medical history. They may also perform a physical exam to rule out other causes of your headache. Your doctor may also order imaging tests, such as an MRI or CT scan, to rule out other causes of your headache.

Prevention of Tension Headaches

There are several steps you can take to help prevent tension headaches, including:

  • Manage stress: Try relaxation techniques, such as yoga or meditation, to help manage stress.
  • Get enough sleep: Aim for 7-8 hours of sleep each night.
  • Exercise regularly: Regular exercise can help reduce stress and tension.
  • Eat a healthy diet: Eating a balanced diet can help reduce your risk of tension headaches.
  • Practice good posture: Poor posture can lead to tension headaches, so make sure to sit up straight and keep your head and neck in alignment.
Take the Tension Headaches 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 in the afternoon or evening
  • Sensitivity to light and sound
  • Trouble concentrating
  • Fatigue

If you are experiencing any of these symptoms, it is important to see a doctor to rule out any other medical conditions. Your doctor may recommend lifestyle changes, such as getting more sleep, exercising regularly, and reducing stress, as well as medications to help relieve the pain.

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, it 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 sits or stands in an awkward position for an extended period of time, it can cause the muscles in the neck and head to become tense. This tension can lead to a tension headache.

Dehydration

Dehydration can also be a cause of tension headaches. When the body is not properly hydrated, it can cause the muscles in the head and neck to become tense, leading to a tension headache.

Caffeine

Caffeine can also be a cause of tension headaches. Caffeine is a stimulant that can cause the muscles in the head and neck to become tense, leading to a tension headache.

Alcohol

Alcohol can also be a cause of tension headaches. Alcohol is a depressant that can cause the muscles in the head and neck to become tense, leading to a tension headache.

Hormonal Changes

Hormonal changes can also be a cause of tension headaches. Hormonal changes, such as those that occur during menstruation, pregnancy, and menopause, can cause the muscles in the head and neck to become tense, leading to a tension headache.

Getting a Diagnosis

Steps for Diagnosing Tension Headaches

  • Keep a headache diary. Keeping track of your headaches can help you and your doctor determine if you are suffering from tension headaches. Note the frequency, duration, and intensity of your headaches, as well as any triggers or activities that may have caused them.
  • See your doctor. Your doctor can help you determine if you are suffering from tension headaches. They may also be able to recommend treatments or medications to help relieve your symptoms.
  • Get a physical exam. Your doctor may recommend a physical exam to rule out any other medical conditions that could be causing your headaches.
  • Get a neurological exam. Your doctor may also recommend a neurological exam to check for any neurological issues that could be causing your headaches.
  • Get imaging tests. Imaging tests such as an MRI or CT scan can help your doctor determine if there are any structural issues in your brain or neck that could be causing your headaches.

By following these steps, you can help your doctor determine if you are suffering from tension headaches. If you are diagnosed with tension headaches, your doctor can recommend treatments or medications to help relieve your symptoms.

Questions for Your Doctor

Symptoms

Describe your symptoms to your doctor. Be sure to include the frequency, intensity, and duration of your headaches. Also, 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 headaches. Common triggers include stress, lack of sleep, certain foods, and certain activities. Knowing your triggers can help you avoid them and reduce the frequency of your headaches.

Treatment Options

Discuss the various treatment options available for tension headaches. These may include lifestyle changes, such as getting more sleep and reducing stress, as well as medications, such as over-the-counter pain relievers or prescription medications. Your doctor can help you decide which treatment option is best for you.

Follow-up Appointments

Discuss any follow-up appointments that may be necessary. Your doctor may want to monitor your progress and adjust your treatment plan if necessary. Be sure to ask your doctor any questions you may have about your treatment plan.

Treatment

Over-the-Counter Medications

Over-the-counter medications such as ibuprofen, acetaminophen, and aspirin can help reduce the pain associated with tension headaches. It is important to follow the instructions on the package and not take more than the recommended dosage.

Prescription Medications

If over-the-counter medications are not effective, your doctor may prescribe a stronger medication such as a muscle relaxant or a tricyclic antidepressant. These medications can help reduce the frequency and intensity of tension headaches.

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. It is important to practice these techniques regularly in order to see the best results.

Massage

Massage can help reduce muscle tension, which can help reduce the pain associated with tension headaches. It is important to find a qualified massage therapist who is experienced in treating tension headaches.

Acupuncture

Acupuncture is an ancient Chinese practice that involves inserting thin needles into specific points on the body. It is believed to help reduce pain and tension, which can help reduce the frequency and intensity of tension headaches.

Exercise

Regular exercise can help reduce stress and tension, which can help reduce the frequency and intensity of tension headaches. It is important to find an exercise routine that is enjoyable and that can be done on a regular basis.

Drugs & Medications

Over-the-Counter Medications

Over-the-counter medications are the most common type of drugs used to treat tension headaches. These include ibuprofen, acetaminophen, and aspirin. These medications can help reduce pain and inflammation, but they should not be taken for more than 10 days without consulting a doctor.

Prescription Medications

Prescription medications are also available to treat tension headaches. These include triptans, which are serotonin receptor agonists that can help reduce the intensity of headaches. Other medications, such as muscle relaxants, can help reduce muscle tension and relieve pain. Your doctor can help you decide which medication is best for you.

Alternative Treatments

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

Conclusion

Tension headaches can be painful and disruptive, but there are a variety of medications and treatments available to help relieve the pain. Over-the-counter medications, prescription medications, and alternative treatments can all be used to help reduce the intensity of tension headaches. Talk to your doctor to find out which treatment is best for you.

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 rich in vitamins, minerals, and antioxidants, which can help reduce inflammation and improve overall health.
  • Whole grains: Whole grains are a good 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 good source of essential amino acids, which 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 and drinks can trigger tension headaches or make them worse. Here are some foods and drinks to avoid:

  • Caffeine: Caffeine can cause dehydration, which can trigger tension headaches.
  • Alcohol: Alcohol can cause dehydration, which can trigger tension headaches.
  • Processed foods: Processed foods are often high in sugar, salt, and unhealthy fats, which can trigger tension headaches.
  • MSG: Monosodium glutamate (MSG) is a flavor enhancer found in many processed foods, and it can trigger tension headaches.

Conclusion

Eating a balanced diet is important for managing tension headaches. Eating foods that are rich in vitamins, minerals, and antioxidants, such as fruits and vegetables, whole grains, lean proteins, and healthy fats, can help reduce the frequency and intensity of tension headaches. Avoiding caffeine, alcohol, processed foods, and MSG can also 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. Yoga and tai chi are also great ways to reduce stress and tension.

Manage Stress

Stress is one of the most common causes of tension headaches. To reduce stress, try to practice relaxation techniques such as deep breathing, meditation, or progressive muscle relaxation. You can also try to identify and address the sources of your stress.

Practice Good Posture

Poor posture can lead to tension headaches. To reduce the risk of tension headaches, practice good posture when sitting, standing, and sleeping. Make sure your head is in line with your shoulders and your back is straight. You can also try using a lumbar support pillow when sitting.

Stay Hydrated

Dehydration can lead to tension headaches, so it’s important to stay hydrated. Aim for 8-10 glasses of water per day. You can also try drinking herbal teas or other non-caffeinated beverages.

Eat a Balanced Diet

Eating a balanced diet can help reduce the frequency and intensity of tension headaches. Aim to include plenty of fruits, vegetables, whole grains, and lean proteins in your diet. Avoid processed foods and foods high in sugar and fat.