1: Tension Headaches

Question 1

Diagnostic criteria for tension headaches.

Answer 1

At least two of the following:
-Pressing/tightening quality (nonpulsating)
-Mild to moderate intensity (may inhibit but not prohibit activity)
-Bilateral
-No aggravation from routine physical activity
Both of the following:
-No nausea or vomiting
-Photophobia or phonophobia absent, or only one present

Question 2

If OTC meds don’t work for tension headaches, what can be added?

Answer 2

Caffeine or Rx drugs, but try to avoid the heavier Rxs when possible.

Question 3

Though not usually necessary, what med has proven efficacy for tension headache prophylaxis and what is the dose?

Answer 3

Amitriptyline
Start at 10-12.5 mg q HS.
Increase until you see improvement.

Question 4

T/F Tension headaches are usually bilateral.

Answer 4

True

Question 5

Most common treatments for tension headaches (4).

Answer 5

Tylenol
ASA
NSAIDs
Aleve

Question 6

T/F Tension headaches, like migraines, can have n/v.

Answer 6

False. N/v and photo/phonophobia are not usually associated with tension headaches.

Question 7

T/F Triptans are a good second-line med for tension headaches.

Answer 7

False. Not helpful with pure tension headaches.