GP - Tension-type headache

Question 1

What’s the most common cause of headache?

Answer 1

Tension-type headache

Question 2

What are the clinical features of tension-type headache?

Answer 2

Bilateral frontal, can radiate to neck

Squeezing/ band-like constriction

Mild-moderate intensity

Worse at the end of the day (due to stress)

Aggravated by stress, poor posture, lack of sleep

Relieved by simple analgesia

Question 3

What advice do you give to the patient?

Answer 3

Advice:

• Advise to keep a headache diary
• Advise on stress management e.g. better sleep hygiene

Management:

• Paracetamol