Tenision Headache Flashcards
What is the definition of a tension headache?
The most common type of headache, which is considered a ‘normal, everyday headache’.
What can tension headaches be subdivided into?
Episodic - occurs on < 15 days per month
Chronic - occurs on > 15 days per month
What is the cause of tension headaches?
Although the exact cause is unclear there are some well known triggers:
- Stress/anxiety
- Squinting
- Poor posture
- Fatigue
- Dehydration
- Missing meals
- Bright sunlight
- Noise
These are primary headaches (have no underlying cause)
What is the epidemiology of tension headaches?
MOST COMMON type of headache
More common in WOMEN
Most common in YOUNG ADULTS
Most people will experience a tension headache at some point in their lives
What are sigs and symptoms present in patients with a tension headache?
Mild-moderate in severity
Pressure/tightness around the head like a tight band
Pain tends to be bilateral
Often a relationship with the neck
Can be disabling for a few hours but does not have specific associated symptoms (unlike migraines)
Gradual onset
Variable duration
Usually responsive to over-the-counter medication
IMPORTANT: check for possible triggers when taking history (e.g. stress)
Examination is usually NORMAL
What investigations are required when suspecting a tension headache?
NO investigations are necessary
What is the management for episodic tesions headaches?
Reassurance
Address triggers (e.g. stress, anxiety)
Advice on avoiding medications that can cause medication-induced headaches (e.g. opioids)
Simple analgesia (e.g. ibuprofen, paracetamol, aspirin)
Tricyclic antidepressants may be considered in frequently recurrent episodic tension headaches or chronic tension headaches
What are the potential complications of tension headaches?
There are NO potential complications
What is the prognosis for patients with tension headaches?
GOOD
Not very severe or disabling
Recurs
