Tension Headache Flashcards
what is the most common cause of headache
tension headache
def
most common primary headache
often caused by muscular tension or stress
what are primary headaches
benign recurrent headaches not caused by underlying disease or structural problems
not dangerous
what are secondary headaches
caused by underlying disease
infection, head injury causing brain bleeds, or tumours
dangerous
aetiology
stress
muscular tension in neck and upper back
not looking after yourself (lack of sleep, water, food, physical activity)
epi
very common
history
bilateral, non-pulsatile headache which is often described as a constant pressure as if the head were being squeezed in a vise
if stress is the cause, the headache will often be worse later in the day, commonly after work or an exam
no N+V
no sensitivity to movement
examination
nothing
possibly muscular tenderness in neck + upper back
investigations
clinical diagnosis
management
conservative management
-stress relief
-massage
-taking better care of yourself (more sleep, water, physical activity, regular meals)
medical
-painkillers (aspirin or paracetamol or ibuprofen)
-antidepressants for those taking many medications
complications
none
prognosis
self-treatment with painkillers is effective
