tension headaches

what is the definition of a tension headache?

mild, featureless headache

how common are tension headaches?

most common type of headache

are tension headaches more common in men or women?

women

what are the associations with headaches?

- stress

- depression

- alcohol

- skipping meals

- dehydration

how long can tension headaches last?

30 minutes to 7days

are tension headaches bilateral or unilateral?

bilateral (bifrontal)

what are the clinical features of headaches?

- mild-moderate intensity

- episodic

- bifrontal

- tight cap/band-like

- pressing - non-pulsating

are tension headaches a pressing or pulsating pain?

pressing

are there usually any other associated symptoms?

no

what is the ICHD-3 diagnostic criteria for tension headaches?

frequency - 10 episodes of headaches

time - 30 mins to 7 days in length

+2 or more of:

- bilateral

- pressing (non-pulsating) quality

- mild or moderate intensity

- not aggravated by routine physical activity e.g. walking/climbing stairs

and

- no nausea or vomiting

- no more than one of photophobia or phonophobia

does headache increase with exertion?

no

what is the management of tension headaches?

- reassurance

- basic analgesia

- relaxation techniques

- hot towels to local area