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Overview

●       A tension-type headache (TTH) is generally a mild to moderate pain that’s often described as feeling like a tight band around the head.

●       A tension-type headache is the most common type of headache, yet its causes aren’t well understood.

●       Treatments for tension-type headaches are available. Managing a tension-type headache is often a balance between practicing healthy habits, finding effective nondrug treatments and using medications appropriately.

Symptoms

Signs and symptoms of a tension-type headache include:

●     Dull, aching head pain

●     Sensation of tightness or pressure across the forehead or on the sides and back of the head

●     Tenderness in the scalp, neck and shoulder muscles

Tension-type headaches are divided into two main categories — episodic and chronic.

1)      Episodic tension-type headaches

–          Episodic tension-type headaches can last from 30 minutes to a week. Frequent episodic tension-type headaches occur less than 15 days a month for at least three months. Frequent episodic tension-type headaches may become chronic.

2)      Chronic tension-type headaches

–          This type of tension-type headache lasts hours and may be continuous. If your headaches occur 15 or more days a month for at least three months, they’re considered chronic.

Tension-type headaches versus migraines

●       Tension-type headaches can be difficult to distinguish from migraines. Plus, if you have frequent episodic tension-type headaches, you can also have migraines.

●       Unlike some forms of migraine, tension-type headaches usually aren’t associated with visual disturbances, nausea or vomiting. Although physical activity typically aggravates migraine pain, it doesn’t make tension-type headache pain worse. An increased sensitivity to either light or sound can occur with a tension-type headache, but this symptom isn’t common.

When to see a doctor

●       Make an appointment with your doctor

●       If tension-type headaches disrupt your life or you need to take medication for your headaches more than twice a week, see your doctor.

●       Even if you have a history of headaches, see your doctor if the pattern changes or your headaches suddenly feel different. Occasionally, headaches may indicate a serious medical condition, such as a brain tumor or rupture of a weakened blood vessel (aneurysm).

When to seek emergency help

If you have any of these signs or symptoms, seek emergency care:

●     Abrupt, severe headache

●     Headache with a fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness or speaking difficulties

●     Headache after a head injury, especially if the headache gets worse

Causes

●       The cause of tension-type headaches is not known. Experts used to think tension-type headaches stemmed from muscle contractions in the face, neck and scalp, perhaps as a result of heightened emotions, tension or stress. But research suggests that muscle contraction isn’t the cause.

●       The most common theory supports a heightened sensitivity to pain in people who have tension-type headaches. Increased muscle tenderness, a common symptom of tension-type headaches, may result from a sensitized pain system.

●       Stress is the most commonly reported trigger for tension-type headaches.

Complications

●       Because tension-type headaches are so common, their effect on job productivity and overall quality of life is considerable, particularly if they’re chronic. The frequent pain may render you unable to attend activities. You might need to stay home from work, or if you do go to your job, your ability to function may be impaired.

Prevention

In addition to regular exercise, techniques such as biofeedback training and relaxation therapy can help reduce stress.

●     Biofeedback training. This technique teaches you to control certain body responses that help reduce pain. During a biofeedback session, you’re connected to devices that monitor and give you feedback on body functions such as muscle tension, heart rate and blood pressure. You then learn how to reduce muscle tension and slow your heart rate and breathing yourself.

●     Cognitive behavioral therapy. This type of talk therapy may help you learn to manage stress and may help reduce the frequency and severity of your headaches.

●     Other relaxation techniques. Anything that helps you relax, including deep breathing, yoga, meditation and progressive muscle relaxation, may help your headaches. You can learn relaxation techniques in classes or at home using books, videos or apps.

Additionally, living a healthy lifestyle may help prevent headaches:

●     Get enough, but not too much, sleep.

●     Don’t smoke.

●     Exercise regularly.

●     Eat regular, balanced meals.

●     Drink plenty of water.

●     Limit alcohol, caffeine and sugar.

Diagnosis

●       If you have chronic or recurrent headaches, your doctor may conduct physical and neurological exams, then try to pinpoint the type and cause of your headaches using these approaches:

Your pain description

Your doctor can learn a lot about your headaches from a description of your pain. Be sure to include these details:

●     Pain characteristics. Does your pain pulsate? Or is it constant and dull or sharp or stabbing?

●     Pain intensity. A good indicator of the severity of your headache is how much you’re able to function while you have it. Are you able to work? Do your headaches wake you or prevent you from sleeping?

●     Pain location. Do you feel pain all over your head, on only one side of your head, or just on your forehead or behind your eyes?

Imaging tests

If you have unusual or complicated headaches, your doctor may order tests to rule out serious causes of head pain, such as a tumor. Two common tests that can be used to image your brain include:

●     Magnetic resonance imaging (MRI). An MRI scan combines a magnetic field, radio waves and computer technology to produce clear images.

●     Computerized tomography (CT). A CT scan is a diagnostic imaging procedure that uses a series of computer-directed X-rays to provide a comprehensive view of your brain.

Our expert providers are experienced and skilled at treating tension headaches and are your source for expert treatment of tension headaches in Westminster and Denver Colorado. Not only are we the premier treatment for spine injuries and chiropractic in Westminster and Denver Colorado, but we also specialize in many other advanced treatment techniques such as shockwave, cold laser, graston technique, KT Taping, activator, instrument aided spinal alignments, drop table, toggle, in house rehab services, and on site digital xrays. We are your Premier destination for tension headache treatment in Westminster Colorado and Denver Colorado Chiropractor.