Head and NeckneurologyPain and management
Tension Headache, Headache due to Tension or Stress, Treatment

Types of Tension Headaches:
1. Episodic Tension Headache.
Episodic tension headache occurs in episodes and between the episodes the person feels no symptom at all. Each episode lasts from 30 minutes to a week. Episodic tension headache occurs for less than 15 days a month for consecutive three months.2. Chronic Tension Headache.
Tension headache becomes chronic if it occurs more than 15 days a month for consecutive three months.Risk factors:
Female sex is a risk factor because most of the females suffer from a tension headache. Middle age is another risk factor.Cause:
Stress, tension or unsolved problem cause tension headache.Treatment.
- Over the counter painkillers, such as aspirin and acetaminophen are the first line of treatment.
- If the first line fails, then combination drugs are used. Usually, a combination of acetaminophen or aspirin with caffeine is used.
- If you suffer from both migraine and tension headache then triptans are also added.
- Narcotics or opioids are the last choices because of side effects and strong potential for dependence.
Preventive medicines:
- Tricyclic antidepressants are used to prevent tension headaches in chronic cases.
- People also suffer from neck ache and muscle tightness, so muscle relaxants and anti-convulsant are also prescribed. Topiramate an anti-convulsant drug has shown potential benefits in research studies.
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