A tension headache may appear periodically ("episodic," less than 15 days per month) or daily ("chronic," more than 15 days per month). An episodic tension headache is a mild to moderate constant band-like pain, tightness, or pressure around the forehead or back of the head and neck.
Such headaches may last from 30 minutes to several days and usually begin gradually, and often occur in the middle of the day.
The "severity" of a tension headache increases significantly with its frequency. Chronic tension headaches come and go over a prolonged period of time. The pain is usually throbbing and affects the front, top, or sides of the head. Although the pain may vary in intensity throughout the day, the pain is almost always present.
· Dull, aching head pain.
· Sensation of tightness or pressure across your forehead or on the sides and back of your head.
· Tenderness on your scalp, neck and shoulder muscles.
Physical and neurological exams
Imaging tests
- Computerized tomography (CT)
- Magnetic resonance imaging (MRI)
- Pain relievers. aspirin, ibuprofen, naproxen, indomethacin and ketorolac
- Combination medications. Aspirin or acetaminophen or both are often combined with caffeine or a sedative drug Triptans and narcotics.
Preventive medications
Preventive medications may include:
- Tricyclic antidepressants
- Other antidepressants ( venlafaxine & mirtazapine) in people who don't also have depression.
- Anticonvulsants and muscle relaxants.
Consult General Physician and Neurophysician at Aadil Hospital for medical treatment.