Medical Centric

Tension Headaches: Everything You Need To Know

Tension Headaches: Everything You Need to Know

  • Tension headaches are the most common type of headaches
  • It causes pain in your head and neck and behind your eyes. The pain can be mild, moderate, or severe.
  • It also feels like a tight band around your forehead.

Causes of tension headaches

  • There’s no exact known cause of tension headache
  • Although it can be linked to multiple tension in the head and neck and can also be caused by poor posture
  • According to research, infrequent tension headaches are caused by the activation of hyperexcitable peripheral afferent neurons. These are the neurons that send sensory information from pain receptors to the brain.
  • Genetic factors can also increase your susceptibility to tension headaches.
  • Triggers include eyestrain, stress, dental problems, fatigue, smoking, migraine attacks, a sinus infection, poor postures, lack of sleep, emotional stress, and many more.

Symptoms of a tension headache

  • The symptoms of a tension headache include pressure around your forehead, dull head pain, and tenderness around your scalp and forehead.
  • Tension headache can sometimes be confused with migraine when the pain is intense.
  • Tension headaches can sometimes lead to sensitivity to light and loud noises just like migraine but this is rare.
  • However, tension headaches don’t have all the symptoms of migraine like nausea and vomiting.

Treatment

  • You can start by drinking a lot of water. The headache might be due to dehydration and all you need to do is to increase your water intake.
  • You should also consider how much sleep you’re getting because lack of sleep can lead to tension headaches.
  • Also, make sure you don’t skip meals since hunger triggers headaches.
  • If you’ve tried all these and they don’t work then you can take over-the-counter pain medications to get rid of the headache. However, this should not be done frequently.
  • In some cases, over-the-counter drugs are not enough to treat recurring tension headaches. Your healthcare professional may then give you a prescription for medication like beta-blockers, tricyclic antidepressants, divalproex sodium, naproxen, ketorolac, or indomethacin.
  • If pain relievers don’t work then your health care professional will prescribe a muscle relaxant which will help stop muscle contractions.

They may recommend other strategies like:

  • Stress management classes which teach you different ways to deal with stress and how to relieve tension.
  • Biofeedback which is a relaxation technique to manage pain and stress
  • Cognitive-behavioral therapy which is a talk therapy that helps you recognize the cause of your stress, tension, and anxiety
  • Acupuncture which uses fine needles at specific areas of your body to lower stress and tension.

Prevention of Tension Headaches 

  • Since tension headaches are caused by specific triggers, identifying these triggers is one way to prevent future episodes.
  • A headache diary where you record your activities, daily meals, beverages or any situation that triggers stress can he’ll you know the cause of your tension headaches
  • For each day that you have a tension headache, you record it then after several weeks, you may be able to make a connection.
  • For example, if your journal shows that headaches occurred when you were stressed, then stress may be your trigger.