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.