User:Mr. Ibrahem/Tension headache
| Tension headache | |
|---|---|
| Other names | Tension-type headache (TTH), stress headache, muscle contraction headache, psychomyogenic headache |
 | |
| A woman experiencing a tension headache | |
| Specialty | Neurology |
| Symptoms | Mild to moderate head pain[1] |
| Complications | Mood disorders[1] |
| Duration | 30 min to 7 hours[1] |
| Types | Episodic, chronic[1] |
| Causes | Unclear[1] |
| Diagnostic method | Based on symptoms[1] |
| Differential diagnosis | Migraine, cluster headache, secondary headaches[1] |
| Prognosis | Usually good[1] |
| Frequency | 20%[1] |
Tension headache, also known as stress headache, is a common type of recurrent headache.[1] The pain is often band like, occurs on both sides, and is mild to moderate in intensity.[1] Generally the severity of the pain does not change with activity such as walking.[1] Often the pain is better in the morning and worse at night.[1] There may be associated neck or shoulder stiffness.[1] They can last from 30 minutes to 7 days.[1]
The cause is unclear though may involve environmental, genetic, and nutritional factors.[1] Psychological stress and posture appear to be related.[1] Diagnosis is based on the description of the symptoms, after ruling out other potential causes.[1] At least 10 episodes are required for an official diagnosis.[1]
Pain medication, specifically NSAIDs such as ibuprofen together with paracetamol (acetaminophine), are effective for the treatment of tension headache.[2][3][1] Frequent use of pain medications; however, can lead to medication overuse headaches.[1] Tricyclic antidepressants, such as amitriptyline, appear to be useful for prevention requiring about 4 weeks for a benefit.[4][1] Physical therapy and cognitive-behavioral therapy may also be useful.[1] Evidence is poor for SSRIs, propranolol and muscle relaxants.[5][6]
About 20% of people are affected in a given year and about 80% affected at some point in their life.[1] As of 2016, tension headaches affect about 1.89 billion people[7] and are more common in women than men (23% to 18% respectively).[8]
References[edit]
- ^ a b c d e f g h i j k l m n o p q r s t u v w x Shah, N; Hameed, S (January 2020). "Muscle Contraction Tension Headache". PMID 32965945.
{{cite journal}}: Cite journal requires|journal=(help) - ^ Derry S, Wiffen PJ, Moore RA, Bendtsen L (July 2015). "Ibuprofen for acute treatment of episodic tension-type headache in adults". The Cochrane Database of Systematic Reviews. 7 (7): CD011474. doi:10.1002/14651858.CD011474.pub2. PMC 6457940. PMID 26230487.
- ^ Loder E, Rizzoli P (January 2008). "Tension-type headache". BMJ. 336 (7635): 88–92. doi:10.1136/bmj.39412.705868.AD. PMC 2190284. PMID 18187725.
- ^ Jackson JL, Shimeall W, Sessums L, Dezee KJ, Becher D, Diemer M, Berbano E, O'Malley PG (October 2010). "Tricyclic antidepressants and headaches: systematic review and meta-analysis". BMJ. 341: c5222. doi:10.1136/bmj.c5222. PMC 2958257. PMID 20961988.
- ^ Verhagen AP, Damen L, Berger MY, Passchier J, Koes BW (April 2010). "Lack of benefit for prophylactic drugs of tension-type headache in adults: a systematic review". Family Practice. 27 (2): 151–65. doi:10.1093/fampra/cmp089. PMID 20028727.
- ^ Banzi R, Cusi C, Randazzo C, Sterzi R, Tedesco D, Moja L (May 2015). "Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) for the prevention of tension-type headache in adults". The Cochrane Database of Systematic Reviews. 5 (5): CD011681. doi:10.1002/14651858.CD011681. PMC 6864942. PMID 25931277.
- ^ Lenaerts ME (December 2006). "Burden of tension-type headache". Current Pain and Headache Reports. 10 (6): 459–62. doi:10.1007/s11916-006-0078-z. PMID 17087872.
- ^ Vos T, Flaxman AD (December 2012). "Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010". Lancet. 380 (9859): 2163–96. doi:10.1016/S0140-6736(12)61729-2. PMC 6350784. PMID 23245607.