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Last updated 9:16 AM Friday 20 November 2009

Headache (tension-type)

Introduction 

Video: headaches

Dr Ann McGregor describes common causes of headaches, the differences between a normal headache and more severe forms such as migraine, and treatment options

Other types of headache

  • Cluster headaches begin quickly and are one-sided, short-lived and very painful. The attacks occur frequently for several weeks and then go away. Go to the A-Z topic on Cluster headaches for more information.
  • Migraines are a severe, one-sided throbbing headache associated with sickness or nausea (see the A-Z topic on Migraine for more information).
  • Primary cough headaches are brought on by coughing or straining.
  • Primary exertional headaches are brought on by exercise.
  • Primary headaches associated with sexual activity are triggered by sexual activity or orgasm.
  • Hypnic headaches are dull headaches that wake you from sleep.
  • Primary thunderclap headaches begin suddenly and are very intense, but do not occur regularly over the following months.
  • Hemicrania continua are persistent, one-sided headaches that respond to a medication called indometacin.
  • New daily-persistent headaches are similar to tension-type headaches but they occur every day and do not go away.
  • Medication-overuse headaches are regular headaches caused by overuse of painkillers.
  • Cervogenic headaches are caused by a disorder in the neck.
  • Headaches caused by temporomandibular joint disorder are headaches that are a symptom of a jaw problem.

A headache is a pain or discomfort in the head or neck, and is an extremely common symptom.

Headaches can either be:

  • Primary headaches, which are not caused by an underlying condition. They can be a symptom of stress, squinting or poor posture, for example. Examples of primary headaches are tension-type headaches, cluster headaches and migraines.
  • Secondary headaches, which are caused by an underlying condition such as meningitis or a brain tumour.

These pages will focus on tension-type headache, which is the most common type of primary headache. The other types of headache are summarised in the box, bottom left.

What are tension-type headaches?

Tension-type headaches are felt as a constant ache that affects both sides of the head. There is also tightening of the neck muscles and a feeling of pressure behind the eyes (see Symptoms).

Tension-type headaches are more frequent in women than men.

The headaches usually last for one to six hours, but some people may have more persistent headaches that last for several days.

How common are they?

Tension-type headaches affect over 40% of the UK population at any one time.

Many people have one or two tension-type headaches every month. Sometimes they develop more frequently, typically during times of stress.

Approximately 3% of people have a tension-type headache on most days. When this happens, the headaches are called chronic tension-type headaches.

Outlook

Tension-type headaches, like most primary headaches, are not life threatening and are usually relieved by medicines and/or changes in lifestyle (see Treatment).

Last reviewed: 25/08/2009

Next review due: 25/08/2011

What are these?

 

Find and choose hospitals for headache (tension-type)