Ból głowy napięciowy
Objawy

Ból głowy napięciowy, najczęstszy typ bólu głowy, dotyka około 80% dorosłych, z przewagą kobiet (stosunek 5:4) i szczytem zachorowań w wieku 20-50 lat. Charakteryzuje się tępy, uciskający, niepulsujący ból o nasileniu łagodnym do umiarkowanego, zwykle obustronny, obejmujący czoło, skronie, potylicę oraz mięśnie karku i barków. Epizodyczne bóle trwają od 30 minut do kilku dni, występując rzadziej niż 15 dni/miesiąc przez co najmniej 3 miesiące, natomiast przewlekłe bóle pojawiają się ≥15 dni/miesiąc przez minimum 3 miesiące, często z towarzyszącą łagodną nudnością, ale bez wymiotów. Ból nie nasila się podczas aktywności fizycznej, a objawy takie jak aura, nudności czy znaczna fotofobia/fonofobia są zazwyczaj nieobecne, co odróżnia go od migreny. Czynniki nasilające to stres, zmęczenie, nieprawidłowa postawa oraz nadużywanie NLPZ (>2 dni/tydzień), które może prowadzić do przewlekłości i obniżenia skuteczności leczenia profilaktycznego.

Objawy bólu głowy napięciowego

Ból głowy napięciowy jest najczęstszym typem bólu głowy, dotykającym około 80% dorosłych osób na pewnym etapie życia. Częściej występuje u kobiet niż u mężczyzn (w stosunku około 5:4), a szczyt zachorowań przypada na wiek 20-50 lat12. Mimo swojego łagodnego charakteru, ból głowy napięciowy, szczególnie w formie przewlekłej, może znacząco wpływać na jakość życia pacjentów oraz generować obciążenie społeczne3.

Charakter bólu

Ból głowy napięciowy charakteryzuje się następującymi cechami:

  • Tępy, uciskający ból o charakterze niepulsującym12
  • Uczucie ścisku, napięcia lub ucisku wokół głowy, często opisywane jako „ciasna opaska” lub „imadło” zaciskające się wokół głowy12
  • Ból ma zwykle charakter obustronny, obejmując całą głowę lub konkretne obszary jak czoło, skronie, tył głowy123
  • Ból o nasileniu łagodnym do umiarkowanego, rzadko ciężki12
  • Bolesność lub tkliwość mięśni skóry głowy, karku i barków12

W przeciwieństwie do migreny, ból głowy napięciowy zazwyczaj nie nasila się podczas rutynowej aktywności fizycznej, takiej jak chodzenie czy wchodzenie po schodach12. Pacjenci z bólem napięciowym są zwykle w stanie kontynuować codzienne czynności, mimo odczuwanego dyskomfortu1.

Lokalizacja bólu

Ból napięciowy może manifestować się w różnych obszarach głowy, najczęściej występuje:

  • W okolicy czołowej – uczucie nacisku lub ucisku na czole12
  • W okolicy skroniowej – napięcie wokół skroni12
  • W tylnej części głowy (potylicznej) i szyi – często promieniujący do karku i barków12
  • Może obejmować całą głowę jako rozlany ból12

Charakterystyczna dla bólu napięciowego jest tendencja do rozprzestrzeniania się w kształcie opaski od czoła przez boki głowy aż do potylicy, a także schodzenie do mięśni karku i szyi12.

Czas trwania i narastanie bólu

Bóle głowy napięciowe mogą różnić się czasem trwania:

  • Mogą trwać od 30 minut do kilku dni, najczęściej kilka godzin123
  • Epizodyczne bóle napięciowe występują rzadziej niż 15 dni w miesiącu przez co najmniej 3 miesiące12
  • Przewlekłe bóle napięciowe występują 15 lub więcej dni w miesiącu przez co najmniej 3 miesiące12

Początek bólu jest zwykle stopniowy, często nasilający się w ciągu dnia12. Epizodyczne bóle często rozpoczynają się kilka godzin po przebudzeniu i pogarszają się wraz z upływem dnia12. Rzadko budzą one osoby ze snu1.

Przy przewlekłym bólu głowy napięciowym dolegliwości mogą być stale obecne, z nasileniem i osłabieniem w ciągu dnia12. Mogą również powodować uczucie ciągłego dyskomfortu, które prawie nigdy nie ustępuje całkowicie1.

Różnicowanie z migreną

Bóle głowy napięciowe mogą być trudne do odróżnienia od migreny, jednak istnieją kluczowe cechy różnicujące1:

  • Brak zaburzeń widzenia (brak aury, mroczków, błysków świetlnych)12
  • Zazwyczaj brak nudności i wymiotów123
  • Brak znacznej nadwrażliwości na światło i dźwięk, choć łagodna fotofobia lub fonofobia może wystąpić12
  • Ból nie nasila się podczas aktywności fizycznej12
  • Ból jest zwykle obustronny, podczas gdy migrena częściej jest jednostronna12

W przypadku przewlekłego bólu głowy napięciowego mogą wystąpić łagodne nudności, jednak nie towarzyszą im wymioty jak w przypadku migreny12.

Przebieg bólu głowy napięciowego

Epizodyczny ból głowy napięciowy

Epizodyczny ból głowy napięciowy, najczęstsza forma tego schorzenia, charakteryzuje się następującym przebiegiem:

  • Występuje rzadziej niż 15 dni w miesiącu12
  • Często rozpoczyna się w środku dnia12
  • Rozwija się stopniowo, nie ma objawów zwiastujących12
  • Może trwać od 30 minut do tygodnia, najczęściej kilka godzin12
  • Ból zwykle nasila się w ciągu dnia12

Większość osób doświadcza epizodycznych bólów głowy napięciowych nie częściej niż raz lub dwa razy w miesiącu, choć mogą one występować częściej1. Epizodyczny ból głowy napięciowy zwykle dobrze reaguje na leczenie za pomocą leków przeciwbólowych i metod redukcji stresu1.

Przewlekły ból głowy napięciowy

Przewlekły ból głowy napięciowy rozwija się z formy epizodycznej i cechuje się następującym przebiegiem:

  • Występuje 15 lub więcej dni w miesiącu przez co najmniej 3 miesiące123
  • Ból może być prawie stale obecny, zmieniając jedynie nasilenie w ciągu dnia12
  • Może trwać wiele godzin lub być ciągły przez kilka dni1
  • Może towarzyszyć mu łagodna nudność, choć bez wymiotów12
  • Często współwystępuje z depresją, stanami lękowymi, zaburzeniami snu i innymi problemami psychologicznymi12

Przewlekły ból głowy napięciowy występuje rzadziej, dotykając około 3% populacji ogólnej1. Jest to stan, który może znacząco wpływać na jakość życia i zdolność do pracy12. Wiele osób z przewlekłym bólem głowy napięciowym cierpi na codzienne lub prawie codzienne bóle głowy średnio przez 7 lat, zanim skonsultuje się z lekarzem1.

Czynniki wpływające na przebieg

Przebieg bólów głowy napięciowych może być modyfikowany przez różne czynniki:

  • Stres i napięcie emocjonalne mogą nasilać objawy12
  • Zmęczenie i niewystarczająca ilość snu pogarszają przebieg bólu12
  • Długotrwała praca przy biurku lub nieprawidłowa postawa mogą nasilać objawy12
  • Nadużywanie niesteroidowych leków przeciwzapalnych (NLPZ) przez więcej niż 2 dni w tygodniu może prowadzić do przewlekłych objawów bólu głowy i zmniejszać skuteczność leczenia profilaktycznego12

W przeciwieństwie do migreny, w przypadku bólu głowy napięciowego nie występuje efekt odbicia czy nadużywania leków, który prowadziłby do częstszych bólów głowy1.

Objawy dodatkowe

Oprócz bólu głowy, pacjenci z bólem głowy napięciowym mogą doświadczać dodatkowych objawów:

  • Trudności z koncentracją i skupieniem uwagi12
  • Rozdrażnienie i zmęczenie12
  • Zaburzenia snu12
  • Obniżony apetyt1
  • Tkliwość mięśni karku, pleców i barków12
  • Czasami łagodna wrażliwość na światło i dźwięk (mniej nasilona niż w migrenie)12

U niektórych pacjentów może wystąpić również katar i uczucie napięcia w zatokach, co może utrudniać rozpoznanie1.

Objawy alarmowe

Istnieją objawy, które wymagają natychmiastowej pomocy medycznej:

  • Nagły, bardzo silny ból głowy12
  • Ból głowy z towarzyszącą gorączką, sztywnością karku, splątaniem, drgawkami, podwójnym widzeniem, osłabieniem, drętwieniem lub trudnościami w mówieniu1
  • Ból głowy po urazie głowy, szczególnie jeśli ból się nasila1
  • Ból głowy, który stopniowo nasila się przez kilka tygodni1
  • Poranny ból głowy z nudnościami, który nie ustępuje1
  • Zmiana charakteru bólu głowy na bardziej intensywny lub z nowymi objawami12

Te objawy mogą sugerować poważniejsze schorzenia i wymagają pilnej diagnozy12.

Źródła i powikłania

Obciążenie funkcjonalne

Bóle głowy napięciowe, zwłaszcza w formie przewlekłej, mogą powodować znaczące obciążenie funkcjonalne:

  • Mogą utrudniać codzienne czynności i wpływać na produktywność w pracy12
  • Przewlekłe bóle głowy mogą prowadzić do stresu i depresji, co z kolei może nasilać bóle głowy1
  • Według badania Global Burden of Disease z 2016 roku, bóle głowy napięciowe dotykają około 1,89 miliarda ludzi i są związane z 7,2 milionami lat życia z niepełnosprawnością (YLDs)1

Przewlekłe bóle głowy napięciowe mogą znacząco obniżać jakość życia, prowadząc do ograniczenia aktywności społecznej i zawodowej12.

Progresja choroby

Bóle głowy napięciowe mogą zmieniać swój charakter w czasie:

  • Epizodyczne bóle głowy napięciowe mogą przekształcić się w przewlekłe, zwłaszcza przy częstym występowaniu12
  • Nadużywanie leków przeciwbólowych, szczególnie zawierających kofeinę lub butalbital, może prowadzić do bólów głowy z odbicia, gdy działanie każdej dawki ustępuje1
  • Częste bóle głowy napięciowe, które nie są odpowiednio leczone, mogą z czasem nasilać się1

Osoby z przewlekłymi codziennymi bólami głowy związanymi z częstym stosowaniem leków przeciwbólowych mogą doświadczać wczesnego budzenia się z bólem głowy, słabego apetytu, nudności, niepokoju, drażliwości, problemów z pamięcią lub koncentracją oraz depresji1.

Leczenie i rokowanie

Bóle głowy napięciowe zazwyczaj dobrze reagują na leczenie, a rokowanie jest w większości przypadków korzystne12. Leczenie może obejmować:

Znalezienie odpowiedniej kombinacji terapii w celu złagodzenia częstych epizodycznych i przewlekłych bólów głowy napięciowych może zająć kilka miesięcy, ale z czasem większość osób będzie miała mniej bólów głowy o mniejszym nasileniu1.

Toksyna botulinowa nie wydaje się być skuteczna w leczeniu przewlekłego bólu głowy napięciowego i może być związana z kilkoma działaniami niepożądanymi, w tym osłabieniem twarzy, trudnościami w przełykaniu i zaburzeniami czucia1.

Kiedy zgłosić się do lekarza

Należy skonsultować się z lekarzem w następujących przypadkach:

  • Gdy bóle głowy pojawiają się kilka razy w tygodniu lub są silne1
  • Gdy leki przeciwbólowe i działania relaksacyjne nie przynoszą ulgi1
  • Gdy bóle głowy zakłócają codzienne życie1
  • Gdy zachodzi potrzeba przyjmowania leków przeciwbólowych częściej niż dwa razy w tygodniu12
  • Gdy bóle głowy zmieniają się lub nasilają w jakikolwiek sposób12
  • Gdy bóle głowy budzą ze snu1

W przypadku przewlekłego bólu głowy napięciowego najlepiej jest skonsultować się z lekarzem, ponieważ leczenie często może przynieść poprawę1.

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  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Symptoms and Signs of Tension Headache: Treatment
    https://www.emedicinehealth.com/tension_headache/symptom.htm
    Tension headache is the most common type of headache. A majority of people will develop a tension headache sometime during their lives. Tension headache can occur at any age but most commonly begins during adolescence or young adulthood, with the highest frequency among those aged 20-50 years. […] Symptoms of tension headache include diffuse pressure or tightness and sometimes, tenderness of the muscles surrounding the head. The pain may be on both sides of the head, or it may cause an aching or squeezing sensation located in the forehead, temples, or back of the head that radiates to the neck and shoulders. Pain is usually moderate, not severely disabling, and not associated with the typical symptoms of migraine, such as nausea, vomiting, or sensitivity to sound or light. […] The onset of pain is usually gradual and not associated with a period in which a person can feel a headache coming on. The onset of a tension-type headache often occurs in periods during or after stress and usually toward the latter part of the day.
  • #1 Tension headache – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/tension-headache/symptoms-causes/syc-20353977
    A tension-type headache causes mild to moderate pain that’s often described as feeling like a tight band around the head. […] Symptoms of a tension-type headache include: Dull, aching head pain. Feeling of tightness or pressure across the forehead or on the sides and back of the head. Tenderness in the scalp, neck and shoulder muscles. […] Episodic tension-type headaches can last from 30 minutes to a week. Frequent episodic tension-type headaches occur less than 15 days a month for at least three months. This type of headache can become chronic. […] Chronic tension-type headaches occur 15 or more days a month for at least three months. […] Tension-type headaches can be hard to tell apart from migraines. But unlike some forms of migraine, tension-type headaches usually aren’t associated with visual disturbances such as seeing bright spots or flashes of light. People with tension-type headaches also don’t usually experience nausea or vomiting with head pain. […] Get emergency care if you have any of these symptoms: A sudden, very bad headache. Headache with a fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness or trouble speaking. Headache after a head injury, especially if the headache gets worse.
  • #1 Tension Headache: Symptoms, Causes, Treatment, and Prevention
    https://www.webmd.com/migraines-headaches/tension-headaches
    Tension headaches are marked by dull pain, tightness, or pressure that can feel like a clamp squeezing your skull. […] Tension headaches can last 30 minutes to a few days. The episodic kind usually starts slowly, often in the middle of the day. […] Chronic ones come and go over a longer period. The pain may get stronger or ease up throughout the day, but it’s almost always there. […] Common symptoms include: Mild to moderate pain or pressure in the front, top, sides, or back of your head. […] A headache that starts later in the day. […] Unlike migraine headaches, tension headaches don’t cause other nerve symptoms, such as muscle weakness or blurred vision. […] They also don’t usually cause severe sensitivity to light or noise, stomach pain, nausea, or vomiting. […] Most people with episodic tension headaches have them no more than once or twice a month, but they can happen more often.
  • #1 Tension-Type Headache: Symptoms, Types and Treatments
    https://americanmigrainefoundation.org/resource-library/tension-type-headache/
    Tension-type headache is one of the most common types of headache, estimated to affect 2 in 3 adults in the U.S. They can range from the occasional mild headache to daily headaches in some cases. […] People who experience tension-type headache often describe their pain as “a tight band around the forehead” or a dull, steady ache on both sides of the head. […] Tension-type headache most commonly last from 30 minutes to seven days. Signs and symptoms may include: A mild-to-moderate headache, dull, achy pain felt in both sides of the head, tightness or pressure around the forehead, muscle tenderness in the scalp, neck or shoulders, head pain that usually improves with over-the-counter medications, head pain in response to stress, lack of sleep or poor posture. […] Pain from a tension-type headache is generally mild to moderate and does not get worse with routine physical activity.
  • #1 Tension Headaches: Causes, Symptoms, and Treatments
    https://www.healthline.com/health/tension-headache
    A tension headache can feel like a tight band around your forehead. Most people have episodic headaches that occur one or two times per month on average. However, tension headaches can be chronic. […] A tension headache is the most common type of headache. It can cause mild, moderate, or intense pain behind your eyes and in your head and neck. […] Symptoms of a tension headache include: dull head pain, pressure around your forehead, tenderness around your forehead and scalp, difficulty focusing, irritability or fatigue, no nausea or vomiting with the above symptoms. […] The pain will usually be mild or moderate. […] Tension headaches don’t have all the symptoms of migraine attacks, such as nausea and vomiting. In rare cases, your tension headache can lead you to be sensitive to light and loud noises, similar to migraine attacks.
  • #1 Tension headaches: Symptoms, treatments, and causes
    https://www.medicalnewstoday.com/articles/313020
    The pain does not worsen with physical activity. […] The IHS notes that a person will experience this type of headache fewer than 1 day a month on average. The headache may last as short as 30 minutes or as long as a week. Nausea and vomiting do not occur. […] The IHS states that a person will experience no fewer than 10 headaches a month, occurring between 1 to 14 days per month, for 3 months or more. The headaches can last for 30 minutes to 7 days. A person may also be sensitive to light or sound. […] A person experiences a headache for 15 days or more on average, lasting for 3 or more months. The pain can last hours or days, or be constant. A person may also experience light sensitivity, sound sensitivity, or mild nausea. […] The pain from tension headaches causes discomfort, but it is not usually severely disabling, as migraine episodes can be. […] Chronic tension-type headaches can evolve from the episodic headaches. The headache may occur daily or may evolve into a continuous headache. Depression can also be a contributing factor.
  • #1 Tension Headache Symptoms, Causes, and Treatment
    https://www.medicinenet.com/tension_headache/article.htm
    Most tension headaches occur infrequently, and are usually short-lived (resolves within minutes to a few hours). In rare cases the headache may last for many days. A tension headaches that occur more than 15 days each month are referred to as chronic tension headaches. […] The pain of chronic tension headache tends to wax and wane in severity. The pain associated with tension headache typically impacts the whole head, but may begin in the back of the head or above the eyebrows. Some people experience a cap or band-like sensation which encircles their skull, while others describe their pain as a muscle tension in their neck or shoulder regions. The pain is frequently described as constant and pressure-like. The pain tends to come on gradually and even at maximum intensity is not incapacitating. Most people who have a tension headache are able to continue their daily activities despite the pain.
  • #1 Tension Headache: What It Is, Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/8257-tension-headaches
    Tension headaches may feel like pressure on your forehead and temples. […] A tension headache may cause constant pain and pressure, like someone is squeezing the sides of your head together. […] Symptoms may vary, but most people describe tension headache pain as: Constant mild to moderate pressure and pain. […] These symptoms may come on slowly. They may last about 30 minutes, but sometimes, they last as long as a week. Some people with chronic tension headaches may feel as if theyre always dealing with headache pain and pressure. […] Chronic tension headaches that last for weeks and months may affect your quality of life. […] If youre like most people, you have episodic tension headaches that you can manage with pain relievers and by reducing stress. […] Tension headaches start in your neck and shoulder muscles as your body deals with stress and other issues. Next, you feel a dull ache in your forehead, like someones got your head in their hands.
  • #1 Tension-Type Headache | AAFP
    https://www.aafp.org/pubs/afp/issues/2002/0901/p797.html
    Tension-type headache typically causes pain that radiates in a band-like fashion bilaterally from the forehead to the occiput. Pain often radiates to the neck muscles and is described as tightness, pressure, or dull ache. […] Tension-type headaches can last from 30 minutes to several days and can be continuous in severe cases. The pain is mild or moderately intense and is described as tightness, pressure, or a dull ache. The pain is usually experienced as a band extending bilaterally back from the forehead across the sides of the head to the occiput. Patients often report that this tension radiates from the occiput to the posterior neck muscles. […] Patients who have chronic daily headache present with the typical pain characteristics of tension-type headache but have symptoms that occur daily or almost daily. A careful history will generally reveal that the daily tension-type headache was preceded by intermittent migraine-type headaches rather than intermittent tension-type headaches.
  • #1 Tension headache: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000797.htm
    A tension headache is the most common type of headache. It is pain or discomfort in the head, scalp, or neck, and is often associated with muscle tightness in these areas. […] The headache pain may be described as: Dull, pressure-like (not throbbing); A tight band or vise on or around the head; All over (not just in one point or one side); Worse in the scalp, temples, or back of the neck, and possibly in the shoulders. […] The pain may occur once, constantly, or daily. Pain may last for 30 minutes to 7 days. It may be triggered by or get worse with stress, fatigue, noise, or glare. […] Tension headaches usually do not cause nausea or vomiting. […] Tension headaches often respond well to treatment. But if the headaches are long-term (chronic), they can interfere with life and work.
  • #1 Tension-Type Headaches – Brain, Spinal Cord, and Nerve Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/brain-spinal-cord-and-nerve-disorders/headaches/tension-type-headaches
    Tension-type headaches feel like tightening of a band around the head. They start at the front of the head or the area around the eyes, then spread over the whole head. […] These headaches may be episodic or chronic. […] Episodic headaches occur fewer than 15 days a month. The pain is usually mild to moderate. It may last 30 minutes to several days. These headaches typically start several hours after waking and worsen as the day progresses. They rarely awaken people from sleep. […] Chronic headaches occur 15 or more days a month. Severity may increase as more headaches occur. The pain may vary in intensity throughout the day but is almost always present. […] Tension-type headaches are rarely severe and usually do not interfere with daily activities. […] Unlike migraine headaches, tension-type headaches are not accompanied by nausea and vomiting and are not made worse by physical activity, light, sounds, or odors.
  • #1 Quick Facts:Tension-Type Headaches – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/quick-facts-brain-spinal-cord-and-nerve-disorders/headaches/tension-type-headaches
    You have: […] Pain in your head that feels like a band tightening around your head […] Pain that is mild or moderate, not severe the pain doesn’t usually stop you from your daily tasks […] Your pain doesn’t get worse with light, sounds, smells, or when you move around […] Your headache doesn’t make you feel sick or throw up […] Episodic headaches happen less than 15 days a month […] Chronic (long-lasting) headaches happen 15 or more days a month […] If you have episodic tension-type headaches, your headache may: Start several hours after waking up and get worse later in the day […] Last 30 minutes to several days […] If you have chronic tension-type headaches, your headache may: Be almost always present, and get better and worse throughout the day […] Get worse each day.
  • #1 Chronic Tension Headache: Causes and Treatment
    https://patient.info/brain-nerves/headache-leaflet/chronic-tension-headache
    Chronic tension headache is a condition causing a tension headache on at least 15 days every month for at least three months. […] Tension headaches are usually felt as a band or across the forehead. They can be uncomfortable and tiring, but they do not usually disturb sleep. Some people feel a squeezing or pressure on their head. […] The pain is usually mild to moderate. Tension headaches can interrupt concentration but are usually not bad enough to send people to bed. Most people can work through a tension headache if they really need to. […] A tension headache can last from 30 minutes to seven days. Most last a few hours. […] The headaches with chronic tension headache occur frequently. In some cases, the headache can seem to be permanent, and hardly ever goes, or only eases off but never goes completely.
  • #1 Tension Headaches | Conditions | UCSF Health
    https://www.ucsfhealth.org/conditions/tension-headaches
    Symptoms of a tension headache include: […] Mild to moderately intense pain, lasting from 30 minutes to as long as an entire week […] Tightness or pressure across your forehead or on the sides and back of your head […] Tenderness on your scalp, neck and shoulders […] Sometimes, loss of appetite. […] Tension headaches are considered chronic if they occur 15 or more days a month for at least three months. They’re considered episodic if they occur fewer than 15 times a month. […] Tension headaches differ from migraines in that they’re not associated with abdominal pain, nausea and vomiting, slurred speech, visual disturbances such as blind spots or flashing lights, and weakness or numbness on one side of the body. Physical activity typically doesn’t aggravate the pain like it does migraines. Increased sensitivity to light or sound can occur, although it’s not common.
  • #1 Tension-type headache – Symptoms, diagnosis and treatment | BMJ Best Practice US
    https://bestpractice.bmj.com/topics/en-us/12
    Tension-type headaches (TTHs) can be either episodic or chronic. […] Symptoms include dull, nonpulsatile, bilateral, pressing/pressure-like pain (mild to moderate in intensity); pericranial tenderness is common but not invariable. […] Unlike migraine, there is no significant nausea, no vomiting, little or no photophobia or phonophobia, and a lack of aggravation by routine physical activity. […] The attacks are bilateral and generalized throughout the head with a predilection for the frontal and occipital regions. […] The pain is typically described as being a „tight band” around the head. […] It does not worsen with routine physical activity.
  • #1 Debate: differences and similarities between tension-type headache and migraine | The Journal of Headache and Pain | Full Text
    https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-023-01614-0
    Tension-type headache (TTH) and migraine are two common primary headaches distinguished by clinical characteristics according to the 3rd edition of the International Classification of Headache Disorders. […] TTH is typically described as a bilateral, mild to moderate headache with a pressing or tightening quality that is not aggravated by routine physical activity. […] The headache is often can be described as a dull, aching pain that is felt in the forehead, temples, or back of the head, and can be described as a „hatband” or „vise-like” sensation. […] On the other hand, migraine usually presents as a unilateral, pulsating headache of moderate to severe intensity, although approximately 40% of patients with migraine may report bilateral headaches, and 26% report strictly unilateral headaches.
  • #1 Tension headaches: Symptoms, treatments, and causes
    https://www.medicalnewstoday.com/articles/313020
    A person with a stress or tension headache may feel tightness or pressure like a band around the head. The pain may spread to or from the neck. […] Tension headaches often begin during adolescence and affect females more than males. […] People often describe tension headaches as a pressing or tightening pain of mild to moderate intensity that affects both sides of the head. […] The headaches tend to develop slowly and increase in intensity. Sometimes a person will experience sensitivity to light or sound. People can occasionally feel mild nausea with a chronic tension-type headache. […] Tension-type headaches may involve: pain on both sides of the head, pain that is dull and feels like a vice or a band around the head, pain that affects the neck or back of the head, mild to moderate pain, a slow onset.
  • #1 Chronic Tension Headache: A Guide on Symptoms and Treatment
    https://healthcoach.clinic/chronic-tension-headache-a-guide-on-symptoms-and-treatment/
    Most individuals have experienced a tension-type headache. The pain is usually described as a dull tightening or pressure on both sides of the head, like having a tightening band around the head. Some individuals experience these headaches frequently, a condition known as chronic tension headaches. Chronic tension headaches are uncommon but can be debilitating, as they can interfere with a healthy quality of life and daily living. […] Chronic tension headaches materialize 15 or more days a month on average for more than three months. […] The headache can last for several hours or be continuous for several days. […] Tension headaches can be referred to as stress headaches or muscle contraction headaches. They can present with dull, aching pain and include tightness or pressure across the forehead, sides, or back of the head. […] Additionally, some individuals experience tenderness on the scalp, neck, and shoulders.
  • #1 Chronic daily headaches – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/chronic-daily-headaches/symptoms-causes/syc-20370891
    By definition, chronic daily headaches occur 15 days or more a month, for longer than three months. […] These headaches tend to: […] Cause mild to moderate pain […] Cause pain that feels pressing or tightening, but not pulsating. […] These headaches come on suddenly, usually in people without a headache history. They become constant within three days of your first headache. […] Cause pain that feels like pressing or tightening, but not pulsating […] Cause mild to moderate pain. […] These headaches: […] Cause moderate pain with spikes of severe pain. […] If you have chronic daily headaches, you’re also more likely to have depression, anxiety, sleep disturbances, and other psychological and physical problems.
  • #1 Tension Headache: Symptoms, Relief, and Treatment Options
    https://headacheaustralia.org.au/tension-headache/
    Tension headache is the most common cause of headache in the general population. It causes mild to moderate pain and is often caused by stress or fatigue. […] The symptoms of a tension headache include (1): Dull, aching pain (mild to moderate intensity) felt on both sides of the head. Pressing or tightening feeling. Tenderness around the forehead, scalp, neck, and shoulder muscles. Lasts between 30 minutes and 7 days. […] Tension headache is not aggravated by routine physical activity such as walking or climbing stairs. It is not accompanied by nausea, but occasionally either sound or light sensitivity might be present. […] Chronic tension headache is much less common, affecting about 3% of the general population (2). It evolves from episodic tension headache and is diagnosed when someone has headache on 15 or more days per month.
  • #1 Chronic Tension Headache: Causes and Treatment
    https://patient.info/brain-nerves/headache-leaflet/chronic-tension-headache
    Many people with chronic tension headache put up with their headaches without seeing a doctor. In one study, two thirds of people diagnosed with chronic tension headache had had daily or near daily headache for an average of seven years before consulting a doctor. […] If you think you have chronic tension headache, it is best to see a doctor, as treatment can often help.
  • #1 Reddit – The heart of the internet
    https://www.reddit.com/r/Anxiety/comments/9h0nbf/have_you_guys_had_a_tension_headache_lasting_for/
    Basically, Im 18 years old, and Saturday I had a BAD anxiety attack and havent been myself then. Ive had this bad tension headache for DAYS now and it wont go away. I feel it in my neck, my eyes, and my forehead. […] It keeps coming and going. One moment my eyes are heavy and my forehead and neck hurts, then after stretches and lying down its gone. But it always comes back. […] I have horrible posture as well. Everyone always tells me Im straining my neck. […] Im starting to freak out thinking its a Brain aneurism or rumor. Making the stress worse. I cant stop thinking about it.
  • #1 Headache (chronic tension-type)
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4747324/
    Chronic tension-type headache (CTTH) is a disorder that evolves from episodic tension-type headache, with daily, or very frequent, episodes of headache lasting hours or they may be continuous. It affects up to 4% of the general population, and is more prevalent in women (up to 65% of cases). […] Chronic tension-type headache (CTTH) is a disorder that evolves from episodic tension-type headache, with headache on 15 or more days per month, lasting hours, or they may be continuous. […] Sustained use of non-steroidal anti-inflammatory drugs (NSAIDs) (such as ibuprofen) for more than 2 days per week may lead to chronic headache symptoms and reduce the effectiveness of prophylactic treatment. […] Amitriptyline and mirtazapine may be equally effective at reducing the frequency and intensity of CTTH, although amitriptyline may be associated with a less favourable adverse-effect profile.
  • #1 Tension Type Headache: Symptoms, Causes and Treatments
    https://www.neurahealth.co/blog/tension-type-headache-an-overview
    We really only consider preventive treatments for chronic rather than episodic tension-type headaches. […] Your doctor might consider specific treatments for each of these different kinds of headaches. […] Because TTH is less specific of a headache than most other headache disorders, some concerning medical problems can mimic TTH. […] There does not appear to be a rebound effect or medication overuse associated with TTH – the effect that increasing amounts of specific medication can lead to more frequent headaches. […] Specific preventive medications can help chronic TTH, specifically two classes of antidepressants.
  • #1 Tension Headache | Temple Health
    https://www.templehealth.org/services/conditions/tension-headache
    Tension headache symptoms vary. A headache may occur once, constantly or daily. Stress, fatigue, noise or glare can trigger or worsen it. […] Headache symptoms include: Dull pressure, Feeling like you have a tight band around your head, Pressure from all sides, Pressure in scalp, temples, shoulders or in the back of your neck, Difficulty sleeping.
  • #1 Tension Headache: Causes, Symptoms & Treatment
    https://relatyv.com/condition/tension-headache/
    Tension headaches can cause tenderness in the head and neck muscles. This can make it difficult to move the head or even touch certain areas of the head or neck. […] Tension headaches can also cause difficulty focusing on tasks. People may struggle to concentrate, pay attention, or remember things. This happens because the pain can interfere with concentration and make it difficult to think clearly. […] Tension headaches can also cause irritability or fatigue due to the pain. People may also feel more sensitive to light and sound, which can lead to an increased feeling of discomfort and irritability. Not to mention that constantly dealing with tension headaches can drain your energy, resulting in irritability and/or fatigue. […] A mild-to-moderate tension headache will typically cause a steady, dull ache that is usually concentrated in the forehead, temples, or back of the head. […] Tension headaches can also cause a type of pain that is described as feeling pressure from all sides. This pressure may feel like it is squeezing the head or pushing from the inside out. It is also common for people to have this type of pain that comes and goes throughout the day.
  • #1 Tension Headache Causes, Symptoms, and Treatments | UPMC
    https://www.upmc.com/services/neurology/services/headache-center/tension-headache
    Tension headache symptoms often include pain on both sides of the head or tight muscles behind your head or neck. Most are mild to moderate in severity. […] Symptoms may include pain in the forehead, temples, or behind your head and neck. […] Some people describe tension headaches as a „vise-like” pain or belt squeezing your head. They differ in how often you get them and how severe your symptoms are. […] The pain: Is mild to moderate. Often starts several hours after waking up. It rarely wakes you up from sleeping. Gets worse throughout the day. […] Chronic tension headaches feel like constant pressure on your face or forehead. […] Some people get a runny nose and sinus pressure with a tension headache. They don’t cause nausea and vomiting or changes in vision or smell, like with a migraine.
  • #1 Tension Headache: Symptoms, Relief, and Treatment Options
    https://headacheaustralia.org.au/tension-headache/
    Chronic tension headache can be highly disabling and people often need to see a doctor to discuss their treatment. Managing this headache type usually involves a combination of lifestyle changes, preventive medication, and non-pharmaceutical treatments. […] However, you should make an appointment with your doctor if it begins to disrupt your daily life, or if you need to take painkillers more than twice a week. […] If you have already been diagnosed with frequent or chronic tension headache, you should also see a doctor if your attacks change or worsen in any way. […] In some cases, a headache could be a symptom of a serious medical disorder. You should seek medical attention as soon as possible if you experience: Thunderclap headache a sudden, severe headache. A headache that progressively gets worse over several weeks. A morning headache with nausea that doesn’t go away. […] If possible, seek emergency care or call 000 for any of these symptoms to get an accurate diagnosis as soon as possible.
  • #1
    https://www.mountelizabeth.com.sg/conditions-diseases/tension-headache
    Headache characteristics change. If your headaches change in character, become more intense, or are accompanied by new symptoms like fever, neck stiffness, or vision changes, see a doctor to rule out any underlying conditions. […] Pain interferes with daily life. If your headaches are significantly impacting your daily activities, work, or sleep, seeking medical attention can help you find relief and improve your quality of life.
  • #1 Tension Headaches – Novus Spine & Pain Center
    https://novusspinecenter.com/pain-conditions/tension-headaches
    Other common symptoms include: Trouble sleeping. Feeling very tired. Irritability. Trouble focusing and concentrating. Mild sensitivity to light or noise. Muscle aches. […] Unlike a migraine headache, you do not have other nerve symptoms such as muscle weakness or blurred vision. Also, there is not usually a severe sensitivity to light or noise. However, a person can simultaneously experience both migraine and tension-type headaches. […] The symptoms of tension-type headaches and migraine headaches can also overlap. For example, both types of headaches may be made worse by bright lights or loud noises. […] Because tension headaches are so common, their effect on job productivity and overall quality of life can be substantial, particularly if theyre chronic. […] The frequent pain may render you unable to attend activities. You might need to stay home from work, or if you go to your job, your ability to function may be impaired.
  • #1 Tension Headaches | HealthLink BC
    https://www.healthlinkbc.ca/healthwise/tension-headaches
    Tension headaches may come on suddenly or slowly. They can last from 30 minutes to 7 days. They tend to come back, especially if you are under stress. […] If you have a headache on 15 or more days each month over a 3-month period, you may have chronic tension headaches. This type of headache can lead to stress and depression, which in turn can lead to more headaches.
  • #1 Tension headache – Wikipedia
    https://en.wikipedia.org/wiki/Tension_headache
    Tension-type headaches may be accompanied by tenderness of the scalp on manual pressure during an attack. […] The 2016 Global Burden of Disease study revealed that TTHs affect about 1.89 billion people and are more common in women than men (30.8% to 21.4% respectively). […] Despite its benign character, tension-type headache, especially in its chronic form, can impart significant disability on patients as well as burden on society at large. […] In 2016, the global burden of TTH was reported to be 7.2 million years of life lived with disability (YLDs). […] The attacks must meet the following criteria: A duration of between 30 minutes and 7 days. […] At least two of the following four characteristics: bilateral location, pressing or tightening (non-pulsating) quality, mild or moderate intensity, not aggravated by routine physical activity such as walking or climbing stairs. […] Both of the following: no nausea or vomiting, no more than one of photophobia (sensitivity to bright light) or phonophobia (sensitivity to loud sounds).
  • #1 Tension-Type Headache | AAFP
    https://www.aafp.org/pubs/afp/issues/2002/0901/p797.html
    The progression of either migraine or tension-type headache into chronic daily headache can occur spontaneously but often occurs in relation to frequent use of analgesic medication. Repeated use of analgesics, especially ones containing caffeine or butalbital, can lead to rebound headaches as each dose wears off and patients then take another round of medication. Common features of chronic daily headache associated with frequent analgesic use are early morning awakening with headache, poor appetite, nausea, restlessness, irritability, memory or concentration problems, and depression.
  • #1 The Complete Headache Chart | National Headache Foundation
    https://headaches.org/resources/the-complete-headache-chart/
    Symptoms: Dull, non-throbbing pain, frequently bilateral, associated with tightness of scalp or neck. Degree of severity remains constant and should not be disabling […] Treatment and Prevention: Prevent with avoidance of stress, biofeedback, relaxation techniques, and antidepressants. Treat with aspirin, acetaminophen, ibuprofen, and naproxen sodium. Combination with caffeine may enhance the action of the analgesics.
  • #1 How to Relieve a Tension Headache: Symptoms and TreatmentCalifornia Consumer Privacy Act (CCPA) Opt-Out Icon
    https://health.usnews.com/health-care/patient-advice/articles/tension-headache-relief
    If you experience debilitating tension headaches on a frequent basis, your doctor may prescribe a preventive medication. […] The most commonly used medications for tension headaches are tricyclic antidepressants, including amitriptyline and protriptyline. The side effects of these medications may include constipation, drowsiness and dry mouth. Other antidepressants are also considered, which may include Effexor, Prozac or Paxil. Common side effects are fatigue, weight gain and nausea. […] “Since the pressures of daily life can also lead to tension headaches, it’s important to slow down and find ways to reduce stress,” Ailani says. Simple ways to better manage stress include massages, yoga and meditation that can help bring focus and emotional calm to busy lives.
  • #1 Tension Headache – Harvard Health
    https://www.health.harvard.edu/a_to_z/tension-headache-a-to-z
    Tension headaches are the most common type of headache. Typically tension-type headache causes mild to moderate pain, usually on both sides of the head. There is a pressing or tightening sensation. The main symptom of a tension headache is a sense of tightness around the head. This is sometimes described as a „tight hat-band” or „vise” sensation. Neck and shoulder muscles are often tense and sore to the touch. The person may have trouble concentrating and difficulty sleeping. A chronic tension-type headache typically lasts for part or all of the day for most days of the week. The pain can also be continuous. The intensity of pain may fluctuate during that time. Infrequent episodic tension-type headaches can usually be treated successfully with pain relieving medication. But finding the right combination of therapies to relieve frequent episodic and chronic tension-type headaches may take several months. Over time most people will have fewer and less severe headaches.
  • #1 Headache (chronic tension-type)
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4747324/
    Sodium valproate, an anticonvulsant, may be no more effective than placebo at reducing headache pain intensity in CTTH, but it may be more effective at reducing headache frequency. However, this is based on limited evidence. […] We found no evidence examining the effectiveness of noradrenergic and specific serotonergic antidepressants other than mirtazapine in CTTH. […] Botulinum toxin does not seem to be a useful treatment for CTTH. It may be associated with several adverse effects, including facial weakness, difficulty in swallowing, and disturbed local sensation. […] We don’t know whether non-drug treatments, specifically CBT or acupuncture, are effective in treating CTTH.
  • #1 Tension headaches
    https://www.nhs.uk/conditions/tension-headaches/
    Common symptoms of tension headaches include: pain on both sides of your head, face or neck […] Tension headaches last at least 30 minutes but they can last much longer, sometimes for several days. […] You get headaches several times a week or they’re severe […] painkillers and activities to help you relax do not help your headaches […] you have a throbbing pain at the front or on 1 side of your head […] you feel sick, vomit and find light or noise painful.
  • #1 What’s Causing Your Headache and When to Worry – NewYork-Presbyterian – Neurology
    https://healthmatters.nyp.org/whats-causing-your-headache-and-when-to-worry/
    Generally speaking, the kind of headache that people refer to as a regular headache is often a tension-type headache. […] What we do know is that people who have them have muscle tenderness around the head, neck, and shoulders, also called pericranial tenderness. […] The typical symptoms are dull head pain and tightness or pressure across the forehead or around both sides of the head. […] Typically, a tension-type headache doesn’t interfere with day-to-day activities, unless a person has them more days than not. It can last anywhere from 30 minutes to a couple of days. […] Any headache that gets progressively worse should be checked out by your primary caregiver. […] The bottom line: If your headaches are becoming more frequent, they aren’t going away, or you’re developing other symptoms, reach out to your doctor.
  • #2 Tension headache – Wikipedia
    https://en.wikipedia.org/wiki/Tension_headache
    Tension-type headaches may be accompanied by tenderness of the scalp on manual pressure during an attack. […] The 2016 Global Burden of Disease study revealed that TTHs affect about 1.89 billion people and are more common in women than men (30.8% to 21.4% respectively). […] Despite its benign character, tension-type headache, especially in its chronic form, can impart significant disability on patients as well as burden on society at large. […] In 2016, the global burden of TTH was reported to be 7.2 million years of life lived with disability (YLDs). […] The attacks must meet the following criteria: A duration of between 30 minutes and 7 days. […] At least two of the following four characteristics: bilateral location, pressing or tightening (non-pulsating) quality, mild or moderate intensity, not aggravated by routine physical activity such as walking or climbing stairs. […] Both of the following: no nausea or vomiting, no more than one of photophobia (sensitivity to bright light) or phonophobia (sensitivity to loud sounds).
  • #2 Tension Headache: What It Is, Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/8257-tension-headaches
    Tension headaches may feel like pressure on your forehead and temples. […] A tension headache may cause constant pain and pressure, like someone is squeezing the sides of your head together. […] Symptoms may vary, but most people describe tension headache pain as: Constant mild to moderate pressure and pain. […] These symptoms may come on slowly. They may last about 30 minutes, but sometimes, they last as long as a week. Some people with chronic tension headaches may feel as if theyre always dealing with headache pain and pressure. […] Chronic tension headaches that last for weeks and months may affect your quality of life. […] If youre like most people, you have episodic tension headaches that you can manage with pain relievers and by reducing stress. […] Tension headaches start in your neck and shoulder muscles as your body deals with stress and other issues. Next, you feel a dull ache in your forehead, like someones got your head in their hands.
  • #2 Tension headache: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000797.htm
    A tension headache is the most common type of headache. It is pain or discomfort in the head, scalp, or neck, and is often associated with muscle tightness in these areas. […] The headache pain may be described as: Dull, pressure-like (not throbbing); A tight band or vise on or around the head; All over (not just in one point or one side); Worse in the scalp, temples, or back of the neck, and possibly in the shoulders. […] The pain may occur once, constantly, or daily. Pain may last for 30 minutes to 7 days. It may be triggered by or get worse with stress, fatigue, noise, or glare. […] Tension headaches usually do not cause nausea or vomiting. […] Tension headaches often respond well to treatment. But if the headaches are long-term (chronic), they can interfere with life and work.
  • #2 Tension-type headache – Symptoms, diagnosis and treatment | BMJ Best Practice US
    https://bestpractice.bmj.com/topics/en-us/12
    Tension-type headaches (TTHs) can be either episodic or chronic. […] Symptoms include dull, nonpulsatile, bilateral, pressing/pressure-like pain (mild to moderate in intensity); pericranial tenderness is common but not invariable. […] Unlike migraine, there is no significant nausea, no vomiting, little or no photophobia or phonophobia, and a lack of aggravation by routine physical activity. […] The attacks are bilateral and generalized throughout the head with a predilection for the frontal and occipital regions. […] The pain is typically described as being a „tight band” around the head. […] It does not worsen with routine physical activity.
  • #2 Tension-Type Headaches – Brain, Spinal Cord, and Nerve Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/brain-spinal-cord-and-nerve-disorders/headaches/tension-type-headaches
    Tension-type headaches feel like tightening of a band around the head. They start at the front of the head or the area around the eyes, then spread over the whole head. […] These headaches may be episodic or chronic. […] Episodic headaches occur fewer than 15 days a month. The pain is usually mild to moderate. It may last 30 minutes to several days. These headaches typically start several hours after waking and worsen as the day progresses. They rarely awaken people from sleep. […] Chronic headaches occur 15 or more days a month. Severity may increase as more headaches occur. The pain may vary in intensity throughout the day but is almost always present. […] Tension-type headaches are rarely severe and usually do not interfere with daily activities. […] Unlike migraine headaches, tension-type headaches are not accompanied by nausea and vomiting and are not made worse by physical activity, light, sounds, or odors.
  • #2 Neck Pain and Tension Headache
    https://www.spine-health.com/conditions/neck-pain/neck-pain-and-tension-headache
    Tension headache, also called tension-type headache, commonly causes mild to moderate constricting or tightening pain in the forehead and temple area, with tenderness in the scalp and neck muscles. […] Tension headaches can result in neck stiffness and sensitivity in the trapezius muscle. […] Neck pain that may accompany a tension headache typically feels achy, tender, and/or tight. […] Sensitivity of the trapezius muscle in the upper neck is common in tension headache, along with stiffness of the neck and scalp muscles. […] Common symptoms of tension headache include: Constricting or pressing feeling around the head such as wearing a tight hat or tight band or carrying a heavy weight on the head is common in tension headache. The pain is mild to moderate in intensity but may be severe in some cases.
  • #2 Debate: differences and similarities between tension-type headache and migraine | The Journal of Headache and Pain | Full Text
    https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-023-01614-0
    Tension-type headache (TTH) and migraine are two common primary headaches distinguished by clinical characteristics according to the 3rd edition of the International Classification of Headache Disorders. […] TTH is typically described as a bilateral, mild to moderate headache with a pressing or tightening quality that is not aggravated by routine physical activity. […] The headache is often can be described as a dull, aching pain that is felt in the forehead, temples, or back of the head, and can be described as a „hatband” or „vise-like” sensation. […] On the other hand, migraine usually presents as a unilateral, pulsating headache of moderate to severe intensity, although approximately 40% of patients with migraine may report bilateral headaches, and 26% report strictly unilateral headaches.
  • #2 Tension Headache | Temple Health
    https://www.templehealth.org/services/conditions/tension-headache
    Tension headache symptoms vary. A headache may occur once, constantly or daily. Stress, fatigue, noise or glare can trigger or worsen it. […] Headache symptoms include: Dull pressure, Feeling like you have a tight band around your head, Pressure from all sides, Pressure in scalp, temples, shoulders or in the back of your neck, Difficulty sleeping.
  • #2 Tension Headache Causes, Symptoms, and Treatments | UPMC
    https://www.upmc.com/services/neurology/services/headache-center/tension-headache
    Tension headache symptoms often include pain on both sides of the head or tight muscles behind your head or neck. Most are mild to moderate in severity. […] Symptoms may include pain in the forehead, temples, or behind your head and neck. […] Some people describe tension headaches as a „vise-like” pain or belt squeezing your head. They differ in how often you get them and how severe your symptoms are. […] The pain: Is mild to moderate. Often starts several hours after waking up. It rarely wakes you up from sleeping. Gets worse throughout the day. […] Chronic tension headaches feel like constant pressure on your face or forehead. […] Some people get a runny nose and sinus pressure with a tension headache. They don’t cause nausea and vomiting or changes in vision or smell, like with a migraine.
  • #2 Types of Headaches: Symptoms, Causes, Treatments, and More
    https://www.healthline.com/health/headache/types-of-headaches
    If you have a tension headache, you may feel a dull, aching sensation all over your head. Tenderness or sensitivity around your neck, forehead, scalp, or shoulder muscles also might occur. […] Anyone can get a tension headache. Stress often triggers them.
  • #2 Tension Headache: Causes, Symptoms, and Treatment
    https://skinsight.com/skin-conditions/tension-headache/
    Tension headache typically involves on-and-off head discomfort that is described as mild to moderate. It may feel like a nonthrobbing tightness or pressure, often on both sides of the head. Tension headaches last from 30 minutes to several days. When tension headaches occur 15 or more days a month, they are considered chronic tension headaches. Tension headache is usually described as a nuisance that does not stop people from doing their daily activities. However, sometimes tension headaches can interfere with concentration, lessen appetite, and cause irritability. Tension headaches often involve large portions of the head, frequently starting and often staying in the back of the head, neck, and shoulders, with a band-like sensation of pressure in these areas. Most tension headaches are harmless and do not become chronic. However, more serious medical conditions, such as brain tumors and inflammation of blood vessels, can sometimes resemble tension headaches. If you develop a new headache that is different from past headaches and changes or wont go away, see your medical professional.
  • #2 Tension Headache: Symptoms, Causes, Treatment, and Prevention
    https://www.webmd.com/migraines-headaches/tension-headaches
    Tension headaches are marked by dull pain, tightness, or pressure that can feel like a clamp squeezing your skull. […] Tension headaches can last 30 minutes to a few days. The episodic kind usually starts slowly, often in the middle of the day. […] Chronic ones come and go over a longer period. The pain may get stronger or ease up throughout the day, but it’s almost always there. […] Common symptoms include: Mild to moderate pain or pressure in the front, top, sides, or back of your head. […] A headache that starts later in the day. […] Unlike migraine headaches, tension headaches don’t cause other nerve symptoms, such as muscle weakness or blurred vision. […] They also don’t usually cause severe sensitivity to light or noise, stomach pain, nausea, or vomiting. […] Most people with episodic tension headaches have them no more than once or twice a month, but they can happen more often.
  • #2 Tension Headache: Symptoms, Causes, Treatment, and Prevention
    https://www.webmd.com/migraines-headaches/tension-headaches
    Many people with the chronic type have usually had them for more than 60 to 90 days. […] Tension headaches are the most common type of headache for adults and can feel like dull, squeezing pain around your head. […] There are two types of tension headaches episodic (happening fewer than 15 days a month) and chronic (happening more than 15 days a month). […] These headaches can last 30 minutes to several days. […] Unlike migraines, tension headaches don’t cause serious sensitivity to light, nausea, or visual disturbances.
  • #2 Headache (chronic tension-type)
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4747324/
    Chronic tension-type headache (CTTH) is a disorder that evolves from episodic tension-type headache, with daily, or very frequent, episodes of headache lasting hours or they may be continuous. It affects up to 4% of the general population, and is more prevalent in women (up to 65% of cases). […] Chronic tension-type headache (CTTH) is a disorder that evolves from episodic tension-type headache, with headache on 15 or more days per month, lasting hours, or they may be continuous. […] Sustained use of non-steroidal anti-inflammatory drugs (NSAIDs) (such as ibuprofen) for more than 2 days per week may lead to chronic headache symptoms and reduce the effectiveness of prophylactic treatment. […] Amitriptyline and mirtazapine may be equally effective at reducing the frequency and intensity of CTTH, although amitriptyline may be associated with a less favourable adverse-effect profile.
  • #2 Quick Facts:Tension-Type Headaches – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/quick-facts-brain-spinal-cord-and-nerve-disorders/headaches/tension-type-headaches
    You have: […] Pain in your head that feels like a band tightening around your head […] Pain that is mild or moderate, not severe the pain doesn’t usually stop you from your daily tasks […] Your pain doesn’t get worse with light, sounds, smells, or when you move around […] Your headache doesn’t make you feel sick or throw up […] Episodic headaches happen less than 15 days a month […] Chronic (long-lasting) headaches happen 15 or more days a month […] If you have episodic tension-type headaches, your headache may: Start several hours after waking up and get worse later in the day […] Last 30 minutes to several days […] If you have chronic tension-type headaches, your headache may: Be almost always present, and get better and worse throughout the day […] Get worse each day.
  • #2 Migraines vs. Tension Headaches: How to Differentiate and Diagnose – Neurology Center For Epilepsy & Seizures
    https://www.neurocenternj.com/blog/migraines-vs-tension-headaches-how-to-differentiate-and-diagnose/
    Tension headaches are the most common type of headache. They are often described as a feeling of a tight band around the forehead or at the back of the head. […] Unlike migraines, tension headaches do not cause nausea or vomiting. They also do not cause sensitivity to light and sound. However, they can still be debilitating and interfere with daily activities. […] On the other hand, tension headaches usually present as a constant, dull ache on both sides of the head and do not have the additional symptoms seen in migraines.
  • #2 Tension headaches: Symptoms, treatments, and causes
    https://www.medicalnewstoday.com/articles/313020
    The pain does not worsen with physical activity. […] The IHS notes that a person will experience this type of headache fewer than 1 day a month on average. The headache may last as short as 30 minutes or as long as a week. Nausea and vomiting do not occur. […] The IHS states that a person will experience no fewer than 10 headaches a month, occurring between 1 to 14 days per month, for 3 months or more. The headaches can last for 30 minutes to 7 days. A person may also be sensitive to light or sound. […] A person experiences a headache for 15 days or more on average, lasting for 3 or more months. The pain can last hours or days, or be constant. A person may also experience light sensitivity, sound sensitivity, or mild nausea. […] The pain from tension headaches causes discomfort, but it is not usually severely disabling, as migraine episodes can be. […] Chronic tension-type headaches can evolve from the episodic headaches. The headache may occur daily or may evolve into a continuous headache. Depression can also be a contributing factor.
  • #2 Tension Headache vs. Migraine: Know the Signs and How to Treat — Migraine Again
    https://www.migraineagain.com/tension-headache-migraine/
    Tension-type headache usually feels like there’s a too-tight headband squeezing your head. It can also feel like there’s a heavy weight attached to your head. You may experience pain or soreness in your shoulder, neck, and scalp muscles along with the headache. The pain from TTH can last anywhere from 30 minutes to several days. It can be a constant pain or it can come and go. […] The causes of TTH and migraine are not well understood by the medical community, despite ongoing research. Experts used to think that muscle contractions in the head and neck region caused TTH, but recent research suggests this isn’t the case. The current hypothesis is that people who experience TTH have a heightened sensitivity to pain. […] A side-by-side comparison of the common symptoms of TTH and migraine helps to compare and contrast the two: Tension-type Headache: No symptoms prior to onset, Dull, mild to moderate ache, More likely to have pain both sides of head, Pressure-like pain that feels like a tight band around the head, No nausea or vomiting, Increased sensitivity to light and noise possible, but uncommon, No visual disturbances, Usually does not start while sleeping, Duration: 30 minutes up to a week, Rarely disabling. Migraine: Warning signs, known as aura, may appear just before onset, in the form of visual disturbances or numbness, Moderate to severe throbbing pain, Typically localized to one side of head, Throbbing or pulsating pain, Nausea and/or vomiting, Light and/or noise sensitivity; sometimes sensitivity to smell and touch, Visual disturbances like blurred vision and spots, May start while sleeping, Duration: Attack lasts from 4 to 72 hours, Often disabling with pain that worsens with activity.
  • #2 Debate: differences and similarities between tension-type headache and migraine | The Journal of Headache and Pain | Full Text
    https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-023-01614-0
    Photophobia and phonophobia are more common in migraine than in TTH, with photophobia being present in over 80% of migraine patients, while nausea and vomiting are more common in migraine than in TTH, although mild nausea may be present in CTTH according to the ICHD-3. […] Nausea and vomiting are common symptoms in migraine but not in TTH. However, patients with CTTH may have mild nausea according to ICHD-3. […] Cranial autonomic symptoms are common in patients with migraine, occurring in 30-75% of cases, but are absent in patients with TTH. […] Patients with migraine commonly experience cutaneous allodynia, which can be cephalic and/or extracephalic. […] Ictal cutaneous allodynia is also frequently experienced by patients with migraine during the attack, with a relative frequency of 81.3% in episodic migraine, 92.5% in chronic migraine in clinic-based studies, and 63.2% in population studies.
  • #2 Symptoms and Signs of Tension Headache: Treatment
    https://www.emedicinehealth.com/tension_headache/symptom.htm
    Tension headache is the most common type of headache. A majority of people will develop a tension headache sometime during their lives. Tension headache can occur at any age but most commonly begins during adolescence or young adulthood, with the highest frequency among those aged 20-50 years. […] Symptoms of tension headache include diffuse pressure or tightness and sometimes, tenderness of the muscles surrounding the head. The pain may be on both sides of the head, or it may cause an aching or squeezing sensation located in the forehead, temples, or back of the head that radiates to the neck and shoulders. Pain is usually moderate, not severely disabling, and not associated with the typical symptoms of migraine, such as nausea, vomiting, or sensitivity to sound or light. […] The onset of pain is usually gradual and not associated with a period in which a person can feel a headache coming on. The onset of a tension-type headache often occurs in periods during or after stress and usually toward the latter part of the day.
  • #2 Tension Type Headache: Symptoms, Causes and Treatments
    https://www.neurahealth.co/blog/tension-type-headache-an-overview
    Not everyone can experience every type of headache, but everyone can experience tension-type headaches (TTH). […] TTH attacks can vary from minutes to hours to days. […] Although the classic description of TTH pain is dull, squeezing and vise-like, it can vary significantly as well and does not have to be consistent with a specific type of pain. […] There should not be any other symptoms associated with the headache pain, such as nausea, light or sound sensitivity or vertigo. […] It should not be preceded by any neurological symptom like migraine aura preceding a migraine attack. […] And most importantly, it should not worsen with exertion. […] The vast majority of TTH comes and goes episodically. […] It is possible to experience 15 or more days of headache with TTH as well, and we call this chronic tension-type headache.
  • #2 Tension Headache: Causes, Symptoms, and Treatment
    https://patient.info/brain-nerves/headache-leaflet/tension-headache
    Tension headaches are usually felt as: […] A band of mild to moderate pain across the forehead. […] Pain that worsens as the day goes on. […] Sensation of tightness around the hat-band area. […] There are usually no other symptoms. Some people don’t like bright lights or loud noises, and don’t feel like eating much when they have a tension headache. […] They can last for anything from 30 minutes to several days, although a few hours is most common. […] They can be uncomfortable and tiring, but they do not usually disturb sleep. Most people can carry on working with a tension headache. […] They are not usually made worse by physical activity, although it’s not unusual to be a bit sensitive to bright light or noise.
  • #2 Tension-Type Headache | AAFP
    https://www.aafp.org/pubs/afp/issues/2002/0901/p797.html
    The progression of either migraine or tension-type headache into chronic daily headache can occur spontaneously but often occurs in relation to frequent use of analgesic medication. Repeated use of analgesics, especially ones containing caffeine or butalbital, can lead to rebound headaches as each dose wears off and patients then take another round of medication. Common features of chronic daily headache associated with frequent analgesic use are early morning awakening with headache, poor appetite, nausea, restlessness, irritability, memory or concentration problems, and depression.
  • #2 Tension Headaches: Causes, Symptoms, and Treatments
    https://www.healthline.com/health/tension-headache
    Tension headaches often respond to treatment and rarely cause any permanent neurological damage. Still, chronic tension headaches can affect your quality of life. […] These headaches can make it difficult for you to participate in physical activities. You may also miss days of work or school. If it becomes a serious problem, talk with a healthcare professional. […] It’s important to not ignore severe symptoms. Get medical attention immediately if you have a headache that starts suddenly or a headache accompanied by slurred speech, loss of balance, a high fever, weakness, numbness, or vision changes.
  • #2 Reddit – The heart of the internet
    https://www.reddit.com/r/Anxiety/comments/9h0nbf/have_you_guys_had_a_tension_headache_lasting_for/
    Basically, Im 18 years old, and Saturday I had a BAD anxiety attack and havent been myself then. Ive had this bad tension headache for DAYS now and it wont go away. I feel it in my neck, my eyes, and my forehead. […] It keeps coming and going. One moment my eyes are heavy and my forehead and neck hurts, then after stretches and lying down its gone. But it always comes back. […] I have horrible posture as well. Everyone always tells me Im straining my neck. […] Im starting to freak out thinking its a Brain aneurism or rumor. Making the stress worse. I cant stop thinking about it.
  • #2 Tension Headache Quiz: Check Possibility & Treatment with Ubie AI Symptom Checker
    https://ubiehealth.com/diseases/tension-headache
    Headache that worsens with lack of sleep. […] Pain at the back of the head. […] Headache that worsens with emotional stress or anxiety. […] Headache that worsens after long hours at the desk. […] Headache interfering with daily activities. […] Headache that improves with warmth / bathing / showering. […] Does your headache get worse when you haven’t slept enough? […] Do you have pain at the back of your head? […] Does your headache worsen when you experience emotional stress or anxiety? […] Do your headaches get worse after spending long hours at your desk?
  • #2 Tension Headache Symptoms | Tension Headache Treatment
    https://neurologysleepcentre.com/blog/tension-headache-symptoms/
    Tension headaches are dull pain, tightness, or pressure around your forehead or the back of your head and neck. Some people say it feels like a clamp squeezing the skull. Often called stress headaches, theyre the most common type for adults. […] A few common ones are: Mild to moderate pain or pressure in the front, top, or sides of the head. […] Headache that starts later in the day. […] Trouble sleeping. […] Feeling very tired. […] Irritability. […] Trouble focusing. […] Mild sensitivity to light or noise. […] Muscle aches.
  • #2 Muscle Contraction Tension Headache – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK562274/
    Tension-type headache (TTH) is the most common type of primary headache. TTH occurs repetitively and may be categorized into episodic TTH, with frequent and infrequent subtypes, and chronic TTH. Diagnosis is primarily clinical, based on characteristic symptoms such as bilateral, pressing, or tightening pain without associated nausea or vomiting and the absence of more severe neurological signs. The prognosis is generally favorable, with many patients experiencing episodic symptoms, though some may develop chronic TTH requiring ongoing management. TTH is characterized as recurrent, mild to moderate, bilateral, band-like, pressing or tightening, and not aggravated by routine physical activity or minor exertional activity, such as walking. The duration of TTH episodes may vary from 30 minutes to 7 days. Patients usually characterize the pain as pressing, dull, and with the sensation of a tight band around the head. Symptoms such as nausea, vomiting, photophobia, and phonophobia are typically absent or very mild. TTH often presents with recurrent headaches. The IHS requires at least 10 headache episodes for a diagnosis of TTH. The average duration is about 4 to 6 hours. Tension headaches are usually better in the morning and worse in the evening. Patients may also complain of shoulder or neck muscle tightness, as well as sleep disturbances.
  • #2 Neck Pain and Tension Headache
    https://www.spine-health.com/conditions/neck-pain/neck-pain-and-tension-headache
    Neck pain and trigger points are usually present in the neck, shoulder, and face muscles that induce pain upon manual pressure. […] Increased sensitivity to light or sound any one symptom may be present. […] Pain does not worsen with routine physical activity in tension headache. […] Lower pain threshold and higher sensitivity to pressure and pain is a common characteristic of people with tension headache. This phenomenon causes stress and tension to easily induce neck pain and headache. […] Symptoms of tension headache such as neck pain and tenderness in the head and neck regions are also seen in migraine headache or cervicogenic headache. However, the pain in tension headache has a constricting nature and usually does not worsen with physical activity.
  • #2 Tension Headaches | Conditions | UCSF Health
    https://www.ucsfhealth.org/conditions/tension-headaches
    Symptoms of a tension headache include: […] Mild to moderately intense pain, lasting from 30 minutes to as long as an entire week […] Tightness or pressure across your forehead or on the sides and back of your head […] Tenderness on your scalp, neck and shoulders […] Sometimes, loss of appetite. […] Tension headaches are considered chronic if they occur 15 or more days a month for at least three months. They’re considered episodic if they occur fewer than 15 times a month. […] Tension headaches differ from migraines in that they’re not associated with abdominal pain, nausea and vomiting, slurred speech, visual disturbances such as blind spots or flashing lights, and weakness or numbness on one side of the body. Physical activity typically doesn’t aggravate the pain like it does migraines. Increased sensitivity to light or sound can occur, although it’s not common.
  • #2 Tension-Type Headache: Symptoms, Types and Treatments
    https://americanmigrainefoundation.org/resource-library/tension-type-headache/
    A tension-type headache is not accompanied by nausea or vomiting. […] Symptoms similar to those of a tension-type headache can in some cases be attributed to more serious underlying causes or conditions, so doctors should consider this possibility when patients suspect they have tension-type headache. […] This is particularly important if a person develops new or different headache symptoms or has progressive headaches that are increasing in frequency.
  • #2 Tension Headache: Causes, Symptoms, and Treatment
    https://skinsight.com/skin-conditions/tension-headache/
    See your medical professional if you find you need to take over-the-counter medications more than 2-3 times per week because this can cause medication overuse headaches. Additionally, if your headaches are frequent enough to be considered chronic (ie, you have headaches 15 or more days per month), contact your medical professional.
  • #2 Chronic Tension Headache: A Guide on Symptoms and Treatment
    https://healthcoach.clinic/chronic-tension-headache-a-guide-on-symptoms-and-treatment/
    Most individuals have experienced a tension-type headache. The pain is usually described as a dull tightening or pressure on both sides of the head, like having a tightening band around the head. Some individuals experience these headaches frequently, a condition known as chronic tension headaches. Chronic tension headaches are uncommon but can be debilitating, as they can interfere with a healthy quality of life and daily living. […] Chronic tension headaches materialize 15 or more days a month on average for more than three months. […] The headache can last for several hours or be continuous for several days. […] Tension headaches can be referred to as stress headaches or muscle contraction headaches. They can present with dull, aching pain and include tightness or pressure across the forehead, sides, or back of the head. […] Additionally, some individuals experience tenderness on the scalp, neck, and shoulders.
  • #2 How to Relieve a Tension Headache: Symptoms and TreatmentCalifornia Consumer Privacy Act (CCPA) Opt-Out Icon
    https://health.usnews.com/health-care/patient-advice/articles/tension-headache-relief
    If you experience debilitating tension headaches on a frequent basis, your doctor may prescribe a preventive medication. […] The most commonly used medications for tension headaches are tricyclic antidepressants, including amitriptyline and protriptyline. The side effects of these medications may include constipation, drowsiness and dry mouth. Other antidepressants are also considered, which may include Effexor, Prozac or Paxil. Common side effects are fatigue, weight gain and nausea. […] “Since the pressures of daily life can also lead to tension headaches, it’s important to slow down and find ways to reduce stress,” Ailani says. Simple ways to better manage stress include massages, yoga and meditation that can help bring focus and emotional calm to busy lives.
  • #2 What’s Causing Your Headache and When to Worry – NewYork-Presbyterian – Neurology
    https://healthmatters.nyp.org/whats-causing-your-headache-and-when-to-worry/
    Generally speaking, the kind of headache that people refer to as a regular headache is often a tension-type headache. […] What we do know is that people who have them have muscle tenderness around the head, neck, and shoulders, also called pericranial tenderness. […] The typical symptoms are dull head pain and tightness or pressure across the forehead or around both sides of the head. […] Typically, a tension-type headache doesn’t interfere with day-to-day activities, unless a person has them more days than not. It can last anywhere from 30 minutes to a couple of days. […] Any headache that gets progressively worse should be checked out by your primary caregiver. […] The bottom line: If your headaches are becoming more frequent, they aren’t going away, or you’re developing other symptoms, reach out to your doctor.
  • #3 Tension headache – Wikipedia
    https://en.wikipedia.org/wiki/Tension_headache
    Tension-type headaches may be accompanied by tenderness of the scalp on manual pressure during an attack. […] The 2016 Global Burden of Disease study revealed that TTHs affect about 1.89 billion people and are more common in women than men (30.8% to 21.4% respectively). […] Despite its benign character, tension-type headache, especially in its chronic form, can impart significant disability on patients as well as burden on society at large. […] In 2016, the global burden of TTH was reported to be 7.2 million years of life lived with disability (YLDs). […] The attacks must meet the following criteria: A duration of between 30 minutes and 7 days. […] At least two of the following four characteristics: bilateral location, pressing or tightening (non-pulsating) quality, mild or moderate intensity, not aggravated by routine physical activity such as walking or climbing stairs. […] Both of the following: no nausea or vomiting, no more than one of photophobia (sensitivity to bright light) or phonophobia (sensitivity to loud sounds).
  • #3 Tension-Type Headache | AAFP
    https://www.aafp.org/pubs/afp/issues/2002/0901/p797.html
    Tension-type headache typically causes pain that radiates in a band-like fashion bilaterally from the forehead to the occiput. Pain often radiates to the neck muscles and is described as tightness, pressure, or dull ache. […] Tension-type headaches can last from 30 minutes to several days and can be continuous in severe cases. The pain is mild or moderately intense and is described as tightness, pressure, or a dull ache. The pain is usually experienced as a band extending bilaterally back from the forehead across the sides of the head to the occiput. Patients often report that this tension radiates from the occiput to the posterior neck muscles. […] Patients who have chronic daily headache present with the typical pain characteristics of tension-type headache but have symptoms that occur daily or almost daily. A careful history will generally reveal that the daily tension-type headache was preceded by intermittent migraine-type headaches rather than intermittent tension-type headaches.
  • #3 Tension Headaches | HealthLink BC
    https://www.healthlinkbc.ca/healthwise/tension-headaches
    Symptoms of tension headaches include a constant headache, usually with pain or pressure on both sides of your head. You may feel tightness around your forehead that feels like a „vise grip.” You may also have aching pain at your temples or the back of your head and neck. The pain usually isn’t severe. […] Symptoms of tension headaches include: A constant headache that doesn’t throb or pulse. The pain or pressure is usually on both sides of your head. Tightness around your forehead that may feel like a „vise grip.” Aching pain at your temples or the back of your head and neck. […] Unlike migraines, tension headaches usually don’t occur with nausea, vomiting, or feeling sensitive to both light and noise. But light or noise could make your headache worse. Pain from a tension headache usually isn’t severe and doesn’t get in the way of your work or social life. But for some people, the pain is very bad or lasts a long time.
  • #3 Tension-Type Headache: Symptoms, Types and Treatments
    https://americanmigrainefoundation.org/resource-library/tension-type-headache/
    A tension-type headache is not accompanied by nausea or vomiting. […] Symptoms similar to those of a tension-type headache can in some cases be attributed to more serious underlying causes or conditions, so doctors should consider this possibility when patients suspect they have tension-type headache. […] This is particularly important if a person develops new or different headache symptoms or has progressive headaches that are increasing in frequency.
  • #3 Chronic daily headaches – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/chronic-daily-headaches/symptoms-causes/syc-20370891
    By definition, chronic daily headaches occur 15 days or more a month, for longer than three months. […] These headaches tend to: […] Cause mild to moderate pain […] Cause pain that feels pressing or tightening, but not pulsating. […] These headaches come on suddenly, usually in people without a headache history. They become constant within three days of your first headache. […] Cause pain that feels like pressing or tightening, but not pulsating […] Cause mild to moderate pain. […] These headaches: […] Cause moderate pain with spikes of severe pain. […] If you have chronic daily headaches, you’re also more likely to have depression, anxiety, sleep disturbances, and other psychological and physical problems.