Your provider will take a medical history and will examine your head, eyes, ears, nose, throat, neck, and nervous system. Your provider will ask many questions to learn about your headaches. Diagnosis is usually based on your history of symptoms. Digre KB. Headaches and other head pain. Goldman-Cecil Medicine.
Philadelphia, PA: Elsevier; chap Headache and other craniofacial pain. Bradley's Neurology in Clinical Practice. Hoffman J, May A. Diagnosis, pathophysiology, and management of cluster headache. Lancet Neurol. PMID: pubmed. Jensen RH. Tension-type headache - the normal and most prevalent headache. Rozental JM. Tension-type headache, chronic tension-type headache, and other chronic headache types. Essentials of Pain Medicine. Editorial team. A tension headache : May be related to stress, depression, anxiety, a head injury, or holding your head and neck in an abnormal position.
Tends to be on both sides of your head. It often starts at the back of the head and spreads forward. The pain may feel dull or squeezing, like a tight band or vice.
Your shoulders, neck, or jaw may feel tight or sore. With a migraine: The pain may be throbbing, pounding, or pulsating. It tends to begin on one side of your head.
It may spread to both sides. The headache may be associated with an aura. This is a group of warning symptoms that start before your headache. The pain usually gets worse as you try to move around. Migraines may be triggered by foods, such as chocolate, certain cheeses, or monosodium glutamate MSG.
Caffeine withdrawal, lack of sleep, and alcohol may also be triggers. Treatment for serious headache pain depends on the underlying cause. You may need to see a neurologist brain and nervous system specialist. Your doctor may recommend several tests and scans to help diagnose the cause, such as:. You may need intravenous fluids through a needle to treat conditions like severe dehydration and heatstroke.
Your doctor may prescribe daily medications to treat a health condition like high blood pressure. A serious infection may be treated with antibiotics or antiviral medication. If you have serious headache pain due to a chronic condition like migraine, your doctor might recommend prescription drugs to help prevent or reduce migraine pain.
If you have high blood pressure, take medication as prescribed to help lower it. Follow a low-sodium diet to keep your blood pressure from spiking. Check your blood pressure regularly on a home monitor. This can help prevent serious headaches caused by high blood pressure. Headaches have many causes, and most of them are not serious. In some cases, headache pain can be a symptom of a serious health condition or illness. Get immediate medical attention if your headache pain is different or more severe than you have felt before.
Tell your doctor about any other symptoms you have along with headache pain. If you are pregnant, let your doctor know about any headache pain and whether you have a history of high blood pressure.
It is also especially important to see a doctor about any severe or chronic headache pain if you have an underlying health condition. Several things can cause a headache when you bend over, from sinus problems to dehydration. Learn about the potential causes and when it's time to see…. Find out what's causing your early morning headaches.
Learn 12 causes of ringing in ears, dizziness, and pressure in head as well as what to do next and whether you can treat at home or require medical…. Have you had that unpleasant feeling commonly referred to as brain freeze, ice cream brain, or an ice cream headache? Learn why it happens and how to…. Tension headaches are not associated with brain diseases. 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. People with tension headaches try to relieve pain by massaging their scalp, temples, or the bottom of the neck. If your headache is mild to moderate, without other symptoms, and responds to home treatment within a few hours, you may not need further examination or testing. With a tension headache, there are usually no problems with the nervous system.
But tender points trigger points in the muscles are often found in the neck and shoulder areas. The goal is to treat your headache symptoms right away and to prevent headaches by avoiding or changing your triggers.
A key step in doing this involves learning to manage your tension headaches at home by:. Other treatments that you can discuss with your provider include relaxation or stress-management training, massage, biofeedback, cognitive behavioral therapy, or acupuncture.
Tension headaches often respond well to treatment. But if the headaches are long-term chronic , they can interfere with life and work. Learn and practice stress management. Some people find relaxation exercises or meditation helpful. Biofeedback may help you improve the effect of doing relaxation exercises, and may be helpful for long-term chronic tension headache.
Tension-type headache; Episodic tension-type headache; Muscle contraction headache; Headache - benign; Headache - tension; Chronic headaches - tension; Rebound headaches - tension.
Headache and other craniofacial pain. Bradley's Neurology in Clinical Practice. Philadelphia, PA: Elsevier; chap Jensen RH. Tension-type headache - the normal and most prevalent headache. PMID: www.
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