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- Tension headache is the most common type of headache. It is often related to stress and noise. Treatment is with over-the-counter medicines and relaxation techniques.
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- People usually have headaches that are described as being vice-like or as if a band is tightening around their head.
- The headaches can be all over the head, limited to the back of the head, or in the neck area.
- There may also be other symptoms such as poor concentration, feeling tired or fatigued, and irritability.
- The headaches may occur every day.
- Some people notice that their headaches go away when they are asleep or when they are in a soothing environment.
- Usually, there are no specific problems detected when the physical exam is done.
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- The exact cause of tension headaches is not known.
- We do know that certain things, such as stress, fatigue, glare, and noise make the headaches worse.
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- The diagnosis is usually suggested by the symptoms.
- The doctor's exam is usually normal.
- If needed, a CT scan or an MRI scan can be done. However, this is usually not necessary.
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- Treatment is with over-the-counter medicines such as acetaminophen or ibuprofen. These can be taken as directed and most people respond to this treatment.
- Occasionally, medicines used to treat migraines may be needed.
- Another very important part of the treatment process is to use relaxation techniques, such as massage, biofeedback, warm baths, or meditation.
- Some people may have an underlying stress, Anxiety disorder, or Depression that may respond to psychotherapy.
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