Tension Headaches: What Should You Know?
By Alan Peterson, M.D.
What Are Tension Headaches?
A tension headache is a dull-aching feeling on both sides of your head. Some people with a tension headache also have a tight feeling in their head and neck muscles. Tension headaches start slowly, usually in the middle of the day. Another name for this type of head is called “stress headache.” Tension headaches may be mild or very bad. Sometimes they hurt more than migraine headaches.
How Are Tension Headaches Diagnosed?
Your doctor usually can tell what kind of headache you have by examining you and hearing you talk about the pain. Blood tests, x-rays, or brain scans usually are not needed. Sometimes tension headaches can be combined with vascular or migraine headaches.
How Are Tension Headaches Treated?
If you have tension headaches only once in a while, an over-the-counter medicine probably can help. Check the medicine’s label for possible side effects and to see if it is safe to take with other medicines. Always read and follow the directions on the label carefully. If you have any questions, ask your doctor.
If you have tension headaches almost every day or the frequency or duration of pain is increasing or if over-the-counter medicines don’t help your pain, you should see a doctor. He or she may prescribe some medicine that you take only when you have a headache. It’s best to treat tension headaches when they begin, before they get more painful.
Your doctor may also prescribe a medicine that you take every day, even when you don’t have a headache—to try to prevent it from starting. This medicine may help keep you from getting tension headaches. If your tension headaches don’t get better or if they get worse, you should see your doctor.
What Else Can I Do to Help With the Pain?
Here are some other things that you can do to help your headaches:
- Put a heat pack or ice pack on your head or neck
- Take a hot shower
- Get enough sleep
- Take time away from things that are stressful. This could mean doing anything from taking a brief walk, to going on a long vacation. Meditation may also help.
- Get regular exercise of all types. Work up to exercising for 30 to 60 minutes, 4-6 times a week. Some headache sufferers can get relief from practicing yoga.
Dr. Peterson is a doctor of Family and Community Medicine at the Walter L. Aument Family Health Center, 317 S. Chestnut St., Quarryville.
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