A tension-type headache (TTH) is the most common headache, typical, occasionally episodic. A tension Headache is related to contraction of head and neck muscles, is relieved with the over-the-counter medication and is associated with fatigue and stress in life and is rarely seen in a physician’s office. Sometimes it is intolerable and incapacitating to such an extent that the patient is afflicted to suffer from serious circumstances as marital, familial and employment.

Management of a Tension Headache

Management of a tension headache generally depends upon psychological counselling, physical therapy and pharmacotherapy. The root cause should be found out first and then the management should be done.

  • Psychological Counseling:
  1. Assuring the patient with soothing words.
  2. Behavioral management
  3. Therapeutical management
  4. Cognitive behavioural intervention
  5. Stress management programme may be effectively handled.
  6. Biofeedback and relaxation therapies.
  • Physical Therapy: Physical therapy techniques include posturing, ergonomic instructions, massage, transcutaneous electrical nerve stimulations, heat or cold applications, manipulative relaxation techniques, deep muscle relaxation techniques combined with biofeedback training programmes. Balanced regular meals, adequate sleep and some of the best alternatives are meditation, hypnosis, yoga.
  • Transcendental Meditation: Simple techniques of transcendental meditation may give the patient great relief.
  • Acupuncture: These act by producing counter irritation and block out pain from the aching muscles. The scientific basis of acupuncture is explained by a counter irritative effect.
  • Pharmacotherapy: Analgesics like Non-Steroidal Anti Inflammatory Drugs - NSAIDs are effective and well tolerated. The treatment with anxiolytics, antidepressants may give some solution in many cases. Specific stressful factors acting as precipitant is to be clinically evaluated in the state of anxiety and tension.