Headaches are often treatable with medications andor lifestyle changes. Prognosis of migraine and tensiontype headache neurology. In both migraine and tensiontype headache, the most conspicuous precipitating factor was stress. To determine the prognosis of migraine and tensiontype headache and to identify prognostic factors. If your headaches are not migraines see the migraine info sheet, are episodic occur some days and. Chronic tensiontype headache ctth is a disorder that evolves from episodic tensiontype headache, with daily or very frequent episodes of headache lasting minutes to days.
Your uhs clinician is available to evaluate your symptoms and help you find strategies for headache relief. Tensiontype headache tth is the most prevalent headache type and the one with the highest socioeconomic costs. Pharmacological and nonpharmacological management of. Physical exhaustion is also a common cause of tth, so make sure you are getting enough sleep. The most common causes of tth reported are anxiety, emotional stress, depression, poor posture, and lack of sleep, although the evidence for each of these except stress is poor.
Tension type headache pain is usually experienced as a band extending bilaterally back from the forehead across the sides of the head to the occiput and may extend to the posterior. Headache itself is a painful and disabling feature of a small number of primary headache disorders, namely migraine, tensiontype headache, and cluster headache. All interviews at baseline and at followup were conducted by medical doctors and based on the 1988 ihscriteria. It is an old affliction, described in ancient writings thousands of years ago. Treatment of chronic migraine and chronic tensiontype. Tth may result in disability, missed workdays, and decreased quality of life 2. Tension type headaches are the most common, affecting upwards of 75% of all headache sufferers. Tensiontype headaches can be either episodic or chronic. The prevalence of migraine and tensiontype headache was also analysed in relation to variables of lifestyle. It can be categorized into three subtypes according to the international classification of headache disorders based on headache frequency. Headaches usually occur on daily basis and are frequently resistant to treatment. Eight and two were diagnosed with tension type and probable tension type headache, respectively.
Tensiontype headache tth is the most common form of headache. Headaches that are related to other physical conditions or illnesses are often referred to as secondary headaches. Tensiontype headache tth represents the most common type of headache among the general population. These headaches ma y result from any number of common causes, including high blood pressure. They are commonly referred to as stress headaches a tension headache may appear periodically episodic, less than 15 days. Tensiontype headaches are the most common type of headaches among adults. Ichd3 the international classification of headache. Pdf tensiontype headache tth is the most common form of headache, and chronic tensiontype headache ctth is one of the most. In clinical practice you do not need the classification for the obvious case of migraine or tensiontype headache, but it is useful when the diagnosis is uncertain. If an individual experiences tensiontype headaches 14 or less days out.
Although progress has been made in understanding the complex mechanisms that lead to the pathogenesis of. Tension type headaches tth are recurrent episodes of headache lasting minutes to weeks. What is tension headache and who it affected by it. They used to be commonly referred to as muscle contraction headaches or stress headaches, but these old terms are no longer used. Headache can also be caused by or occur secondarily to a long list of other conditions, the most common of which is medicationoveruse headache. Tensiontype headaches tth are the most common type benign headache. There may be mild nausea with this type of tensiontype headache.
Migraines a re certainly a different type of headache. Intensity is mild or moderate, the pain occurs bilaterally, and is not aggravated by routine physical activity like walking or climbing stairs. This suggests that patients with tensiontype headache do not frequent primary care physicians for medical care. In international headache society classification ichd ii, tension type headaches have been divided into two forms, episodic etth and chronic ctth first digit. Tensiontype headache is the most prevalent primary headache type worldwide and is associated with a wide spectrum of disability. The diagnosis is based on the history and examination. Myofascial trigger points in migraine and tensiontype. Of 740 persons aged 25 to 64 years examined in a 1989 danish crosssectional headache study, 673 were eligible for followup in 2001. Peripheral pain mechanisms are most likely to play a role in 2. Tensiontype headaches tth are mild to moderate, bilateral episodes that can be difficult to distinguish from migraines. Pdf treatment of tensiontype headache researchgate. Tension headache migraine headache, including menstrual migraine medication overuse headache also known as rebound headache cluster headaches are excluded from this guideline because of their low prevalence in the general population and the severity of the symptoms. When severe, they can affect quality of life and lessen productivity in school and inthe workplace. However, in patients with frequent headaches, biological mechanisms in particular.
The pain is typically pressing or tightening in quality, of mild to moderate intensity, and bilateral in location, and does not worsen with the routine physical activity. It can be categorized into three subtypes according to the international classification of. Distinguishing between migraine and tensiontype headache migraine headache tension headache. There was a negative correlation between the total sf36 and hit6 scores spearmans correlation. Episodic tensiontype headache episodic tensiontype headache is defined as lasting from 30 min to 7 days and is of pressingtightening, nonpulsating quality. Tensiontype headache american family physician aafp. Tension headache is the most common type of headache people experience. Migraine and tensiontype headache in a general population. Possible treatment by use of antiinflammatory drugs, propranolol, or biofeedback. Tension headaches are the most common type of headaches among adults. Symptoms include dull, nonpulsatile, bilateral, constricting pain not severe.
Pdf tensiontype headache typically causes pain that radiates in a bandlike fashion bilaterally from the forehead to the occiput. Although progress has been made in understanding the complex mechanisms that lead to the pathogenesis of tensiontype headache, to date there are no clearcut markers of what makes tensiontype headache unique. Tensiontype headache is the most common of the primary headache. Tensiontype headache symptoms, diagnosis and treatment. Tension type headache episodik yang frequent tidak berhubungan dengan nyeri tekan perikranial. Tensiontype headache definition tensiontype headache tth is the most common form of headache. Migraine and tensiontype headache tth are common primary disorders that carry significant morbidity. Its difficult to say precisely how common, as estimates from different studies have varied wildly, but most people will have a. Tension type headache episodik yang frequent berhubungan dengan nyeri tekan perikranial. However, when surveying the general population, what we see is a larger prevalence of tensiontype headache. A tensiontype headache may appear periodically episodic, fewer than 15 days per month or chronically.
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