Tension headache Flashcards Preview

Year 3: Neuro > Tension headache > Flashcards

Flashcards in Tension headache Deck (10)
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1
Q

define a tension headache?

A

• the most common type of headache, which is considered a ‘normal, everyday headache’.

2
Q

classification for tension headache?

A

o Episodic - occurs on < 15 days per month

o Chronic - occurs on > 15 days per month

3
Q

triggers of tension headaches?

A
o	Stress/anxiety  
o	Squinting  
o	Poor posture  
o	Fatigue  
o	Dehydration 
o	Missing meals  
o	Bright sunlight  
o	Noise
4
Q

epidemiology of tension type headaches?

A
  • MOST COMMON type of headache
  • More common in WOMEN
  • Most common in YOUNG ADULTS
  • Most people will experience a tension headache at some point in their lives
5
Q

presenting symptoms and signs of tension type headaches?

A
  • Mild-moderate in severity
  • Pressure/tightness around the head like a tight band
  • Pain tends to be bilateral
  • Often a relationship with the neck
  • Can be disabling for a few hours but does not have specific associated symptoms (unlike migraines)
  • Gradual onset
  • Variable duration
  • Usually responsive to over-the-counter medication
6
Q

investigations for tension type headaches?

A

none

7
Q

conservative management of tension type headaches?

A

o Reassurance
o Address triggers (e.g. stress, anxiety)
o Advice on avoiding medications that can cause medication-induced headaches (e.g. opioids)

8
Q

medication management of tension type headaches?

A

o First line: Simple analgesia (e.g. NSAIDs, paracetamol, aspirin)
o Prophylaxis: 10 sessions of acupuncture
o Tricyclic antidepressants may be considered

9
Q

complications of tension headaches?

A

none

10
Q

prognosis for tension headaches?

A
  • GOOD
  • Not very severe or disabling
  • Recurs