is the most common type of primary headache and accounted for nearly 90% of all headaches as a result of muscle tightening in the back of the neck or other muscle groups in the body. Some researchers suggested that active trigger points TrPs within the suboccipital, upper trapezius, sternocleidomastoid, temporalis, superior oblique and lateral rectus muscles have been associated with chronic and episodic tension-type headache forms(1)
Types of tension type headaches
In general, tension type headaches last from 30 minutes to an entire week, but in some cases, it can last for months or even years, though a typical tension headache of 4–6 hours.
A. Episodic tension-type headache
Episodic tension-type headache can occur randomly and is triggered by temporary nerve tension such as stress, anxiety, anger, etc., and are defined as tension-type headaches occurring fewer than 15 days a month
B. Chronic tension headaches
Chronic tension headaches are defined as tension-type headaches occurring 15 days or more a month for at least 6 months.
Signs and Symptoms
1. Pain is mild to moderate, but may be severe
2. The sensation of tightness or pressure across your forehead or on the sides and back of your head, and headache starts at the back of your head and spreads forward
3.Tenderness on your scalp, neck and shoulder muscles
4. The pain is frequently bilateral on both sides of the head at once
5. Constant pressure
6. Loss of appetite
7. Sleep disturbances,(2)
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