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Saturday, 23 November 2013

Tension-Type Headaches - What trigger?

Tension-Type Headaches
 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)
What trigger tension type headaches
1. Stress, traveling and physical activity
In the study of The 3794 participants (73.3%) were screened for headache history according to the International Headache Society (IHS) criteria, a total of 720 lifetime migraineurs and 1319 tension-type headachers(TTH) have been identified. The most common precipitants for both migraine and TTH were stress and frequent travelling. Stress (odds ratio (OR) 1.4, 95% confidence interval (CI) 1.17, 1.69) was associated with migraine, whereas physical activity (OR 0.72, 95% CI 0.59, 0.87) was related to TTH. Considering MA and MO, frequent travelling (OR 2.2, 95% CI 1.59, 2.99), food items (OR 2.2, 95% CI 1.35, 3.51) and changes in weather conditions and temperature (OR 1.75, 95% CI 1.27, 2.41) exhibited a significant positive association with MA(4)

2. Psychosomatic disorders, autonomic dysfunction, emotional disorders, a poor family history and school stress
Dr. Izmaĭlova IG and the team in the study of prevalence, pattern, risk factors of Headache in the population of schoolchildren said that there was a high comorbidity of primary HA with other psychosomatic disorders mainly with autonomic dysfunction and emotional disorders. The risk factors for chronic HA were a poor family history (familial psychogenias, pain family history, low'socioeconomic status family), and school stress.(8)

3. Physical abuse, sexual abuse, emotional abuse, physical neglect and emotional neglect
Physical abuse, sexual abuse, emotional abuse, physical neglect and emotional neglect are associated to increased risks in triggering all types of headache, including tension types of headache, the team at the University of Toledo College of Medicine said(9)

4. Chronic contraction of the temporalis muscle(12)
5. Irregular meal time (hunger)
6. Overdoes of headache medicine
7. Etc.

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Sources
(1) http://www.ncbi.nlm.nih.gov/pubmed/22364330
(4) http://www.ncbi.nlm.nih.gov/pubmed/12780762
(8) http://www.ncbi.nlm.nih.gov/pubmed/22250391
(9) http://www.ncbi.nlm.nih.gov/pubmed/19845781
(12) http://www.ncbi.nlm.nih.gov/pubmed/7737867