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Tension Headache

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1. Tension-type headache

Tension-type headache Tension-type headache - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Tension-type headache Last reviewed: February 2019 Last updated: July 2018 Summary Tension-type headaches can be either episodic or chronic. Stress and mental tension are common triggers. Symptoms include dull, non-pulsatile, bilateral, constricting pain (not severe); pericranial tenderness is common. Unlike migraine (...) , there is no significant nausea, no vomiting, and a lack of aggravation by routine physical activity. Usually responds to simple analgesics; preventative treatments have less evidence for their effectiveness. Non-drug therapies include relaxation, electromyographic biofeedback, cognitive behavioural therapy, and physiotherapy. Definition Tension-type headaches can be either episodic or chronic. They are rarely disabling or associated with any significant autonomic phenomena, thus patients do not usually seek medical

2018 BMJ Best Practice

2. Migraine and Tension Headache

, Freitag FG. Ibuprofen plus caffeine in the treatment of tension-type headache. Cephalalgia. 2000 Jul;20(6):597-602. Facco E, Liguori A, Petti F, Fauci AJ, Cavallin F, Zanette G. Acupuncture versus valproic acid in the prophylaxis of migraine without aura: a prospective controlled study. Minerva Anestesiol. 2013 Jun;79(6):634-642. Fan W, Lv Y, Ying G, Li W, Zhou J. Pilot study of amitriptyline in the prophylactic treatment of medication-overuse headache: a 1-year follow-up. Pain Med. 2014 Oct;15(10 (...) NSAIDs evaluated included ibuprofen, ketoprofen, naproxen, and diclofenac. NSAIDs were compared to placebo. The identified studies (Diamond 2000, Kubitzek 2003, Packman 2000, Lange 1994, Laveneziana 1996, Veys 2016, Prior 2002, Kubitzek 2003) provided moderate evidence to support the use of NSAIDs in the treatment of moderate to severe episodic tension headaches in relieving pain and pain intensity in adult patients. Patients consisted of adults with episodic tension-type headache with frequent

2018 Kaiser Permanente Clinical Guidelines

4. Correction: Anxiety and the severity of Tension-Type Headache mediate the relation between headache presenteeism and workers' productivity. Full Text available with Trip Pro

Correction: Anxiety and the severity of Tension-Type Headache mediate the relation between headache presenteeism and workers' productivity. [This corrects the article DOI: 10.1371/journal.pone.0201189.].

2018 PLoS ONE

5. Anxiety and the severity of Tension-Type Headache mediate the relation between headache presenteeism and workers' productivity. Full Text available with Trip Pro

Anxiety and the severity of Tension-Type Headache mediate the relation between headache presenteeism and workers' productivity. The primary objective of this study was to explore the mechanisms and conditions whereby Tension-Type Headache (TTH) presenteeism relates to health-related loss of productivity as a result of both reduced physical and mental health. To this end, Structural Equation Modeling (SEM) was used to conduct a secondary data analysis of a randomized clinical trial involving 78 (...) Tension-type Headache (TTH) patients. The results showed that TTH presenteeism did not directly relate to health-related loss of productivity, either due to physical, or mental health problems. However, through anxiety-state, TTH presenteeism decreased patients' productivity, as consequence of reduced physical and mental health. Moreover, by increasing the severity of the Tension-Type Headache, TTH presenteeism indirectly decreased patients' productivity as consequence of reduced physical health

2018 PLoS ONE Controlled trial quality: uncertain

6. Paracetamol is a weak painkiller for regular tension headaches

tension-type headache may consider alternatives and patients should be made aware that sustained use of paracetamol may cause medication overuse headache. Share your views on the research. Why was this study needed? Tension-type headache is the most common type of headache, affecting 21% of people worldwide. These headaches are characterised by pressing or tightening pain (non-pulsating) of mild-to-moderate intensity on both sides of the head. Frequent episodic tension-type headache is diagnosed when (...) Institute for Health and Care Excellence; 2012. NICE. Clinical Knowledge Summary. . London: National Institute for Health and Care Excellence; 2015. Why was this study needed? Tension-type headache is the most common type of headache, affecting 21% of people worldwide. These headaches are characterised by pressing or tightening pain (non-pulsating) of mild-to-moderate intensity on both sides of the head. Frequent episodic tension-type headache is diagnosed when the person has between two and 14

2019 NIHR Dissemination Centre

7. Chronic migraine and chronic tension-type headache

Chronic migraine and chronic tension-type headache Revised Final Chronic migraine and chronic tension-type headache: findings and decision Page 1 of 5 Health Technology Clinical Committee Findings and Decision Topic: Treatment of chronic migraine and chronic tension-type headache Meeting date: May 19, 2017 Final adoption: July 14, 2017 Revised: July 13, 2018 Meeting materials and transcript are available on the HTA website: www.hca.wa.gov/about-hca/health-technology-assessment/meetings (...) -and-materials Number and coverage topic: 20170519B - Treatment of chronic migraine and chronic tension-type headache HTCC coverage determination: Treatment of chronic migraine with OnabotulinumtoxinA is a covered benefit with conditions. Treatment of chronic tension-type headache with OnabotulinumtoxinA is not a covered benefit. Treatment of chronic migraine or chronic tension-type headache with acupuncture, massage, trigger point injections, transcranial magnetic stimulation, or manipulation/manual therapy

2017 Washington Health Care Authority

8. Acupuncture for the prevention of tension-type headache. Full Text available with Trip Pro

Acupuncture for the prevention of tension-type headache. Acupuncture is often used for prevention of tension-type headache but its effectiveness is still controversial. This is an update of our Cochrane review originally published in Issue 1, 2009 of The Cochrane Library.To investigate whether acupuncture is a) more effective than no prophylactic treatment/routine care only; b) more effective than 'sham' (placebo) acupuncture; and c) as effective as other interventions in reducing headache (...) frequency in adults with episodic or chronic tension-type headache.We searched CENTRAL, MEDLINE, EMBASE and AMED to 19 January 2016. We searched the World Health Organization (WHO) International Clinical Trials Registry Platform to 10 February 2016 for ongoing and unpublished trials.We included randomised trials with a post-randomisation observation period of at least eight weeks, which compared the clinical effects of an acupuncture intervention with a control (treatment of acute headaches only

2016 Cochrane

9. Spinal rehabilitative exercise or manual treatment for the prevention of tension-type headache in adults. Full Text available with Trip Pro

Spinal rehabilitative exercise or manual treatment for the prevention of tension-type headache in adults. This is the protocol for a review and there is no abstract. The objectives are as follows: To assess the short- and long-term effects of manual treatment and spinal rehabilitative exercise for the prevention of tension-type headache in adults.

2016 Cochrane Controlled trial quality: uncertain

10. Paracetamol (acetaminophen) for acute treatment of episodic tension-type headache in adults. Full Text available with Trip Pro

Paracetamol (acetaminophen) for acute treatment of episodic tension-type headache in adults. Tension-type headache (TTH) affects about 1 person in 5 worldwide. It is divided into infrequent episodic TTH (fewer than one headache per month), frequent episodic TTH (two to 14 headaches per month), and chronic TTH (15 headache days a month or more). Paracetamol (acetaminophen) is one of a number of analgesics suggested for acute treatment of headaches in frequent episodic TTH.To assess the efficacy (...) with active comparators, we downgraded the evidence to low quality or very low quality because of the small number of studies and events.Paracetamol 1000 mg provided a small benefit in terms of being pain free at two hours for people with frequent episodic TTH who have an acute headache of moderate or severe intensity.

2016 Cochrane

11. Ketoprofen for episodic tension-type headache in adults. Full Text available with Trip Pro

Ketoprofen for episodic tension-type headache in adults. Tension-type headache (TTH) affects about 1 person in 5 worldwide. It is divided into infrequent episodic TTH (fewer than one headache day per month), frequent episodic TTH (2 to 14 headache days per month), and chronic TTH (15 headache days a month or more). Ketoprofen is one of a number of analgesics suggested for acute treatment of headaches in frequent episodic TTH.To assess the efficacy and safety of ketoprofen for treatment (...) ketoprofen compared to placebo or an active intervention for a range of outcomes, predominantly those recommended by the International Headache Society (IHS).We assessed the evidence using GRADE and created a 'Summary of findings' table.We included four studies, all of which enrolled adults with frequent episodic TTH. They all specified using the IHS diagnostic criteria and reported mean baseline pain of at least moderate intensity. While 1253 people with TTH participated in these studies, the numbers

2016 Cochrane

12. Migraine, tension-type headache and medication-overuse headache in a large population of shift working nurses: a cross-sectional study in Norway. Full Text available with Trip Pro

Migraine, tension-type headache and medication-overuse headache in a large population of shift working nurses: a cross-sectional study in Norway. To investigate associations between different types of headaches and shift work.Nurses with different work schedules (day work, two-shift rotation, night work, three-shift rotation) participated in a cohort study with annual surveys that started in 2008/2009. In 2014 (wave 6), a comprehensive headache instrument was included in the survey, in which (...) 1585 nurses participated. Headaches were assessed according to the International Classification of Headache Disorders IIIb. Frequent headache (≥1 day per month), migraine, tension-type headache, chronic headache (headache >14 days per month) and medication-overuse headache (chronic headache + acute headache medication ≥10 days last month) comprised the dependent variables. Adjusted (for sex, age, percentage of full-time equivalent, marital status, children living at home) logistic regression

2018 BMJ open

13. The burden of headache is associated to pain interference, depression and headache duration in chronic tension type headache: a 1-year longitudinal study Full Text available with Trip Pro

The burden of headache is associated to pain interference, depression and headache duration in chronic tension type headache: a 1-year longitudinal study To investigate variables associated at one year (longitudinal design) with the physical or emotional component of burden in chronic tension type headache (CTTH).One hundred and thirty (n = 130) individuals with CTTH participated in this longitudinal study. Clinical features were collected with a 4-weeks headache diary at baseline and 1-year (...) mediation models were also applied to determine the potential mediation effect of any intermediary variable.Regression analyses revealed that baseline pain interference and depression explained 32% of the variance in the emotional burden of headache, whereas baseline emotional burden of the headache, pain interference, and headache duration explained 51% of the variance in the physical burden of headache (P < .01) at 1-year. The mediation models observed that the effect of baseline pain interference

2017 The journal of headache and pain

14. Systematic review: Acupuncture may be considered to be an effective tool for patients with frequent episodic or chronic tension-type headache

Article Text Therapeutics/Prevention Systematic review Acupuncture may be considered to be an effective tool for patients with frequent episodic or chronic tension-type headache Yinglu Liu , Shengyuan Yu Statistics from Altmetric.com Commentary on: Linde K , Allais G , Brinkhaus B , et al . Acupuncture for the prevention of tension-type headache . . Context Episodic or chronic tension-type headache (TTH) is a common type of headache characterised by a bilaterally pressing or tightening quality of pain (...) Systematic review: Acupuncture may be considered to be an effective tool for patients with frequent episodic or chronic tension-type headache Acupuncture may be considered to be an effective tool for patients with frequent episodic or chronic tension-type headache | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see

2016 Evidence-Based Medicine

15. Variables associated with sleep quality in chronic tension-type headache: A cross-sectional and longitudinal design. Full Text available with Trip Pro

Variables associated with sleep quality in chronic tension-type headache: A cross-sectional and longitudinal design. To investigate variables associated at baseline (cross-sectional design) and at one year (longitudinal design) with the quality of sleep in chronic tension-type headache (CTTH).One hundred and eighty (n = 180) and 135 individuals with CTTH participated in the cross-sectional and longitudinal design respectively. Clinical features were collected with a 4-weeks headache diary (...) at baseline and one-year follow-up. Sleep quality was assessed at baseline and 1-year follow-up with the Pittsburgh Sleep Quality Index. Anxiety and depression (Hospital Anxiety and Depression Scale-HADS), burden of headache (Headache Disability Inventory-HDI), quality of life (SF-36 questionnaire), and pressure pain thresholds (PPTs) at trigeminal, extra-trigeminal and widespread area were assessed at baseline. Hierarchical regression analyses were conducted to determine the associations between

2018 PLoS ONE

16. The association of headache frequency with pain interference and the burden of disease is mediated by depression and sleep quality, but not anxiety, in chronic tension type headache Full Text available with Trip Pro

The association of headache frequency with pain interference and the burden of disease is mediated by depression and sleep quality, but not anxiety, in chronic tension type headache A better understanding of potential relationship between mood disorders, sleep quality, pain, and headache frequency may assist clinicians in determining optimal therapeutic programs. The aim of the current study was to analyze the effects of sleep quality, anxiety, depression on potential relationships between (...) headache intensity, burden of headache, and headache frequency in chronic tension type headache (CTTH).One hundred and ninety-three individuals with CTTH participated. Headache features were collected with a 4-weeks headache diary. The Hospital Anxiety and Depression Scale was used for assessing anxiety and depression. Headache Disability Inventory evaluated the burden of headache. Pain interference was determined with the bodily pain domain (SF-36 questionnaire). Sleep quality was assessed

2017 The journal of headache and pain

17. Effect of Flunarizine on Serum Glutamate Levels and its Correlation with Headache Intensity in Chronic Tension-Type Headache Patients Full Text available with Trip Pro

Effect of Flunarizine on Serum Glutamate Levels and its Correlation with Headache Intensity in Chronic Tension-Type Headache Patients Some of the excitatory neurotransmitters including glutamate have been suggested to be involved in headache pathophysiology. To our knowledge, there is a lack of publication about flunarizine efficacy in chronic tension-type headache (CTTH) treatments and the roles of glutamate in CTTH pathophysiology.This study aimed to investigate the flunarizine effect (...) on serum levels of glutamate and its correlation with headache intensity based on the Numeric Rating Scale for pain (NRS) scores in CTTH patients.In a prospective randomised, double-blind study with pre and post-test design, seventy-three CTTH patients were randomly allocated with flunarizine 5 mg, flunarizine 10 mg and amitriptyline 12.5 mg groups. The serum levels of glutamate and NRS scores were measured before and after 15-day treatment.Flunarizine 5 mg was more effective than flunarizine 10 mg

2017 Open access Macedonian journal of medical sciences Controlled trial quality: uncertain

18. Prevalence and risk factors of migraine, tension headache and other primary headache in Asia: a systematic review and meta-analysis

Prevalence and risk factors of migraine, tension headache and other primary headache in Asia: a systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record

2019 PROSPERO

19. The differences of the pericranial Total Tenderness Score in patients with migraine, tension-type headache, cervicogenic headache and healthy controls. A systematic review

The differences of the pericranial Total Tenderness Score in patients with migraine, tension-type headache, cervicogenic headache and healthy controls. A systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation

2019 PROSPERO

20. Tension-Type Headache - The Normal and Most Prevalent Headache. (Abstract)

Tension-Type Headache - The Normal and Most Prevalent Headache. Tension-type headache (TTH) is the most prevalent form of primary headache in the general population but paradoxically the least studied headache.In this article, the epidemiology and diagnostic challenges of TTH are presented and discussed. The typical features and differential diagnosis of TTH are highlighted and the situations more likely to raise doubts are discussed.A structured approach to the patient and a better (...) comprehension of the very frequent coexistence of migraine and medication overuse headache in the clinical population are emphasized. According to the IHS classification, several diagnoses should be applied but still some clinicians prefer to apply a single combined diagnosis in the severely affected patients, namely chronic migraine. Such uneven practice may complicate the diagnostic comparability and the entire management of TTH. The present treatment strategies for TTH are summarized and hopefully

2017 Headache

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