Description
Stress headaches, also called tension headaches, are very common with 30-80% of adults experiencing this type of headache. They most commonly produce pain diffusely over the head and the back of the neck. They are triggered by tight neck muscles that pull against the scalp (apply "tension," as in "tension headache). Tensing of muscles can be a reaction to stress, which is one reason this headache has been named "stress headache." Tension headaches are considered chronic when they occur at least twice a week for several months.
Symptoms
Band-like headache, headache is almost always on both sides of head, headache that lasts 30 minutes to hours, headache upon awakening, fatigue, only mild light sensitivity or none.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. An imaging study may be done to rule out other causes of the headache.
Tests:
CT Scan, Magnetic resonance imaging (MRI)
Specialists:
Internal Medicine, Neurology, Pediatrics, Family Practice, Pediatric Neurology
Workup:
A history and physical exam will be performed. An imaging study may be done to rule out other causes of the headache.
Tests:
CT Scan, Magnetic resonance imaging (MRI)
Specialists:
Internal Medicine, Neurology, Pediatrics, Family Practice, Pediatric Neurology
Treatment
Treatment includes: nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn), pain medications such as acetaminophen (Tylenol), antidepressants, and cognitive behavioral therapy.