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Headache, Tension

Kaelen C. Dunican, PharmD and Brandi Hoag, DO Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Typically characterized by bilateral mild to moderate pain and pressure; may be associated with pericranial tenderness at the base of the occiput

  • Two types

    • Episodic tension–type head...

DIAGNOSIS

HISTORY

Obtain a thorough headache history to rule out other headache disorders, including severity, symptoms, onset, location, and radiation of pain; quality of pain; concurrent medical cond...

TREATMENT

GENERAL MEASURES

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

  • Regulate sleep schedule.

  • Regular exercise

DIET

  • Identify and avoid dietary triggers.

  • Regulate meal schedule.

PATIENT EDUCATION

For additional information, contact: 
  • Natio...

REFERENCES

1
Ferrante T, Manzoni GC, Russo M, et al. Prevalence of tension-type headache in adult general population: the PACE study and review of the literature. Neurol Sci.  2013;34(Suppl 1):S13...

SEE ALSO

Algorithm: Headache, Chronic 

CODES

ICD10

  • G44.209 Tension-type headache, unspecified, not intractable

  • G44.219 Episodic tension-type headache, not intractable

  • G44.229 Chronic tension-type headache, not intractable

  • G44.201 Tension-type ...

CLINICAL PEARLS

  • Tension-type headache may be difficult to distinguish from migraine without aura. A tension-type headache is typically described as bilateral, mild to moderate, and dull pain, whereas ...

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