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Tension headaches or tension type headaches are primary headache suffered commonly by men, as well as women. A person suffering from tension headache will experience pain radiating from the eyes, the back, neck and various other muscle groups in the body. It is estimated that 905 of all headaches are tension headaches.

Tension headaches – An idea

These headaches could either be chronic or episodic. If the occurrence of your tension headache is limited to less than 15 days a month, it’s called an episodic tension headache. On the other hand, if it occurs for more than 15 days in a month over a six month period, it’s called chronic tension headache. Typically, a tension type headache lasts for around 4-6 hours. But, there are tension headaches that last for just a minute and others that can last for days, months or even years.

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Cervicogenic headaches are headaches caused by disorders of the neck specifically the vertabrae and discs of the neck. The causes of these disorders include: chronic tension, acute whiplash, intervetebral disc disease,and arthritis. These disorders can refer pain to the head, causing headaches. The pain will usually start in the back of the head and work its way upward and forward. Headache treatment of these types of headaches has to start with pain relief at the neck level. Patterns of headaches relating to trigger points in the neck, as well as to discs and joints in the upper cervical spine are well mapped out Even headaches located predominantly in the forehead, or behind, in and around the eyes are very often “referred” pain zones for pathology located in the back of the neck and at the base of the skull. The suboccipitgal region is the area of the skull below the occipital part of the head. The joints connecting the top two or three levels of the cervical spine to the base of the skull handle almost 50% of the total motion of the entire neck and head region, thus absorbing a continuous amount of repetitive stress and strain, in addition to bearing the primary load of the weight of the head. Issues such as fatigue, poor posture, injuries, disc problems and prior neck surgeries can compound the wear and tear on this part of the body. One may also develop a narrowing of the spinal canal itself, through which runs the spinal cord and all of its exiting nerve roots, leading to a condition termed spinal stenosis, also a possible source of headaches, among other symptoms.

Cervicogenic headaches originate from disorders of the neck, including the anatomical structures innervated by the cervical roots C1-C3. Cervical headache is often brought on by neck movement and/or sustained awkward head positioning. Many patients also have restricted cervical range of motion and one-sided neck, shoulder, or arm pain of a vague nature. Headache treatment of these types of headaches is directed at treating the causal factor in the neck area.



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The headache that a majority of us experience in our lifetime is a tension headache. Tension type headaches are the most common occurring headache. They can last anywhere from 30 minutes to 7 days. Most people have these headaches rarely, while other people have them every day of their life. People who experience them more than 15 days per month are considered to have chronic headaches. Chronic tension headaches will often persist for many years. Tension headaches are more common in women than in men. Researchers are still looking for the actual cause of tension headaches. In the past these types of headaches were known as muscle contraction headache, psychogenic headache, depressive headache, essential headache and ordinary headache. Some headache specialists feel that tension-type headache is the result of changes in certain chemicals in the brain known as neurotransmitters such as serotonin and endorphins. Neurotransmitter changes are also linked to migraine headaches. It is believed that the change in these neurotransmitters activates the brain’s pain pathways, and somehow short-circuits the brain’s ability to stop the pain. Many researchers believe that migraine headaches and tension-type headaches are related. Successful treatment of migraine headaches using Neuromuscular principles supports this theory.

There are two classes of tension-type headaches: Episodic and Chronic. Episodic headaches usually occur less than 15 days per month.They are brief in duration, lasting a few minutes to several hours. Patients who have more and more frequent episodic headaches are considered to be at higher risk to develop chronic tension-type headaches later in their lives. People who have tension headaches more that 15 days per month are classified as Chronic headache sufferers. These are often people that you meet who have a headache almost every day. Although they are less common than episodic tension-headache, they occur twice as often in women as in men. Chronic tension headaches last about as long as episodic, but occur on a daily basis. It is believed that in some people depression and anxiety may cause chronic tension type headache. This would make sense since these disorders have been shown to be related to changes in neurotransmitters in the brain. Some people believe that chronic tension headaches are actually just a form of chronic migraine headache. Both types of headaches are believed to be episodic headaches when the pain pathway of the brain has been overrun, and both show similar signs of changes in the neurotransmitters in the brain. Most people describe these tension types of headaches as a feeling of tightness, pressure, or band-like constriction around the head. They can also cause pain in the back of the neck at the base of the skull. In the most extreme form, tension headaches may feel like a hooded cape has been clamped down over the head and shoulders. The pain is usually mild to moderate in intensity. This will obviously vary from person to person. Many people find that these headaches occur when they first awaken in the morning or towards the head of the day when they have experienced a lot of stress at work or at home. Some tension headache sufferers will also experience pain in the jaw or ears. Other symptoms can include: tenderness in the scalp, neck and shoulder muscles, insomnia, fatigue, irritability, loss of appetite and difficulty concentrating. Tension headaches are not usually accompanied by visual disturbances, like migraines. Sufferers don’t usually experience symptoms such as vomiting, nausea or auras. Tension headache pain does not get worse with exercise as it does with a migraine headache.

There are a number of possible triggers for tension-type headaches including: depression and anxiety, lack of sleep, stress, hypoglycemia, lack of exercise, medications for illness such as high blood pressure or depression, and overuse of headache medication. Grinding and clenching of the teeth are briefly mentioned in the literature of headache studies. This symptom is actually far more prevalent that originally believed. In addition, it lead us to further questions about the relationship of the TMJ (jaw joint), teeth and muscles of the head and neck and their impact upon headache pain. New developments in headache treatment using neuromuscular dentistry have had very good success.



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Doctors have classified 2 kinds of stress headaches: constant and episodic.A tension headaches is known as as episodic when it never occurs for more than 2 weeks in a thirty days. If the occurrence of the episodic headache will last for in excess of 2 weeks,it will become a chronic tension headache. The life of a person struggling with chronic tension headache is not easy due to the frequent pain.

Not all times pain from constant tension headaches is severe; yet, it still very bothersome to feel pain while doing every day tasks.It decreases the efficiency of an individual to do some reading , execute calculations or use the computer which are usual tasks for a desk job.Reported by Patient UK, a healthcare website that informs the general public, constant tension headache occurs to 3 out of 100 adults . However, even health professionals are perplexed about the cause of the condition. Stress can be one major cause of the condition. For this reason ‘tension-type headache” is a more appropriate term than tension headache. Constant tension headaches can happen without any reason at all. Probable factors that create the condition are :

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The most common type of headache is tension headache. This usually affects adolescents and adults, however, it may sometimes also affect young children, but the chances are less. During this sort of pain muscles may tighten in some parts of the head, neck and scalp. It has been recently found out through numerous studies that muscle tightness is not a common symptom as was believed long time back. Similar to the rest of the world, a number of US citizens, residing in cities like Fort Lauderdale (FL) and Hollywood (FL) also complain of this sort of headache.

Cause:

It was generally believed all over the world, including US cities like Plantation (FL) and Fort Lauderdale (FL), that tension headaches were caused mainly due to tension that gets built up in the neck and scalp areas as a result of depression, stress or anxiety. However, the exact cause of the issue is still unknown. Experts believe that changes in definite brain chemicals, such as endorphins and serotonin may be the cause for tension headaches. These chemicals actually help in nerve communication.



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Tension Headache Surgery In India

 

Tension Headache

The most common type of headache is a tension headache. Tension headaches are due to tight muscles in your shoulders, neck, scalp and jaw. They are often related to stress, depression or anxiety. Pain is like a constant pressure around the front, top, and sides of the head, almost like someone stretched a rubber band around it constricting, dull aching pain……

 

Treatment of Tension Headache

Tension-type headaches generally respond well to over-the-counter analgesics, such as paracetamol/acetaminophen, ibuprofen or aspirin.

Tension type of headache include : -

Choose from a variety of relaxation techniques

 

Stop Smoking : - Smoking is a risk factor for every type of headache because it constricts blood vessels and depletes oxygen and blood flow to the head.

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More than 100 million people suffer from different types of chronic headaches, such as tension headaches caused by stress, sinus headaches caused by sinus infection, hunger headaches, cluster headaches sometimes caused by alcohol or smoking, migraines, etc.

Some of these headaches can be prevented by making lifestyle and dietary changes. Numerous studies show that foods rich in certain vitamins and minerals can prevent or help with most of headaches and migraines.

Instead of taking painkillers try to incorporate these foods into your diet first.

1. More water and fiber rich foods, such as

- whole grains: oats, millet, brown rice, barley, quinoa;

- vegetables, fruits and berries: papaya, avocado, mangos, bananas, apples, carrots, winter squash, raspberries, blueberries, blackberries, collard greens, turnip greens, yam, brussel sprouts, broccoli, cauliflower, sweet potato, fresh figs.

- legumes: all beans (kidney beans, black beans, black-eyed peas, garbanzo beans, etc.) and lentils;

- seeds and nuts (walnuts, pumpkin seeds, sesame seeds);

We need more water to get rid of dehydration and constipation – both can cause headaches and migraines. We need fiber rich foods to get rid of constipation, lower blood pressure, balance our hormones. Otherwise, we might suffer from headaches and migraines.

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Stressful situations are unpleasant to deal with and can, in some circumstances, last for a long time. Pressure and tension in the workplace or at home are major contributing factors to the stress in many people’s lives. And while the deadlines, interpersonal difficulties and worries of daily life can be difficult enough on their own, they can also create a range of physical problems.

Sleeplessness, digestion problems, unhealthy weight gain or loss, and muscles tension can all be caused by ongoing stress. One of the most disruptive stress-related ailments can be a tension headache. While it is not always easy to get rid of this type of headache, due to the possibility that there may be many causes, there are things you can do to decrease the discomfort of a tension headache.

Muscle tension or muscle spasms in the shoulders and neck can trigger or contribute to the pain of a tension headache. If you find that you are prone to tension headaches, paying particular attention to muscle tightness this could help you be forewarned about when a headache is about to start.

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According to the medical practitioners the neck tension headache is mainly caused by the constant tightening of the muscles that are involved. This kind of pain spreads gradually. As the headache starts spreading you can experience it along with the neck pain in the shoulder region.

You can feel the effected neck muscle turning sore when you touch it. The neck muscles feel tender and in one particular exact point the pain will be more distinct when pressure is applied on that part.

This particular point is referred to as the trigger point in medical terms. The trigger point is defined as a spot which when “activated” will tend to set off the neck tension headache.



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Causes of Tension Headaches

Tension headaches, just as the name suggests, are headaches that result from being overly tense or stressed out. People overworked at their jobs, or simply have too many things going through their minds, are more prone to getting tension headaches.

Often referred to as stress headaches, tension headaches usually commence around noontime when a large portion of the day has already passed. Like a volcano, the quiet built up of tension and anxiety in an average individual start to take its toll. Many people say that tension headaches begin with a throbbing on both sides of the head and progress to rigidity of the muscles in the neck and head.

Getting a Diagnosis

Most doctors can easily make a positive diagnosis for tension headaches based solely on a physical examination and the patient’s narration of the symptoms they are experiencing. No special tests or medical procedures such as CAT scans or blood tests are usually necessary.

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