Tension-Type headache

Tension-type headache ( TTH ) is the most common primary headache disorder across all age groups worldwide.

Ill-defined heterogeneous syndrome - often diagnosed based on absence of features found in other headache types Term coined by International Headache Society to describe a new heading that underlies the uncertain pathogenesis but, nevertheless indicates that some form of mental or muscular tension may play a role Lifetime prevalence may vary from 30-78 % TTHA leads to considerable disability , decreased effectiveness from work , ↑↑ absenteeism and ↓↓ social engagement Features may overlap with a migraine ( may co-exist with other headache disorders) Females are affected slightly more Patients less likely to seek medical attention, in comparison to migraine

Exact cause - not known Psychological stress Peripheral pain mechanisms ( Episodic TTH ) Central pain mechanisms and Generalized increased pain sensitivity( Chronic ) Possibly multifactorial ( factors involving CNS, PNS and environmental factors ) Genetic factors

episodic tension type headache

Infrequent episodic ,frequent episodic, chronic Duration 30 min to 7 days At least two of♦ b/l location ♦ pressing or tightening ( non-pulsatile ) quality♦ mild or moderate intensity♦ not aggravated by routine physical activity such as walking or climbing stairs No...