User:Mr. Ibrahem/Tension headache

Tension headache, also known as stress headache, is a common type of recurrent headache. The pain is often band like, occurs on both sides, and is mild to moderate in intensity. Generally the severity of the pain does not change with activity such as walking. Often the pain is better in the morning and worse at night. There may be associated neck or shoulder stiffness. They can last from 30 minutes to 7 days.

The cause is unclear though may involve environmental, genetic, and nutritional factors. Psychological stress and posture appear to be related. Diagnosis is based on the description of the symptoms, after ruling out other potential causes. At least 10 episodes are required for an official diagnosis.

Pain medication, specifically NSAIDs such as ibuprofen together with paracetamol (acetaminophine), are effective for the treatment of tension headache. Frequent use of pain medications; however, can lead to medication overuse headaches. Tricyclic antidepressants, such as amitriptyline, appear to be useful for prevention requiring about 4 weeks for a benefit. Physical therapy and cognitive-behavioral therapy may also be useful. Evidence is poor for SSRIs, propranolol and muscle relaxants.

About 20% of people are affected in a given year and about 80% affected at some point in their life. As of 2016, tension headaches affect about 1.89 billion people and are more common in women than men (23% to 18% respectively).