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Overview of tension-type headache
1Neurological Associates of Delaware Valley, Ambulatory Care Pavilion, Suite 533, One Medical Center Boulevard, Upland, PA 19013, USA. ESCHUL6641@home.com
Current Pain and Headache Reports
|September 19, 2001
Summary
Tension-type headache (TTH), the most common headache, significantly impacts society despite unknown pathophysiology. Research clarifies chronic TTH diagnosis, distinguishing it from transformed migraine and new daily persistent headaches.
Area of Science:
- Neurology
- Headache Medicine
Background:
- Tension-type headache (TTH) is the most common headache disorder globally.
- Its pathophysiology remains poorly understood, impacting diagnostic clarity and treatment.
- Current classifications are debated, necessitating refined diagnostic criteria.
Purpose of the Study:
- To review the current understanding of TTH pathophysiology.
- To clarify diagnostic challenges, including differentiating chronic TTH (CTTH) from other headache types.
- To discuss current and potential therapeutic strategies for TTH.
Main Methods:
- Literature review of TTH pathophysiology, classification, and treatment.
- Analysis of diagnostic criteria and differentiation from related headache disorders.
- Discussion of therapeutic approaches including abortive, prophylactic, and adjunct therapies.
Main Results:
- Pericranial tenderness is a key finding in TTH.
- Peripheral myofascial nociceptor input is implicated in TTH initiation.
- Impaired supraspinal modulation may contribute to CTTH.
- Distinguishing CTTH from transformed migraine and new daily persistent headaches is crucial.
Conclusions:
- Refined classification and understanding of TTH pathophysiology are needed.
- Accurate diagnosis is essential for effective management, considering factors like analgesic rebound.
- Comprehensive treatment strategies, including the doctor-patient relationship, are vital for managing difficult headaches.
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