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Managing and treating tension-type headache.

Frederick Freitag1

  • 1Department of Neurosciences, Baylor University Medical Center, Dallas, TX 75231, USA. dhcdoc@gmail.com

The Medical Clinics of North America
|February 20, 2013
PubMed
Summary
This summary is machine-generated.

Tension-type headaches can significantly impact quality of life for a small patient group. Comprehensive assessment and integrated treatment strategies, including medications and therapies, are crucial for managing this condition.

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Area of Science:

  • Neurology
  • Pain Medicine

Background:

  • Tension-type headache (TTH) is common, but a subset experiences severe, frequent episodes impacting daily life.
  • This subgroup often has significant productivity loss and reduced quality of life.

Purpose of the Study:

  • To outline the comprehensive assessment and management of frequent and severe tension-type headaches.
  • To highlight the importance of considering comorbid conditions in TTH management.

Main Methods:

  • Clinical assessment for TTH, including evaluation for overlapping headache disorders like chronic migraine.
  • Investigation of coexisting conditions such as mood disorders and cervical spine/neck mechanical issues.
  • Review of pharmacologic and non-pharmacologic treatment modalities.

Main Results:

  • Effective management requires differentiating TTH from other headache types and addressing contributing factors.
  • Integrated treatment plans are essential for optimizing patient outcomes.
  • A multimodal approach including acute medications, preventive therapies, and non-pharmacologic interventions yields the best results.

Conclusions:

  • Frequent and severe TTH necessitates thorough diagnostic evaluation and personalized treatment.
  • Management should encompass pharmacologic options (e.g., antidepressants), non-pharmacologic therapies (e.g., biofeedback, manual therapy), and potentially botulinum toxin type A.
  • Addressing comorbid conditions is integral to successful TTH management and improving patient well-being.