{"id":12261,"date":"2022-10-24T18:20:56","date_gmt":"2022-10-24T16:20:56","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&p=12261"},"modified":"2022-10-24T18:20:56","modified_gmt":"2022-10-24T16:20:56","slug":"tension-type-headache","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/tension-type-headache\/","title":{"rendered":"Tension-Type headache"},"featured_media":12262,"template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":""},"class_list":["post-12261","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"free_access":"","app_link":"","sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":12262,"background_image_alt_text":"Tension-Type headache | Headache & Dizziness Assessment"},"heading":"Tension-Type headache | Headache & Dizziness Assessment","subheading":"Headache","content_editor":"","button_type":"url","button_label":"Check our shop","button_style":"button-five","button_internal_link":null,"button_anchor":"","button_url":"https:\/\/study.physiotutors.com\/course\/headache-treatment-in-clinical-practice\/","button_file":null,"label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Online Course","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":null},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"

Learn<\/h4>"},"column_right":{"content_editor":"

Tension-Type headache | Headache & Dizziness Assessment<\/h2>\nHeadaches can manifest on their own but are also a very common symptom in neck pain patients as more than 60% of patients with a primary neck pain complaint report having concordant episodes of neck pain. Therefore it's essential to find out what kind of headache the patient is suffering from.\u00a0<\/span>\n\nTo start off let\u2019s differentiate between primary and secondary types of headaches. But what does this mean? Simply put, primary headaches are a \u201cdisease themselves\u201d whereas, in secondary headaches, the headache is a symptom of another condition. <\/span>So primary headaches would be migraines, tension-type headaches, cluster headaches, and medication overdose headaches. Secondary type headaches are headaches caused by tumors, hemorrhage, other trauma, TMJ dysfunction, or neck pain aka. The Cervicogenic headache.<\/span>\n\nNow let\u2019s take a closer look at tension-type headaches, which are primary types of headaches.\n<\/span>Tension-type headaches have a mean 1-year prevalence of 48,6% around the world with women being equally as often affected as men in an age range between 20-40.\u00a0<\/span>\n\n[embed]https:\/\/www.youtube.com\/watch?v=DY3VLYM_qv0[\/embed]\n\nIn order for a headache to qualify as a tension-type headache it has to fulfill certain criteria:\u00a0<\/span>\n\nTension-type headaches can vary from infrequent episodic, frequent episodic, to chronic as seen in this table:<\/span>\n\n\"Tension\n\n\u00a0While the frequency and duration differ, patients in all three categories need to report at least 2 of the following four characteristics:<\/span>\n
    \n \t
  1. The headache is bilateral<\/span><\/li>\n \t
  2. It has a pressing or tightening quality but NOT pulsating<\/span><\/li>\n \t
  3. The intensity is mild to moderate so a patient will usually still be able to complete ADLs as<\/span><\/li>\n \t
  4. The headache is not aggravated by routine physical activity such as walking or climbing stairs.<\/span><\/li>\n<\/ol>\nAlso, there is:<\/span>\n
      \n \t
    1. NO nausea or vomiting<\/span><\/li>\n \t
    2. No more than one of photophobia or phonophobia which is sensitivity to light and sounds respectively<\/span><\/li>\n<\/ol>\n[cta]\n\nTools you can use to assess the impact of a headache on your patient are the HIT-6<\/a> questionnaire which you can find in the video description. Also note that it can be difficult for a patient to answer all of the questions on duration, intensity, and characteristics of their headache during your assessment. Therefore asking them to complete a headache diary can help in the assessment and management of the headache and you should be aware that there can be overlap between multiple headache disorders.<\/span>\n\nIf you would like to learn how to diagnose other common forms of headaches, check out the posts below:\n