You'll still need to identify and deal with the things that are causing your headaches. If you take one regularly, talk with your doctor about the pros and cons. Keep in mind that medications don't cure headaches and that, over time, pain relievers and other medicines might not help as much as they did at first. Anti-seizure drugs such as topiramate (Topamax).Selective serotonin reuptake inhibitors (SSRIs) including fluoxetine (Prozac), paroxetine (Paxil), or venlafaxine (Effexor).Tricyclic antidepressants like amitriptyline and protriptyline.You take them every day, even if you aren’t in pain, so that you end up using less medication over time. Some other kinds of drugs can keep you from getting a tension headache. They could also recommend a muscle relaxer like: If OTC pain relievers don't help, your doctor may prescribe a stronger medicine such as: Nonsteroidal anti-inflammatory drugs (NSAIDs) like aspirin, ibuprofen, and naproxen.But if you take them a lot, they can lead to what’s called a medication overuse or rebound headache. People with the chronic kind can use some of these drugs to prevent headaches. Over-the-counter (OTC) painkillers are often the first treatments for tension headaches. The goal is to ease your pain and prevent more of them from happening. It’s best to treat tension headaches soon after they begin, when the symptoms are still mild. Imaging tests such as X-rays, CT scans, or MRI exams to make pictures of the inside of your head.They can also do tests to rule out other conditions. Have you noticed any changes in your behavior or personality?.Do your headaches get in the way of your daily life?.Your doctor may diagnose you based only on your symptoms. See your doctor if you have frequent or severe headaches, or if they get in the way of your daily life.Ĭall 911 for a headache that is sudden and severe or also makes your face droop, causes weakness or numbness, or makes it hard to talk, see, or think. Many people with the chronic type have usually had them for more than 60 to 90 days. Most people with episodic tension headaches have them no more than once or twice a month, but they can happen more often. Women are twice as likely to get them as men. About 3% have chronic daily tension headaches. Emotional or mental stress, including depression.Daily stress can lead to the chronic kind. Most of the time, tension headaches are triggered by stress from work, school, family, friends, or other relationships.Įpisodic ones are usually set off by a single stressful situation or a buildup of stress. Some people get them because of tight muscles in the back of the neck and scalp. There's no single cause of tension headaches. And tension headaches don’t usually cause severe sensitivity to light or noise, stomach pain, nausea, or vomiting. Unlike with migraine headaches, you won’t have other nerve symptoms, such as muscle weakness or blurred vision. A headache that starts later in the day.Mild to moderate pain or pressure in the front, top, or sides of your head.Make the muscles in your neck, shoulders, and jaw feel tight and sore.Become a band of dull pressure or squeezing pain around your entire head.Start at in one area of your head and spread.The pain may get stronger or ease up through the day, but it’s almost always there.Īlthough your head hurts, tension headaches usually don't keep you from your daily activities, and they don’t affect your vision, balance, or strength. The episodic kind usually starts slowly, often in the middle of the day.Ĭhronic ones come and go over a longer period of time. These headaches can last 30 minutes to a few days. Chronic tension headaches happen more than 15 days a month.Episodic tension headaches happen fewer than 15 days per month.
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