Tension Headaches: Key Q&A
Reviewed By:
Vikas Garg, M.D., MSA
What's the difference between a migraine and a tension
headache?
A migraine is a severe, throbbing headache that is often
accompanied by other symptoms, such as nausea, sensitivity to light
or sound, dizziness or chills. The pain is usually located at the
side of the forehead. A tension headache is a dull, pressurelike
headache over the head, neck and scalp. It is usually not as severe
as a migraine. Other symptoms rarely accompany a tension
headache.
Are there any other kinds of headaches?
Yes. The International Headache Society has composed a
comprehensive list of more than 150 types of headache. However,
tension headaches and migraines are by far the most common.
Following migraines and tension headaches, the most common type of
headache is a cluster headache. A cluster headache is a very
severe, chronic headache characterized by sharp, penetrating or
burning pain on the side of the head. Unlike tension headaches and
migraines, cluster headaches affect men more often than women.
What is the difference between chronic and episodic
tension headaches?
When a tension headache occurs on more than 15 days a month for at
least six months, it may be described as chronic. The pain may be
daily or continuous. Chronic headaches may persist for many years.
Episodic tension headaches occur on fewer than 15 days a month.
They usually last anywhere from 30 minutes up to a week. They cause
tightness and pain around both sides of the head. This pain and
tightness does not get worse with physical activity and is not
associated with nausea or vomiting.
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