In plain words
A tension-type headache is the most common kind of headache. It feels like a steady band of pressure or a dull ache, often across the forehead, temples, or the back of the head and neck. It is linked to tight neck and scalp muscles and to a nervous system that has become sensitive to pain. Poor sleep, skipped meals, dehydration, stress, and posture can bring it on. In pregnancy and after birth, these triggers are common. It is usually not a sign of danger on its own. It differs from a , which often brings nausea and light sensitivity. A sudden, severe headache is a call to 911 or the emergency room, and a headache that feels different from usual is a reason to call a provider.
The deeper version
Characterized by bilateral, pressing or tightening pain of mild to moderate intensity, without nausea or photophobia as core features (ICHD-3, International Headache Society, 2018). Pathophysiology involves pericranial muscle tenderness and of pain pathways, aggravated by poor sleep, fasting, dehydration, and posture. Episodic and chronic forms are distinguished by monthly frequency. Pregnancy and the postpartum period are common settings for headache onset. Many migraine-specific medications are restricted in pregnancy, so non-drug measures are emphasized in guidance, and evidence for specific treatments is limited.
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Sources
- International Headache Society — International Classification of Headache Disorders, 3rd edition (ICHD-3), 2018
- National Institute for Health and Care Excellence — Headaches in over 12s: diagnosis and management, CG150, 2012