Tension headaches have these symptoms

Tension headaches mostly occur in young and middle-aged people. Children may also be affected, but the probability is relatively small. The symptoms are mild at the beginning and then gradually become significantly worse. The clinical characteristics of tension headaches are dull pain in the head without pulsation. The headache is located in the top, temporal, frontal and occipital parts, and sometimes there is pain in all of the above parts.

1. Causes

Tension headaches are caused by persistent contraction of the head and neck muscles. The reasons for this contraction include: 1. as a result of anxiety or depression accompanied by mental tension; 2. as a secondary symptom of headaches or pain in other parts of the body due to other reasons; 3. caused by poor posture of the head, neck, and shoulder girdle.

2. Clinical manifestations

This disease is more common in young and middle-aged people, and children can also get the disease, without any difference between males and females. The symptoms are mild at the beginning of the disease, and then gradually become significantly worse. The clinical characteristics of tension-type headache are dull pain in the head without pulsation. The headache is located in the top, temporal, forehead and occipital region, and sometimes there is pain in the above-mentioned parts. The degree of headache is mild or moderate, and is not aggravated by physical activity. Patients often complain of tight pressure on the top of the head or a feeling of tightness on the head. In addition, the occipital and neck area are tight and stiff, which is particularly obvious when turning the neck. There is no fear of light or phonophobia. A small number of patients are accompanied by mild irritability or depression. Physical examination including neurological examination shows no positive signs. The muscles around the skull, such as the occipital muscles, the top of the head and the upper shoulder muscles are often tender. Sometimes gently massage the muscles and the patient feels relaxed and comfortable. There should be no abnormalities in the brain CT or MRI, and there is no hypertension or obvious ENT diseases.

3. Inspection

1. Electroencephalogram and electromyography examination.

2. Special ophthalmic examination.

3. Radionuclide (isotope) examination, X-ray examination, magnetic resonance imaging (MRI), and CT examination.