Tension-type headache is the most common kind of headache. It feels like a tight band or pressure around the head and is often linked to stress, tiredness, poor sleep or tight neck and shoulder muscles. It is not dangerous and usually gets better with rest and simple painkillers.
Symptoms
Dull, pressing or tight pain on both sides of the head or forehead
A feeling of a tight band around the head
Tender neck and shoulder muscles
Lasts from 30 minutes to several days
No vomiting, and normal activity does not usually make it worse
Causes
Stress, worry and family or work pressure
Lack of sleep and tiredness
Poor posture, or long hours bent over a phone, screen or sewing
Skipping meals and not drinking enough water
Eye strain
Too much tea, or stopping it suddenly
Prevention
Sleep at regular times
Take short breaks to stretch your neck and shoulders, and sit up straight
Talk to a doctor
Get advice by video, voice or chat without leaving home.
Find ways to relax: prayer, breathing exercises, talking with someone you trust
Have your eyes checked if you strain to read
Treatment
Rest, a warm compress or gentle massage of the neck and shoulders
Simple painkillers such as paracetamol or ibuprofen for short periods
Do not take painkillers on more than 10 to 15 days a month
If headaches are frequent, a doctor may suggest a daily preventive medicine or counselling for stress
Do not use strong painkillers or injections without a doctor
Common questions
Is a tension headache caused by high blood pressure?
Usually not. Most people with high blood pressure have no headache at all. Only very high blood pressure causes headache, so the only way to know is to have your blood pressure measured.
Can stress alone cause daily headaches?
Yes. Long-term stress, worry and poor sleep are among the most common causes of frequent tension headaches. Talking to a doctor or counsellor about stress or low mood can help the headaches too.
