Tension Headache

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Clinical Description

• Headache over the back of the head, but sometimes over the entire head, described as a tight band around the head, usually worse in the afternoon.

General Measures

• Refer to medical rehabilitation Services for muscle relaxation techniques. The importance of this diagnosis is the exclusion of other, more sinister conditions. Exclude analgesia overuse headache.

Treatment PHARMACOLOGICAL

• Amitriptyline, oral, 10-75 mg at night.

REFERRAL

• When there is atypical pain, suggestive of alternate diagnosis.
• When there is poor response to therapy.