Tension-type headache: current research and clinical management
- PMID: 18093564
- DOI: 10.1016/S1474-4422(07)70325-3
Tension-type headache: current research and clinical management
Abstract
Tension-type headache (TTH) is the most common form of headache, and chronic tension-type headache (CTTH) is one of the most neglected and difficult types of headache to treat. The pathogenesis of TTH is multifactorial and varies between forms and individuals. Peripheral mechanisms (myofascial nociception) and central mechanisms (sensitisation and inadequate endogenous pain control) are intermingled: the former predominate in infrequent and frequent TTH, whereas the latter predominate in CTTH. Acute therapy is effective for episodes of TTH, whereas preventive treatment--which is indicated for frequent and chronic TTH--is, on average, not effective. For most patients with CTTH, the combination of drug therapies and non-drug therapies (such as relaxation and stress management techniques or physical therapies) is recommended. There is clearly an urgent need to improve the management of patients who are disabled by headache. This Review summarises the present knowledge on TTH and discusses some of its more problematic features.
Similar articles
-
Advances in the Understanding of Pathophysiology of TTH and its Management.Neurol India. 2021 Mar-Apr;69(Supplement):S116-S123. doi: 10.4103/0028-3886.315986. Neurol India. 2021. PMID: 34003157 Review.
-
[Tension-type headache].Rev Neurol (Paris). 2005 Jul;161(6-7):720-2. doi: 10.1016/s0035-3787(05)85128-8. Rev Neurol (Paris). 2005. PMID: 16141970 Review. French.
-
Pain perception studies in tension-type headache.Headache. 2011 Feb;51(2):262-71. doi: 10.1111/j.1526-4610.2010.01768.x. Epub 2010 Oct 1. Headache. 2011. PMID: 21029081 Review.
-
Tension-type headache.Neurol Clin. 2009 May;27(2):525-35. doi: 10.1016/j.ncl.2008.11.010. Neurol Clin. 2009. PMID: 19289230 Review.
-
Tension-type headache.Continuum (Minneap Minn). 2012 Aug;18(4):823-34. doi: 10.1212/01.CON.0000418645.32032.32. Continuum (Minneap Minn). 2012. PMID: 22868544 Review.
Cited by
-
Heart rate variability and tension-type headache: A population-based cross-sectional study.IBRO Neurosci Rep. 2023 Sep 11;15:194-202. doi: 10.1016/j.ibneur.2023.09.004. eCollection 2023 Dec. IBRO Neurosci Rep. 2023. PMID: 38204569 Free PMC article.
-
New management strategies for primary headache disorders: Insights from P4 medicine.Heliyon. 2023 Nov 14;9(11):e22285. doi: 10.1016/j.heliyon.2023.e22285. eCollection 2023 Nov. Heliyon. 2023. PMID: 38053857 Free PMC article. Review.
-
Efficacy and safety of the Chaixiong Qiwei granule for tension-type headache: study protocol for a randomised controlled trial.BMJ Open. 2023 Nov 30;13(11):e074871. doi: 10.1136/bmjopen-2023-074871. BMJ Open. 2023. PMID: 38035742 Free PMC article.
-
Algorithm-based approach to headache.J Family Med Prim Care. 2023 Sep;12(9):1775-1783. doi: 10.4103/jfmpc.jfmpc_1553_22. Epub 2023 Sep 30. J Family Med Prim Care. 2023. PMID: 38024919 Free PMC article. Review.
-
Effectiveness of Physical Exercise on Pain, Disability, Job Stress, and Quality of Life in Office Workers with Chronic Non-Specific Neck Pain: A Randomized Controlled Trial.Healthcare (Basel). 2023 Aug 14;11(16):2286. doi: 10.3390/healthcare11162286. Healthcare (Basel). 2023. PMID: 37628484 Free PMC article.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources