Headache: Muscle Tension

What is a muscle tension headache?

A tension headache is a headache caused by tense muscles in the scalp or neck. These headaches give a feeling of tightness all around the head. The neck muscles also become sore and tight. Tension headaches can be caused by staying in one position for a long time, such as reading, playing video games or using a computer. Many people get tension headaches as a reaction to stress (such as pressure for better grades or family conflicts). If you get a lot of headaches, see your healthcare provider. They may be caused by something besides tension.

How long does it last?

Tension headaches usually last from a few hours to a day and you may have them often.

How can I take care of myself?

If you have been checked by your healthcare provider and still have tension headaches, try the following to help ease the pain:

• When you get a headache, lie down and relax. Take acetaminophen or ibuprofen as soon as the headache starts. (Avoid aspirin if you have a fever.) The medicine is more effective if it is started early.
• If something is bothering you, talk about it and get it off your mind.
• Don't skip meals if doing so brings on headaches.
• Cut back on excessive caffeine in your diet.
• Stretch and massage any tight neck muscles.
• Get regular exercise, which releases natural painkillers (endorphins).
• To prevent tension headaches, take breaks from activities that require sustained concentration. Do relaxation exercises during the breaks.
• Make sure you get enough sleep.
• If overachievement causes headaches, get out of the fast track.

When should I call my healthcare provider?

Call IMMEDIATELY if:

• The pain is severe and persists more than 2 hours after you take pain medication.
• You have trouble seeing, thinking, talking, or walking.
• Your neck is stiff.
• You are feeling very sick.

Call during office hours if:

• Headaches are a recurrent problem for you.
• The headache has lasted more than 24 hours even though you have taken pain medicines.
• You have other concerns or questions.