Symptoms of tension headaches

Most people with episodic tension headaches (those that occur less than 15 days in a month) have them no more than once or twice monthly. The headaches are classified as chronic if they occur more than 15 days per month. Often, the pain associated with a tension headache is difficult for the patient to describe. Tension headaches may affect the front, top, or sides of the head.

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Episodic tension headaches may be described as a mild-to-moderate, constant bandlike pain, pressure, or throbbing. They usually begin gradually, often occur in the middle of the day, and may last from 30 minutes to several days.

Chronic tension headaches usually come and go over a prolonged period of time. The severity of a tension headache increases significantly with its frequency. This daily or almost daily pain is usually throbbing and affects the front, top, or sides of the head. Although the pain may vary in intensity throughout the day, the pain is almost always present. Chronic tension headaches tend to be more common in females. For many patients, these headaches get in the way of daily activities.

Tension headaches are normally not associated with an aura, severe sensitivity to light or noise, stomach pain, or vomiting. They also do not cause neurological symptoms or affect vision, balance, or strength.

Other symptoms associated with tension headaches:

• Pain upon awakening
• General muscle aches
• Difficulty falling asleep and staying asleep
• Chronic fatigue
• Irritability
• Disturbed concentration
• Mild sensitivity to light or noise
• Occasional dizziness
• Occasional nausea