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Chronic Muscle Tension Headache
Muscle tension headaches are by far the most common form of nonserious headache. Pain results from muscle tension and spasm originating in the muscles of the neck that often "radiate" pain to the head. Muscle tension headaches are common in certain occupations (i.e. typing, programming, and assembly line work) due to the "day long" forward cant of the head and neck, or the tedious posture associated with these professions. This type of headache is also seen frequently associated with stress or anxiety.
Common symptoms include a headache often described as "band-like" or bitemporal. The pain is usually constant and not throbbing. The neck is usually stiff and movement in ALL directions is painful, not just neck flexion (chin on chest), as is commonly seen in cases of meningitis. Evaluation will include careful history to exclude the possibility of recent head injury, or recurrent headaches (migraine). Physical examination will look for any areas (in the muscles) that are tender to touch, a common finding in muscle tension headache. CT-scanning of the head will usually not be necessary unless there is suspicion of a more serious problem. A routine visual acuity (eye chart test) exam is important to exclude a headache resulting from eye strain. Treatment is with aspirin, acetaminophen, or anti-inflammatory agents (ibuprofen). Due to the common finding of muscle spasm in muscle tension
headache, relief is occasionally provided by the use of a muscle relaxant. Wet, warm compresses and gentle massage can be quite therapeutic.
Hope this article will provide you informtation about muscle tension headache.
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