张力头痛

Overview

张力-type headache is a term used to describe a headache causing mild to moderate pain that often feels like a tight band across your forehead or pressure around the head and neck. These headaches may be provoked by the stress of everyday life, eyestrain or poor posture. 它们不会因日常活动而恶化, and therefore usually don't prevent people from going about their daily activities.

Typically, the pain is not troublesome enough to cause sufferers to see a doctor. People who get tension-type headache do not experience sensitivity to light, 声音, 或运动, 他们不会感到恶心或呕吐.

The underlying cause of tension-type headache is unknown.

我们应对紧张性头痛的方法

Our headache specialists – neurologists who focus on treating headaches – provide comprehensive assessments and care. We offer a range of medication options for tension headaches, including drugs that help prevent them and others that treat the headache pain. We see patients from around the world who have difficult-to-treat headache disorders, and are committed to delivering effective care with the utmost compassion and respect. 在需要的时候, our specialists work closely with other experts at UCSF, 比如替代医学提供者, 更好地控制紧张性头痛.

奖 & 识别

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加州最好，排名第一. 神经病学全国排名第二 & 神经外科

迹象 & 症状

紧张性头痛的症状包括:

Mild to moderately intense pain, lasting from 30 minutes to as long as an entire week
Tightness or pressure across your forehead or on the sides and back of your head
头皮、脖子和肩膀有触痛
有时，食欲不振

紧张性头痛慢性 if they occur 15 or more days a month for at least three months. 他们认为情景如果一个月少于15次.

张力 headaches differ from migraines in that they're not associated with abdominal pain, 恶心和呕吐, 口齿不清, visual disturbances such as blind spots or flashing lights, 身体一侧无力或麻木. Physical activity typically doesn't aggravate the pain like it does migraines. Increased sensitivity to light or 声音 can occur, although it's not common.

诊断

张力-type headaches usually are diagnosed based on 症状. 你的十大赌博平台排行榜会询问病情的严重程度, frequency and 持续时间 of your headaches as well as other 症状 that occur and medications you are taking. 保持一个头痛杂志 is a good way to track the location and 严重程度 of pain, 疼痛持续时间, medications taken and possible headache triggers.

If your doctor suspects a tumor or aneurysm, you may undergo one or more of the following tests:

计算机断层扫描(CT) A CT扫描 uses a thin X-ray beam that rotates around the area being examined. A computer processes data to create a 3-D, cross-sectional image.
磁共振成像(核磁共振成像) An 核磁共振成像使用磁性, 无线电波和计算机技术, 而不是x光, 生成你大脑的图像. 在适当的情况下, 核磁共振成像 and other imaging procedures allow doctors to see how larger structures in the brain are involved during migraine and headache.

治疗

Your doctor may prescribe drugs to prevent and treat tension headaches. Drugs that may help prevent tension headaches include:

三环类抗抑郁药 Antidepressant drugs have analgesic or pain-relief qualities. 虽然你可能并不抑郁, your doctor may prescribe drugs 比如阿米替林 or doxepin to help reduce the frequency and 严重程度 of your headaches.
β受体阻断剂 A drug such as propranolol may be combined with an antidepressant, 比如阿米替林, 预防慢性头痛.
双丙戊酸钠 This drug is used to treat 慢性 daily headache, including 慢性 tension-type headaches.

Drugs prescribed to treat the pain of tension headaches include:

非处方止痛药 These are usually adequate to relieve mild to moderate pain. They include aspirin, acetaminophen, ibuprofen and naproxen.
复方止痛药 这些药物的使用是有限的, because overuse can worsen the headache pattern and over time can become habit forming. 这些药物通常含有布他比妥, a barbiturate or narcotics combined with aspirin or acetaminophen.

If your doctor prescribes you medication, be sure to ask:

这种药应该多久吃一次
If the medication should be taken with meals or on an empty stomach
如果疼痛或其他症状持续，该怎么办

加州大学旧金山分校健康 medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.