Tension-Type Headaches – Management Strategies

Tension-Type Headaches

Tension-type headaches (TTH) are a common type of primary headache that can significantly impact a person’s quality of life. Compared to migraine headaches, TTHs are more common and can be equally disabling. A 2014 study reviewing popular treatment approaches for TTH reported that establishing an accurate diagnosis is important prior to beginning treatment and finding …non-drug management is crucial. Recommendations regarding treatment also include becoming educated about TTH, obtaining reassurance, and identifying trigger factors that can precipitate a TTH. Psychological treatments with scientifically-proven benefit include relaxation training, EMG biofeedback, and cognitive-behavioral therapy (CBT). Physical therapy, chiropractic, and acupuncture are widely used, but further research supporting these approaches is needed. The researchers state simple analgesics are the primary drug choice for TTH, but they strongly oppose the use of combination analgesics, triptans, muscle relaxants, and opioids,…and it is crucial to avoid frequent and excessive use of simple analgesics to prevent the development of medication-overuse headache.” They state that the tricyclic antidepressant amitriptyline is drug of first choice when treating chronic TTH, but they point out side effects can be significant, thus hampering their use. The researchers conclude that the treatment of frequent TTH is often difficult, and multidisciplinary approaches can be helpful. Chiropractic care can provide long-term relief for those experiencing chronic tension-type headaches (TTH) by performing spinal alignment which relieves the pressure on the nerves and muscles connected to your neck, face, and head. Chiropractors can identify and diagnose the common triggers and effective treatment for chronic headaches.