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Tension-type headache

MedGen UID:
18737
Concept ID:
C0033893
Disease or Syndrome
Synonyms: Headache, Idiopathic; Headache, Psychogenic; Headache, Stress; Headache, Tension; Headache, Tension-Type; Headaches, Idiopathic; Headaches, Psychogenic; Headaches, Stress; Headaches, Tension; Headaches, Tension-Type; Idiopathic Headache; Idiopathic Headaches; Psychogenic Headache; Psychogenic Headaches; Stress Headache; Stress Headaches; Tension Headache; Tension Headaches; Tension Type Headache; Tension-Type Headache; Tension-Type Headaches
SNOMED CT: Psychogenic headache (66551002); Stress headache (66551002); Tension-type headache (398057008); Tension headache (398057008)
 
HPO: HP:0012228

Definition

A type of headache that last hours with continuous pain of mild or moderate intensity, bilateral location, a pressing/tightening (non-pulsating) quality and that is not aggravated by routine physical activity such as walking or climbing stairs. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • Tension-type headache

Professional guidelines

PubMed

Robbins MS
JAMA 2021 May 11;325(18):1874-1885. doi: 10.1001/jama.2021.1640. PMID: 33974014
Burch R
Med Clin North Am 2019 Mar;103(2):215-233. Epub 2018 Dec 3 doi: 10.1016/j.mcna.2018.10.003. PMID: 30704678
Mier RW, Dhadwal S
Dent Clin North Am 2018 Oct;62(4):611-628. Epub 2018 Aug 14 doi: 10.1016/j.cden.2018.06.006. PMID: 30189986

Curated

UK NICE Guideline CG150, Headaches in over 12s: diagnosis and management, 2021

Recent clinical studies

Etiology

Varangot-Reille C, Suso-Martí L, Romero-Palau M, Suárez-Pastor P, Cuenca-Martínez F
J Pain 2022 Jul;23(7):1099-1122. Epub 2021 Dec 18 doi: 10.1016/j.jpain.2021.12.003. PMID: 34929374
Corum M, Aydin T, Medin Ceylan C, Kesiktas FN
Complement Ther Clin Pract 2021 May;43:101319. Epub 2021 Jan 24 doi: 10.1016/j.ctcp.2021.101319. PMID: 33517104
GBD 2016 Headache Collaborators
Lancet Neurol 2018 Nov;17(11):954-976. doi: 10.1016/S1474-4422(18)30322-3. PMID: 30353868Free PMC Article
Scripter C
FP Essent 2018 Oct;473:17-20. PMID: 30346680
Álvarez-Melcón AC, Valero-Alcaide R, Atín-Arratibel MA, Melcón-Álvarez A, Beneit-Montesinos JV
Neurologia (Engl Ed) 2018 May;33(4):233-243. Epub 2016 Aug 1 doi: 10.1016/j.nrl.2016.06.008. PMID: 27491303

Diagnosis

Onan D, Younis S, Wellsgatnik WD, Farham F, Andruškevičius S, Abashidze A, Jusupova A, Romanenko Y, Grosu O, Moldokulova MZ, Mursalova U, Saidkhodjaeva S, Martelletti P, Ashina S
J Headache Pain 2023 Jul 21;24(1):92. doi: 10.1186/s10194-023-01614-0. PMID: 37474899Free PMC Article
Ashina S, Mitsikostas DD, Lee MJ, Yamani N, Wang SJ, Messina R, Ashina H, Buse DC, Pozo-Rosich P, Jensen RH, Diener HC, Lipton RB
Nat Rev Dis Primers 2021 Mar 25;7(1):24. doi: 10.1038/s41572-021-00257-2. PMID: 33767185
Burch R
Med Clin North Am 2019 Mar;103(2):215-233. Epub 2018 Dec 3 doi: 10.1016/j.mcna.2018.10.003. PMID: 30704678
Do TP, Heldarskard GF, Kolding LT, Hvedstrup J, Schytz HW
J Headache Pain 2018 Sep 10;19(1):84. doi: 10.1186/s10194-018-0913-8. PMID: 30203398Free PMC Article
Mier RW, Dhadwal S
Dent Clin North Am 2018 Oct;62(4):611-628. Epub 2018 Aug 14 doi: 10.1016/j.cden.2018.06.006. PMID: 30189986

Therapy

Jull G
Musculoskelet Sci Pract 2023 Aug;66:102787. Epub 2023 Jun 3 doi: 10.1016/j.msksp.2023.102787. PMID: 37301672
Repiso-Guardeño A, Moreno-Morales N, Armenta-Pendón MA, Rodríguez-Martínez MDC, Pino-Lozano R, Armenta-Peinado JA
Int J Environ Res Public Health 2023 Mar 2;20(5) doi: 10.3390/ijerph20054466. PMID: 36901475Free PMC Article
Cumplido-Trasmonte C, Fernández-González P, Alguacil-Diego IM, Molina-Rueda F
Neurologia (Engl Ed) 2021 Sep;36(7):537-547. Epub 2020 Apr 7 doi: 10.1016/j.nrleng.2017.12.005. PMID: 34537167
Lipton RB, Diener HC, Robbins MS, Garas SY, Patel K
J Headache Pain 2017 Oct 24;18(1):107. doi: 10.1186/s10194-017-0806-2. PMID: 29067618Free PMC Article
Millstine D, Chen CY, Bauer B
BMJ 2017 May 16;357:j1805. doi: 10.1136/bmj.j1805. PMID: 28512119

Prognosis

Steel SJ, Robertson CE, Whealy MA
Curr Neurol Neurosci Rep 2021 Oct 2;21(10):56. doi: 10.1007/s11910-021-01138-7. PMID: 34599406
GBD 2016 Neurology Collaborators
Lancet Neurol 2019 May;18(5):459-480. Epub 2019 Mar 14 doi: 10.1016/S1474-4422(18)30499-X. PMID: 30879893Free PMC Article
Onderwater GLJ, Van Dongen RM, Zielman R, Terwindt GM, Ferrari MD
Handb Clin Neurol 2017;146:267-284. doi: 10.1016/B978-0-12-804279-3.00016-2. PMID: 29110775
Lucas S, Blume HK
Neurol Clin 2017 Aug;35(3):501-521. doi: 10.1016/j.ncl.2017.03.012. PMID: 28673412
Global Burden of Disease Study 2013 Collaborators
Lancet 2015 Aug 22;386(9995):743-800. Epub 2015 Jun 7 doi: 10.1016/S0140-6736(15)60692-4. PMID: 26063472Free PMC Article

Clinical prediction guides

Repiso-Guardeño A, Moreno-Morales N, Armenta-Pendón MA, Rodríguez-Martínez MDC, Pino-Lozano R, Armenta-Peinado JA
Int J Environ Res Public Health 2023 Mar 2;20(5) doi: 10.3390/ijerph20054466. PMID: 36901475Free PMC Article
Robbins MS
JAMA 2021 May 11;325(18):1874-1885. doi: 10.1001/jama.2021.1640. PMID: 33974014
Corum M, Aydin T, Medin Ceylan C, Kesiktas FN
Complement Ther Clin Pract 2021 May;43:101319. Epub 2021 Jan 24 doi: 10.1016/j.ctcp.2021.101319. PMID: 33517104
Gildir S, Tüzün EH, Eroğlu G, Eker L
Medicine (Baltimore) 2019 Feb;98(8):e14520. doi: 10.1097/MD.0000000000014520. PMID: 30813155Free PMC Article
Speciali JG, Eckeli AL, Dach F
Expert Rev Neurother 2008 May;8(5):839-53. doi: 10.1586/14737175.8.5.839. PMID: 18457540

Recent systematic reviews

Repiso-Guardeño A, Moreno-Morales N, Armenta-Pendón MA, Rodríguez-Martínez MDC, Pino-Lozano R, Armenta-Peinado JA
Int J Environ Res Public Health 2023 Mar 2;20(5) doi: 10.3390/ijerph20054466. PMID: 36901475Free PMC Article
Onofri A, Pensato U, Rosignoli C, Wells-Gatnik W, Stanyer E, Ornello R, Chen HZ, De Santis F, Torrente A, Mikulenka P, Monte G, Marschollek K, Waliszewska-Prosół M, Wiels W, Boucherie DM, Onan D, Farham F, Al-Hassany L, Sacco S; European Headache Federation School of Advanced Studies (EHF-SAS)
J Headache Pain 2023 Feb 14;24(1):8. doi: 10.1186/s10194-023-01541-0. PMID: 36782182Free PMC Article
Vázquez-Justes D, Yarzábal-Rodríguez R, Doménech-García V, Herrero P, Bellosta-López P
Neurologia (Engl Ed) 2022 Nov-Dec;37(9):806-815. Epub 2022 Jun 2 doi: 10.1016/j.nrleng.2019.09.010. PMID: 35659858
Varangot-Reille C, Suso-Martí L, Romero-Palau M, Suárez-Pastor P, Cuenca-Martínez F
J Pain 2022 Jul;23(7):1099-1122. Epub 2021 Dec 18 doi: 10.1016/j.jpain.2021.12.003. PMID: 34929374
Cumplido-Trasmonte C, Fernández-González P, Alguacil-Diego IM, Molina-Rueda F
Neurologia (Engl Ed) 2021 Sep;36(7):537-547. Epub 2020 Apr 7 doi: 10.1016/j.nrleng.2017.12.005. PMID: 34537167

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Curated

    • NICE, 2021
      UK NICE Guideline CG150, Headaches in over 12s: diagnosis and management, 2021

    Consumer resources

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