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Health

Diseases of the nervous system (neurology)

Tension headache: treatment

Only an integrated approach aimed at normalizing the patient's emotional state (treating depression) and eliminating dysfunction of pericranial muscles (reducing muscle tension) makes it easier to relieve the tension headache and prevent the chronicization of cephalalgia. The most important factor for successful treatment of tension headache is cupping, and, if possible, prevention of drug abusus.

Tension headache: symptoms

Patients with a tension headache, as a rule, describe it as diffuse, mild or moderate, more often bilateral, non-pulsating, compressive in type of "hoop" or "helmet". The pain does not increase with normal physical activity, it is seldom accompanied by nausea, however, photo or phonophobia is possible. The pain appears, as a rule, soon after awakening, is present throughout the day, then increasing, then weakening.

Tension headache: causes and pathogenesis

The most important provoking factor of a tension headache attack is emotional stress (acute - with episodic, chronic - with chronic tension headache). When distracting attention or positive emotions, the pain may weaken or completely disappear, but then return again.

Tension headache: an overview of information

Tension headache is the predominant form of primary headache, manifested by cephalic episodes lasting from several minutes to several days. The pain is usually bilateral, compressive or pressing, light or moderate intensity, does not increase with normal physical activity, is not accompanied by nausea, but photophobia is possible.

Abusotic headache

Abuzusnaya headache is a secondary form of headache, which develops due to uncontrolled use of medicines.

Cluster headache

The concept of "trigeminal vegetative cephalgia" combines several rare forms of primary headache, combining both features of cephalgia and typical features of cranial parasympathetic neuralgia. Due to insufficient knowledge of doctors, the diagnosis of trigeminal autonomic cephalalgia often causes difficulties.

Beam headache

Beam headache is the primary form of cephalgia, manifested by attacks of very intense severely unilateral pain of orbital, supraorbital, temporal or mixed localization, lasting 15-180 minutes, occurring daily at a frequency of once every 2 days up to eight times a day.

Paroxysmal hemicranium

Paroxysmal hemicrania is manifested by attacks with pain characteristics and concomitant symptoms similar to those with headache. Distinguishing symptoms are short-term attacks and their high frequency.

Short-term unilateral neuralgic headaches with conjunctival injection and lacrimation

This rare syndrome is not well understood. It is characterized by short-term attacks of unilateral pain; the duration of seizures is much less than with other forms of trigeminal vegetative cephalgia. Frequently seizures are accompanied by pronounced lacrimation and reddening of the eye on the side of the pain.

Migraine: diagnosis

As with other primary cephalalgia, the diagnosis of "migraine" is based entirely on complaints and data of anamnesis, and in most cases there is no need to conduct additional research methods. Careful inquiry is the basis of the correct diagnosis of migraine. When diagnosing, it is necessary to rely on the diagnostic criteria of MKGB-2 (the diagnostic criteria of the two most common forms are listed below: migraine without aura and migraine with aura).

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