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Learn More: Headache Center

Tension Headaches

The annual prevalence of tension headaches is 74%, much higher than for any other type of headache.

  • Approximately 20% to 30% of the population experience more than one tension headache per month.
  • Tension headaches are 40% more frequent in women compared to men.

These criteria, established by the International Headache Society (IHS), are used to evaluate whether a person is suffering from a tension-type headache:

  • The headaches must have at least two of the following pain characteristics:
    • pressing (nonpulsating) quality
    • mild or moderate intensity (may inhibit, but does not prohibit, activities)
    • located on both sides of the head (bilateral)
    • no aggravation of pain caused by routine physical activity
  • The individual must not be experiencing nausea or vomiting. He or she may experience unusual sensitivity to light or sound, but not both.
  • The headache is a primary headache, and no evidence of secondary headache is suspected.

Tension headaches are divided into four categories:

  • Frequent episodic tension-type headaches, infrequent episodic tension-type headaches, chronic tension-type headaches, and probable tension-type headaches differ in frequency and duration.
  • Probable tension-type headaches are separated into three subcategories, two of which fulfill all but one of the above criteria.
Last reviewed on: May 2010
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