The headache of tension is a condition whenWhich a person feels squeezing, tension or dull unpleasant sensations in the head area. The phenomenon is often short-lived and is associated with everyday stress. A persistent tension headache indicates a condition such as
. Tension headache is the most common form of all headaches.
Regular overstrain of the muscles of the neck, as well asIncorrect posture promotes muscle clamping and clogging, while limiting the blood flow to the head, which subsequently causes frequent migraines, increased pressure. According to statistics, such painful sensations experience up to 90% of the world's population. Patients all give different descriptions of their feelings: monotonous or bilateral pain, tightening or dull. For such unpleasant sensations, fatigue, nervousness, sleep and appetite disorders, increased sensitivity to bright light, and loud sounds are almost always inherent.
Causal tension headache
The main causes of the onset of the disease is a mental overstrain caused by chronic stress, and also because of a prolonged muscle strain.
Muscular overstrain is often associated withProfessional posture. For example, a long sitting behind the wheel of a car, a computer or work related to the implementation of operations with visual concentration (seamstress, jeweler, watchmaker, collector of electronic equipment).
The next cause of the disease may beUncomfortable night pose. It is unequivocal, that the mechanism of development of the given condition is a strain of muscles of a neck, muscles of a scalp aponeurosis, eye muscles. In the development of the disease, an essential role is played by: tonic spasm of muscles; Biochemical shift, provoking spasm of blood vessels, and also intensifying painful sensations; Violations of the central mechanism of chronic pain in reducing the pain threshold; Lack of serotonergic systems, inadequate functioning of the antinociceptive system;
Headache tension symptoms
Symptoms of the disease are diverse: monotonous to compressive pain, either in a vice or squeezing, blunt, constricting, diffuse, bilateral, as in a helmet or as if tightened by a hoop.
The headache of tension is from mild toModerate, and can be accompanied by nervousness, irritability, fatigue, fatigue, weakness, a violation of appetite, sleep, and heightened sensitivity to bright light and sharp sounds. The disease is noted in all age categories. In women, the disease occurs more often.
Chronic tension headache
The chronic state is prolongedReception of tranquilizers and analgesics. To increase the chronic headache can also lead to constant emotional stress, starvation, weather change, strong wind, mental, as well as physical exhaustion, work in a stuffy room, drinking alcohol, work in the evening and night, violation of posture while sitting.
Chronic tension headache is noted in the behavioral reactions of the patient. The mechanism of the onset of pain syndrome depends on the processes of adaptation of the organism to the environment.
Chronic tension headache depends onThe appearance of neurons of increased excitability with a deficiency of the inhibitory mechanism in the structures of the brain. In these structures, the processing of pain (nociceptive) information is carried out.
In addition, this condition is due toDisruption of the functioning of the antinociceptive system, as well as psychosocial maladaptation and as a result of personal, behavioral, emotional reactions of the person at the level of neurotransmitter mechanisms.
By antinociceptive system is understoodNeuroendocrine analgesic mechanism. If the pain threshold decreases, the receptor irritants are felt as painful. It is possible that there is a perception of painful sensations without any pathological impulses from perceiving receptors.
The body can produceAnesthetics, but with pathology this mechanism is broken or not working enough. Overwork, emotional stress, psychopathological conditions reduce the control of pain at all levels of pain impulse treatment.
Headache tension diagnosis
Differentiate the tension headache withDysfunction of the pericranial musculature or without such a combination. From the duration and periodicity of the disease depends form, which is chronic and episodic.
If the pain continues from theHalf an hour to seven days for two weeks a month and this is observed with a frequency of up to 6 months per year, then this is an episodic headache. Such painful sensations are characteristic up to 80% of all types of headaches.
If the pain lasts for more than two weeks for a month or more than six months throughout the year, then this is a chronic disease.
For an episodic disease is characteristicLess intensity, often there are disturbing disorders after provoking moments. Such moments include visual, prolonged or mental tension, uncomfortable posture.
For a chronic condition, a daily,Monotonous, not stopping in intensity pain, which is accompanied by the development of paranoia, demonstrative personality changes, depression, as well as a violation of activity in society.
The headache of tension is not noted with vomiting and nausea, has no seizures, and also a pulsating nature.
Diagnosis of a tension headacheAfter examining the patient and fixing the increased tension, as well as soreness of the neck muscles, trapezius muscle, paravertebral points of the thoracic and cervical spine. The disease is established in the absence of focal neurological symptoms.
In the case where the tension headache is notIs marked by painfulness of pericranial muscles, it is referred to as psychogenic. Often, the disease occurs in people with psychopathological disorders: premenstrual tension, anxiety-depressive disorder, asthenia, psycho-vegetative disorders (blood pressure changes, tachycardia, lack of air, panic attacks).
A primary comprehensive survey is important to ensure thatExclude organic damage to the brain. Computer, magnetic resonance imaging of the cervical spine, x-ray of the cervical spine, doplerography of the main arteries, electroencephalography (with syncope), laboratory diagnostics (blood sugar, general blood test, biochemical analyzes) are prescribed. The results of psychological testing help to adequately select the medication of a particular patient. Recommended examinations oculist, otolaryngologist, therapist.
Headache tension treatment
The treatment of tension headache is directed toMyofascial, psihalgichesky and cervicogenic factor. Applied in the treatment of non-pharmacological pharmacological methods of exposure. Headache relief is performed by massage of the neck and collar zone, as well as by the head.
Massage with a tension headache helps improve blood circulation not only in the head, but also the back, while eliminating muscle spasms through contraction and stretching of the muscles.
Massage with a tension headache begins withMassaging the scalp, moving gradually to massage the face. The hairy area is massaged together with the collar zone. Massaging the neck-collar zone has a normalizing and regulating effect on all important systems of the human body. The main task of the massage is to improve the flow of blood to the problem area, remove spasm, and muscle clamps.
How else to relieve the tension headache? Of the pharmacological drugs used muscle relaxants (Midokalm, Sirdalud), as well as antidepressants. Assign vitamins of group B, nootropics, magnesium preparations. Postisometric relaxation, acupuncture, acupressure, a short reception of analgesics is shown. Often, painful symptoms are removed with paracetamol or non-steroidal anti-inflammatory drugs (Ibuprofen), as well as combined funds with Codeine, Caffeine, phenobarbital, possibly in combination with tranquilizers.
How to treat a tension headache? Treatment is selected strictly individually. Ask for help from a therapist, a neurologist. It should be remembered that prolonged use of tranquilizers and analgesics will provoke an abusic headache. Therefore, it is not recommended uncontrolled, and often take painkillers.
Headache stress prevention
It is very important to optimize the regime of the day, conditionsRest and work, engage in exercise therapy, carry out individual recommendations of the vertebro neurologist, psychotherapist, neurologist, conduct water procedures, physiotherapy, aromatherapy, psychotherapy, manual therapy, and sanatorium treatment.