Tension headache

G44.2/G93.2


DESCRIPTION

Tension headaches are described as a tight band around the head and is generally worse in the afternoon. Occurs over the back of the head, but may extend over the entire head.

GENERAL MEASURES

  • Consider use of relaxation techniques.
  • Exclude medication overuse headache.

MEDICINE TREATMENT

  • Amitriptyline, oral, 10–75 mg at night.

REFERRAL

  • Atypical pain and/or focal neurological signs and symptoms, suggestive of alternate diagnosis.
  • Poor response to therapy.