Tension-type headache [1]
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© 2013 Grünenthal GmbH Tension-type headache [1] Dull pressing bilateral headache perceived as like wearing a hat that‘s too tight Affected: whole head, back of head, top of head or forehead Sensation of not being able to think clearly Hardly any accompanying symptoms Duration of pain attacks: hours to days Level of pain: mild to mo- derate Local ice treatment; in mild forms: peppermint oil on the temple Relaxation exercises, stress management training, cognitive behavioural therapy Endurance sport / jogging Acupuncture TENS Episodic tension-type headache: Occurring on up to 15 days per month and up to 180 days per year Chronic tension-type headache: Occurring more often than 15 days per month or 180 days per year Duration if left untreated: 30 minutes to days Medicines for max. 10 days per month: aspirin, paracetamol, non-steroidal anti-inflammatory drugs such as ibuprofen Medicines for prevention: tricyclic antidepressants, e.g. amitriptyline Change in weather Also without triggers Stress Febrile infection Symptoms Forms Triggers Treatment of acute phases [2] Treatment of chronic form [2] A B C D E 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
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Grü
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Tension-type headache [1]
Dull pressing bilateral headache perceived as like wearing a hat that‘s too tight
Affected: whole head, back of head, top of head or forehead
Sensation of not being able to think clearly
Hardly any accompanying symptoms
Duration of pain attacks: hours to days
Level of pain: mild to mo-derate
Local ice treatment; in mild forms: peppermint oil on the temple
Relaxation exercises, stress management training, cognitive behavioural therapy
Endurance sport / jogging
Acupuncture
TENS
Episodic tension-type headache: Occurring on up to 15 days per month and up to 180 days per year
Chronic tension-type headache: Occurring more often than 15 days per month or 180 days per yearDuration if left untreated: 30 minutes to days
Medicines for max. 10 days per month: aspirin, paracetamol, non-steroidal anti-infl ammatory drugs such as ibuprofen
Medicines for prevention: tricyclic antidepressants, e.g. amitriptyline
Change in weather Also without triggers
Stress Febrile infection
Symptoms
Forms Triggers
Treatment of acute phases [2] Treatment of chronic form [2]
A
B C
D E
1 2 3 4 5 6 7
8 9 10 11 12 13 14
15 16 17 18 19 20 21
22 23 24 25 26 27 28
29 30 31
1 2 3 4 5 6 7
8 9 10 11 12 13 14
15 16 17 18 19 20 21
22 23 24 25 26 27 28
29 30 31
pat-atlas-english.indd 28 12.11.2013 11:18:48
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mbH
13 Tension-type headache
Tension-type headache [1]
Local ice treatment;in mild forms: peppermint oil on the temple
Relaxation exercises, stress manage-ment training, cognitive behavioural therapy
Medicines for max. 10 days per month: aspirin (3000 mg/day, maximum dosage is 3.6 gm daily), paracetamol (4000 mg/day, maximum dosa-ge is 4000 mg per day), non-steroidal anti-infl amm-atory drugs (e.g. ibuprofen 1200 mg/day, maximum daily dosage is 2400 mg).
Medicines for prevention: tricyclic antidepressants, e.g. amitriptyline *
Change in weather
Also without triggers
StressFebrile infection
Symptoms
Dull pressing bilateral headache perceived as like wearing a hat that‘s too tight. Affected: whole head, back of head, top of head or forehead.Sensation of not being able to think clearly.
Forms
Episodic tension-type headache [2]: Occurring on up to 15 days per month and up to 180 days per year
Chronic tension-type headache [2]: Occurring more often than 15 days per month or 180 days per year. Duration if left untreated: 30 minutes to days
Treatment of acute phases [2]
Triggers
Treatment of chronic form [2]
A
B
D
C
E
Hardly any accompanying symptomsDuration of pain attacks: hours to one day.Level of pain: mild to moderate.
Endurance sport /jogging
Acupuncture
Transcutaneous electrical nerve stimulation (TENS) is the use of electrical impulses that stimulate nerves via the skin and conse-quently inhibit pain
* According to [1] several studies have demonstrated sig-nifi cant benefi ts. Is the preventative drug of choice accord-ing to the British Association for the Study of Headache (http://www.bash.org.uk/). (http://www.bash.org.uk/)
[1] Kaniecki RG. Minneap Minn (2012) 18(4): 823 - 834.[2] Bendtsen L et al. Eur J Neurol (2010) 17: 1318 - 1325.
pat-atlas-english.indd 29 12.11.2013 11:18:51
