Tension-type Headache
Do you suffer from pressure headaches in your head on the side of your temples? It could be a tension-type headache.
Tension-type headache (TTH) is the most common type of headache people experience, often described as a dull, tight, or pressure-like sensation around the forehead, temples, or back of the head. While usually less severe than migraines, these headaches can still interfere with daily activities—especially when they become frequent or chronic.
At Advanced TMJ Maxillofacial Pain & Sleep Center, we understand how disruptive TTH can be and provide comprehensive, non-surgical care to help you find lasting relief.
What is Tension-Type Headache (TTH) ?
Tension-type headache (TTH) is the most common form of headache, often described as a dull, pressure-like pain or a tight band across the forehead, temples, or back of the head and neck. Unlike migraines, TTH usually does not cause nausea, vomiting, or sensitivity to light and sound, but it can significantly affect daily life when frequent or chronic.
What are the types of TTH?
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Episodic TTH – Occurs fewer than 15 days per month, often triggered by stress, fatigue, or posture.
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Chronic TTH – Occurs 15 or more days per month for at least 3 months, often leading to persistent discomfort and reduced quality of life.
What are the common symptoms of TTH?
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Constant, pressing or tightening pain (not throbbing).
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Pain on both sides of the head (bilateral).
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Mild to moderate intensity.
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Tenderness in scalp, temples, or neck muscles.
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Not aggravated by routine activities like walking or climbing stairs.
What are the causes and triggers for TTH?
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TTH is thought to arise from a combination of muscle tension, stress, and changes in how the brain processes pain. Common triggers include:
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Emotional stress or anxiety.
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Poor posture (especially neck and shoulder strain).
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Eye strain from prolonged screen time.
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Irregular sleep patterns.
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Dehydration or skipping meals.
How are TTH diagnosed?
Diagnosis is based on clinical history and physical examination. Imaging (CT, MRI) is rarely needed unless there are warning signs suggesting another cause (e.g., sudden onset, neurological changes, or atypical features).
What are the Treatment Options for TTH?
At Advanced TMJ Maxillofacial Pain & Sleep Center, we use a multimodal approach tailored to each patient:
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Behavioral & Lifestyle Management
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Stress management and relaxation training.
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Ergonomic and postural correction.
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Sleep hygiene strategies.
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Occasional use of over-the-counter analgesics (acetaminophen, NSAIDs).
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Preventive medications for chronic TTH (as guided by medical providers).
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Physical & Interventional Therapies
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Trigger point therapy and dry needling for muscle tightness.
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Laser therapy (photobiomodulation) for pain reduction.
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Botox or nerve block injections in refractory cases.
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Collaborative Care
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Referrals to neurology, physical therapy, psychology, or other specialists as needed.
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When to Seek Help?
Consult a healthcare professional if your headaches:
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Occur frequently or daily.
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Do not improve with over-the-counter medications.
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Are associated with neurological symptoms (vision changes, weakness, speech problems).
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Suddenly worsen or change in pattern.
Takeaway: Tension-type headaches are common but treatable. With the right combination of lifestyle strategies, therapies, and medical care, most people can achieve significant relief and prevent chronic progression.
