There are many forms of headaches and migraines, and sometimes more than one form can occur at the same time. This is the case with tension headaches and migraines. When they occur together, the condition is called a mixed tension migraine, and it can cause symptoms that are normally present with both types of headaches. The key to controlling symptoms is to identify the causes of tension migraine headaches so that the best treatment approach can be started.
Inflammation
Tension headaches, migraines and mixed tension migraines can all have similar symptoms and causes, but migraines tend to produce more severe symptoms than a tension headache, according to the National Women's Health Information Center. The exact cause of most headaches is not known. However, it appears that during a tension migraine headache, the blood vessels become inflamed and as they swell they place pressure on the nerves in the brain. It may be possible that this condition is genetic.
Medical Conditions
According to the National Headache Foundation, mixed tension migraine type headaches may be caused by an underlying medical condition. This includes high blood pressure, depression or diseases that cause seizures. Treating the underlying condition will be necessary to control the symptoms, and it may take some trial and error to find the right type and dosage of medication.
Alcohol and Caffeine
While the exact mechanisms are not well understood, there are usually triggers that can set off tension migraine headaches. While triggers do not cause the condition, avoiding triggers can help to keep symptoms in check. The University of Maryland Medical Center suggests avoiding alcohol and caffeine in drinks and food because theses substances can stimulate the nervous system and trigger a headache. Getting overtired, feeling stressed, weather changes and bright lights also can trigger attacks.
Too Much Pain Medication
Any type of headache can become worse if too much pain medication is taken. This can lead to a condition called rebound headache or rebound migraine, according to the Mayo Clinic. While the link is still under investigation, it may be that taking too much pain medication alters the way the brain perceives pain, which can lead to more severe headaches. This can occur with both over-the-counter and prescription medications. Stopping the medication under a doctor's care will be required to help manage the symptoms.
