A tension headache, referred to by doctors as a tension-type headache, is the most common type of headache, report researchers at the Mayo Clinic. Symptoms of a chronic tension headache are characterized by mild to moderate pain that is often described as feeling like a tight rubber band stretched across the forehead. Most tension headaches can be managed with lifestyle changes and non-narcotic medications. Chronic tension headaches are more common in women and can start as early as 10 years of age. Most people who suffer from chronic tension headaches have a family history of the problem.
Pain
The dull, aching pain of a tension headache can last from 30 minutes to a whole week. Patients who experience the throbbing head pain for more than 15 days in a month for 3 months in a row are said to have chronic tension headaches. While the severity of the pain differs from one person to the next, most people describe the pain as mild to moderate. Unlike migraine headaches, tension headaches typically are limited to the pain and do not cause weakness, blind spots, vomiting or slurred speech.
Activity
The American Academy of Family Physicians (AAFP) reports that movement or activity such as walking or climbing stairs does not typically affect the level of pain associated with a tension headache. In addition, the pain is usually equally severe on both sides of the head. Chronic tension headaches can occur when engaged in activities that keep the head in one position for long periods of time, such as typing or using a microscope, reports the National Institutes of Health. Sleeping in a cold room or keeping the head in an abnormal position while sleeping also can trigger tension headaches.
Tenderness
Typically associated with tension headaches is tenderness on the scalp, shoulders and neck muscles. The scalp may hurt when touched lightly with a brush or under a hat. Pain often radiates down the neck and in the shoulders, which continue to be tender to the touch. Tension headaches are not relieved by massage, which actually may provoke additional discomfort. If neck stiffness is accompanied by a fever or speaking difficulties, the patient should immediately seek medical attention.
Nausea
Sometimes nausea is present with chronic tension headaches. Many patients also experience a loss of appetite when the headaches persist. Many patients also report sensitivity to harsh light and loud noises. After long bouts of headaches, patients become fatigued from the constant pressure of the tight band of pain surrounding the head.
