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Tension Headache
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> episodic primary headache. ''Characteristic features'' often described as a 'tight band' around the head or a pressure sensation. Symptoms tend to be bilateral, where as migraine is typically unilateral tends to be of a lower intensity than migraine not associated with aura, nausea/vomiting or aggravated by routine physical activity may be related to stress may co-exist with migraine Chronic tension-type headache = 15 or more days per month. NICE guidelines 2012: acute treatment: aspirin, paracetamol or an NSAID are first-line prophylaxis: NICE recommend 'up to 10 sessions of acupuncture over 5-8 weeks' Not NICE supported but widely used in UK - low-dose amitriptyline (maybe underlying migraine)
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