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afya Tension Headache

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20160425222413 Ben  
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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)