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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)