Causes & Risk Factors
Tension headaches are one of the most common forms of headaches. They may occur at any age, but are most common in adults and adolescents.
If a headache occurs two or more times a week for several months or longer, the condition is considered chronic.
Tension headaches can occur when the patient also has a migraine.
Tension headaches occur when neck and scalp muscles become tense, or contract. The muscle contractions can be a response to stress, depression, ahead injury, or anxiety.
Any activity that causes the head to be held in one position for a long time without moving can cause a headache. Such activities include typing or other computer work, fine work with the hands, and using a microscope. Sleeping in a cold room or sleeping with the neck in an abnormal position may also trigger a tension headache.
Other causes of tension headaches include:
- Alcohol use
- Caffeine (too much or withdrawal)
- Colds and the flu
- Eye strain
- Excessive smoking
- Fatigue
- Nasal congestion
- Overexertion
- Sinus infection
Tension headaches are not associated with structural changes in the brain.
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