Muscle Contraction Tension Headache Differential Diagnoses

  • Author: Manish K Singh, MD; Chief Editor: Howard A Crystal, MD   more...
 
Updated: Jun 3, 2011
 
 

Differential Diagnoses

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Contributor Information and Disclosures
Author

Manish K Singh, MD  Assistant Professor, Department of Neurology, Teaching Faculty for Pain Management and Neurology Residency Program, Hahnemann University Hospital, Drexel College of Medicine; Medical Director, Neurology and Pain Management, Jersey Institute of Neuroscience

Manish K Singh, MD is a member of the following medical societies: American Academy of Neurology, American Academy of Pain Medicine, American Association of Physicians of Indian Origin, American Headache Society, American Medical Association, and American Society of Regional Anesthesia and Pain Medicine

Disclosure: Nothing to disclose.

Specialty Editor Board

Joseph Carcione Jr, DO, MBA  Consultant in Neurology and Medical Acupuncture, Medical Management and Organizational Consulting, Central Westchester Neuromuscular Care, PC; Medical Director, Oxford Health Plans

Joseph Carcione Jr, DO, MBA is a member of the following medical societies: American Academy of Neurology

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

James H Halsey, MD  Professor, Department of Neurology, University of Alabama Medical Center

James H Halsey, MD is a member of the following medical societies: American Academy of Neurology, American Heart Association, American Medical Association, American Neurological Association, American Society of Neuroimaging, Medical Association of the State of Alabama, New York Academy of Sciences, Pan American Medical Association, Sigma Xi, Society for Neuroscience, and Southern Medical Association

Disclosure: Nothing to disclose.

Selim R Benbadis, MD  Professor, Director of Comprehensive Epilepsy Program, Departments of Neurology and Neurosurgery, Tampa General Hospital, University of South Florida College of Medicine

Selim R Benbadis, MD is a member of the following medical societies: American Academy of Neurology, American Academy of Sleep Medicine, American Clinical Neurophysiology Society, American Epilepsy Society, and American Medical Association

Disclosure: UCB Pharma Honoraria Speaking, consulting; Lundbeck Honoraria Speaking, consulting; Cyberonics Honoraria Speaking, consulting; Glaxo Smith Kline Honoraria Speaking, consulting; Pfizer Honoraria Speaking, consulting; Sleepmed/DigiTrace Honoraria Speaking, consulting

Chief Editor

Howard A Crystal, MD  Professor, Departments of Neurology and Pathology, State University of New York Downstate; Consulting Staff, Department of Neurology, University Hospital and Kings County Hospital Center

Howard A Crystal, MD is a member of the following medical societies: American Academy of Neurology and American Neurological Association

Disclosure: Nothing to disclose.

References

  1. Bendtsen L. Central sensitization in tension-type headache--possible pathophysiological mechanisms. Cephalalgia. Jun 2000;20(5):486-508. [Medline].

  2. Rasmussen BK, Olesen J. Epidemiology of migraine and tension-type headache. Curr Opin Neurol. Jun 1994;7(3):264-71. [Medline].

  3. Ulrich V, Russell MB, Jensen R. A comparison of tension-type headache in migraineurs and in non- migraineurs: a population-based study. Pain. Oct 1996;67(2-3):501-6. [Medline].

  4. Holroyd KA, O'Donnell FJ, Stensland M, Lipchik GL, Cordingley GE, Carlson BW. Management of chronic tension-type headache with tricyclic antidepressant medication, stress management therapy, and their combination: a randomized controlled trial. JAMA. May 2 2001;285(17):2208-15. [Medline].

  5. Saper JR, Silberstein SD, Lake AE 3rd. Double-blind trial of fluoxetine: chronic daily headache and migraine. Headache. Oct 1994;34(9):497-502. [Medline].

  6. Bendtsen L, Jensen R. Amitriptyline reduces myofascial tenderness in patients with chronic tension-type headache. Cephalalgia. Jul 2000;20(6):603-10. [Medline].

  7. Saper JR, Winner PK, Lake AE. An open-label dose-titration study of the efficacy and tolerability of tizanidine hydrochloride tablets in the prophylaxis of chronic daily headache. Headache. Apr 2001;41(4):357-68. [Medline].

  8. Biondi M, Portuesi G. Tension-type headache: psychosomatic clinical assessment and treatment. Psychother Psychosom. 1994;61(1-2):41-64. [Medline].

  9. Soderberg EI, Carlsson JY, Stener-Victorin E, Dahlof C. Subjective Well-being in Patients With Chronic Tension-type Headache: Effect of Acupuncture, Physical Training, and Relaxation Training. Clin J Pain. Jun 2011;27(5):448-56. [Medline].

  10. Adelman LC, Adelman JU, Von Seggern R. Venlafaxine extended release (XR) for the prophylaxis of migraine and tension-type headache: A retrospective study in a clinical setting. Headache. Jul-Aug 2000;40(7):572-80. [Medline].

  11. Altura BM, Altura BT. Tension headaches and muscle tension: is there a role for magnesium?. Med Hypotheses. Dec 2001;57(6):705-13. [Medline].

  12. Arena JG, Hightower NE, Chong GC. Relaxation therapy for tension headache in the elderly: a prospective study. Psychol Aging. Mar 1988;3(1):96-8. [Medline].

  13. Ashina M, Bendtsen L, Jensen R. Plasma levels of calcitonin gene-related peptide in chronic tension- type headache. Neurology. Nov 14 2000;55(9):1335-40. [Medline].

  14. Ashina M, Bendtsen L, Jensen R. Plasma levels of substance P, neuropeptide Y and vasoactive intestinal polypeptide in patients with chronic tension-type headache. Pain. Dec 1999;83(3):541-7. [Medline].

  15. Ashina M, Bendtsen L, Jensen R. Possible mechanisms of action of nitric oxide synthase inhibitors in chronic tension-type headache. Brain. Sep 1999;122 ( Pt 9):1629-35. [Medline].

  16. Bendtsen L, Jensen R, Olesen J. A non-selective (amitriptyline), but not a selective (citalopram), serotonin reuptake inhibitor is effective in the prophylactic treatment of chronic tension-type headache. J Neurol Neurosurg Psychiatry. Sep 1996;61(3):285-90. [Medline].

  17. Benoliel R, Sharav Y. Craniofacial pain of myofascial origin: temporomandibular pain & tension-type headache. Compend Contin Educ Dent. Jul 1998;19(7):701-4, 706, 708-10 passim; quiz 722. [Medline].

  18. Borgeat F, Elie R, Larouche LM. Pain response to voluntary muscle tension increases and biofeedback efficacy in tension headache. Headache. Oct 1985;25(7):387-91. [Medline].

  19. Cohen GL. Protriptyline, chronic tension-type headaches, and weight loss in women. Headache. Jul-Aug 1997;37(7):433-6. [Medline].

  20. Diamond S, Balm TK, Freitag FG. Ibuprofen plus caffeine in the treatment of tension-type headache. Clin Pharmacol Ther. Sep 2000;68(3):312-9. [Medline].

  21. Friedman AP. Assessment of Fiorinal with Codeine in the treatment of tension headache. Clin Ther. 1986;8(6):703-21. [Medline].

  22. Friedman AP. Characteristics of tension headache: a profile of 1,420 cases. Psychosomatics. Jul 1979;20(7):451-7, 461. [Medline].

  23. Gerwin RD. Chronic daily headache. N Engl J Med. May 4 2006;354(18):1958; author reply 1958. [Medline].

  24. Granella F, D'Alessandro R, Manzoni GC, Cerbo R, Colucci D'Amato C, Pini LA, et al. International Headache Society classification: interobserver reliability in the diagnosis of primary headaches. Cephalalgia. Feb 1994;14(1):16-20. [Medline].

  25. Jensen R. Pathophysiological mechanisms of tension-type headache: a review of epidemiological and experimental studies. Cephalalgia. Jul 1999;19(6):602-21. [Medline].

  26. Jensen R. Tension-type Headache. Curr Treat Options Neurol. Mar 2001;3(2):169-180. [Medline].

  27. Jensen R, Olesen J. Initiating mechanisms of experimentally induced tension-type headache. Cephalalgia. May 1996;16(3):175-82; discussion 138-9. [Medline].

  28. Jensen R, Olesen J. Tension-type headache: an update on mechanisms and treatment. Curr Opin Neurol. Jun 2000;13(3):285-9. [Medline].

  29. Kunkel RS. Muscle contraction (tension) headache. Clin J Pain. 1989;5(1):39-44. [Medline].

  30. Lance JW. Headache. Ann Neurol. Jul 1981;10(1):1-10. [Medline].

  31. Lancet. Biofeedback and tension headache. Lancet. Oct 25 1980;2(8200):898-9. [Medline].

  32. Langemark M, Olesen J. Pericranial tenderness in tension headache. A blind, controlled study. Cephalalgia. Dec 1987;7(4):249-55. [Medline].

  33. Langemark M, Olesen J. Sulpiride and paroxetine in the treatment of chronic tension-type headache. An explanatory double-blind trial. Headache. Jan 1994;34(1):20-4. [Medline].

  34. Leistad RB, Sand T, Westgaard RH. Stress-induced pain and muscle activity in patients with migraine and tension-type headache. Cephalalgia. Jan 2006;26(1):64-73. [Medline].

  35. Lipchik GL, Holroyd KA, O'Donnell FJ, Cordingley GE, Waller S, Labus J, et al. Exteroceptive suppression periods and pericranial muscle tenderness in chronic tension-type headache: effects of psychopathology, chronicity and disability. Cephalalgia. Sep 2000;20(7):638-46. [Medline].

  36. Marks DR, Rapoport AM. Practical evaluation and diagnosis of headache. Semin Neurol. 1997;17(4):307-12. [Medline].

  37. Murros K, Kataja M, Hedman C. Modified-release formulation of tizanidine in chronic tension-type headache. Headache. Sep 2000;40(8):633-7. [Medline].

  38. Myers DE, Shaikh Z, Zullo TG. Hypoalgesic effect of caffeine in experimental ischemic muscle contraction pain. Headache. Nov-Dec 1997;37(10):654-8. [Medline].

  39. Nakashima K, Tumura R, Wang Y. Effects of tizanidine administration on exteroceptive suppression of the temporalis muscle in patients with chronic tension-type headache. Headache. Sep 1994;34(8):455-7. [Medline].

  40. Nuechterlein KH, Holroyd JC. Biofeedback in the treatment of tension headache. Current status. Arch Gen Psychiatry. Aug 1980;37(8):866-73. [Medline].

  41. Olesen J. Clinical and pathophysiological observations in migraine and tension- type headache explained by integration of vascular, supraspinal and myofascial inputs. Pain. Aug 1991;46(2):125-32. [Medline].

  42. Peterson AL, Talcott GW, Kelleher WJ. Site specificity of pain and tension in tension-type headaches. Headache. Feb 1995;35(2):89-92. [Medline].

  43. Porta M. A comparative trial of botulinum toxin type a and methylprednisolone for the treatment of tension-type headache. Curr Rev Pain. 2000;4(1):31-5. [Medline].

  44. Rasmussen BK. Migraine and tension-type headache in a general population: precipitating factors, female hormones, sleep pattern and relation to lifestyle. Pain. Apr 1993;53(1):65-72. [Medline].

  45. Rasmussen BK, Jensen R, Schroll M. Epidemiology of headache in a general population--a prevalence study. J Clin Epidemiol. 1991;44(11):1147-57. [Medline].

  46. Redillas C, Solomon S. Prophylactic pharmacological treatment of chronic daily headache. Headache. Feb 2000;40(2):83-102. [Medline].

  47. Rollnik JD, Karst M, Fink M. Coping strategies in episodic and chronic tension-type headache. Headache. Mar 2001;41(3):297-302. [Medline].

  48. Rossi LN, Cortinovis I, Menegazzo L. Classification criteria and distinction between migraine and tension- type headache in children. Dev Med Child Neurol. Jan 2001;43(1):45-51. [Medline].

  49. Schachtel BP, Furey SA, Thoden WR. Nonprescription ibuprofen and acetaminophen in the treatment of tension- type headache. J Clin Pharmacol. Dec 1996;36(12):1120-5. [Medline].

  50. Silberstein SD. Advances in understanding the pathophysiology of headache. Neurology. Mar 1992;42(3 Suppl 2):6-10. [Medline].

  51. Silberstein SD. Tension-type and chronic daily headache. Neurology. Sep 1993;43(9):1644-9. [Medline].

  52. Silberstein SD. Tension-type headaches. Headache. Sep 1994;34(8):S2-7. [Medline].

  53. Silberstein SD, Lipton RB. Chronic daily headache. Curr Opin Neurol. Jun 2000;13(3):277-83. [Medline].

  54. Simons DG, Mense S. Understanding and measurement of muscle tone as related to clinical muscle pain. Pain. Mar 1998;75(1):1-17. [Medline].

  55. Solomon S. Diagnosis of primary headache disorders. Validity of the International Headache Society criteria in clinical practice. Neurol Clin. Feb 1997;15(1):15-26. [Medline].

  56. Solomon S, Elkind A, Freitag F. Safety and effectiveness of cranial electrotherapy in the treatment of tension headache. Headache. Jul 1989;29(7):445-50. [Medline].

  57. Stewart WF, Shechter A, Rasmussen BK. Migraine prevalence. A review of population-based studies. Neurology. Jun 1994;44(6 Suppl 4):S17-23. [Medline].

  58. Sutton EP, Belar CD. Tension headache patients versus controls: a study of EMG parameters. Headache. May 1982;22(3):133-6. [Medline].

  59. Walker Z, Walker RW, Robertson MM, Stansfeld S. Antidepressant treatment of chronic tension-type headache: a comparison between fluoxetine and desipramine. Headache. Jul 1998;38(7):523-8. [Medline].

  60. Wheeler AH. Botulinum toxin A, adjunctive therapy for refractory headaches associated with pericranial muscle tension. Headache. Jun 1998;38(6):468-71. [Medline].

  61. White AR, Resch KL, Chan JC. Acupuncture for episodic tension-type headache: a multicentre randomized controlled trial. Cephalalgia. Sep 2000;20(7):632-7. [Medline].

  62. Wittrock DA. The comparison of individuals with tension-type headache and headache- free controls on frontal EMG levels: a meta-analysis. Headache. Jul-Aug 1997;37(7):424-32. [Medline].

  63. Wober-Bingol C, Wober C, Karwautz A. Tension-type headache in different age groups at two headache centers. Pain. Sep 1996;67(1):53-8. [Medline].

  64. Zagami AS. Pathophysiology of migraine and tension-type headache. Curr Opin Neurol. Jun 1994;7(3):272-7. [Medline].

  65. Ziegler DK. Tension headache. Med Clin North Am. May 1978;62(3):495-505. [Medline].

  66. Zissis N, Harmoussi S, Vlaikidis N. A randomized, double-blind, placebo-controlled study of venlafaxine XR in out-patients with tension-type headache. Cephalalgia. Mar 7 2007;[Medline].

  67. Zwart JA, Bovim G, Sand T. Tension headache: botulinum toxin paralysis of temporal muscles. Headache. Sep 1994;34(8):458-62. [Medline].

 
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