Are Tension Headaches Alarming?

set_fus_032“Are you sure my headache is caused by tension? I was uptight before I went away, but my headache didn’t really start until I began to relax.”

There was little doubt that Jonathan Flame’s miserable “hat-band” headache was caused by emotional conflict, and more than that, the most likely cause for it was precisely that his so-called vacation was anything but relaxing. Forced into a situation in which he felt compelled to appear relaxed, he was in fact anything but relaxed. According to an expert, it is very common for sufferers from tension headaches to have their most distressing times in circumstances which they don’t recognize as emotionally stressful. They often firmly believe there is no conflict in relationships which in fact fill them with resentment and hostility. Their struggles to appear relaxed and loving, in the face of inner feelings that are quite the opposite, results in strain that may manifest as a tension type of headache. Sometimes such headaches are confined to the top of the head, sometimes they may involve all of the head, or they may be felt as a tight constriction encircling the head. They may strike different parts of the head at different times.

Another variety arises in the muscles of the back of the neck and radiates up over the scalp on one side of the head. Among the estimated 1.2 million sufferers from headache who seek medical help each year in doctors’ offices, only a few are found to have serious underlying disease. But anyone with a headache that does not go away with simple pain relievers or who tends to have persistent or recurring headaches should see a doctor to make sure of the diagnosis.

The great majority of uncomplicated tension headaches respond to simple pain relievers. But anyone who is subject to more than an occasional headache — in spite of the drum boat of radio and television commercials with their soothing come-on and pseudo-scientific claims — should not depend on such relief until they have given their doctors every opportunity to investigate the situation and satisfy himself that there is no underlying correctable cause.

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