What Is the Treatment of Tension-type Headache? Non-Drug Management
Tension-type headache is one of the most common headache disorders encountered in clinical practice. A structured evidence-based approach prioritises non-pharmacological strategies as the foundation of management.
Management Approach
The protocol begins with non-drug measures — addressing the patient's understanding of the condition, identifying individual trigger factors, and applying specific behavioural and physical therapeutic modalities where indicated. The full protocol specifies which approaches apply and under what conditions.
References
DOI: 10.1111/j.1468-1331.2010.03070.x
- Non-drug management should always be considered although the scientific basis is limited.
- Information, reassurance and identification of trigger factors may be rewarding.
- EMG biofeedback has a documented effect in TTH, whilst cognitive-behavioural therapy and relaxation training most likely are effective, but there is no convincing evidence.
- Physical therapy and acupuncture may be valuable options for patients with frequent TTH, but there is no robust scientific evidence for efficacy.
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