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Headaches: Treatment depends on your diagnosis and symptoms

Are the headaches dull and achy?

Tension-type headaches, the most common variety of headaches:

  • May be experienced as a tight band of pain around your head, a dull ache or pressure
  • May cause mild to moderate pain on both sides of the head
  • May be triggered by stress, neck strain, missed meals, depression, anxiety or lack of sleep
  • Vary widely in frequency
    • Can be occasional
    • May occur more than 15 days a month (chronic)
  • Last from 30 minutes to a week

Treatment

Most intermittent tension-type headaches are easily treated with over-the-counter medications, including:

  • Aspirin
  • Ibuprofen (Advil, Motrin IB, others)
  • Acetaminophen (Tylenol, others)

Daily prescription medications, including tricyclic antidepressants, may manage tension-type headaches. Medications combined with behavior therapies may be more effective.

In addition, alternative therapies aimed at stress reduction may help. They include:

  • Meditation
  • Relaxation training
  • Cognitive behavioral therapy
  • Biofeedback
  • Massage and gentle neck stretches
  • Heat therapy (warm compress or shower)