Tension Headaches

Tension headaches are one of the most common types of headaches experienced by people in Singapore and around the world. While they can be uncomfortable and disruptive, understanding the causes, symptoms, and treatment options can help you manage and relieve tension headaches effectively. In this post, we will explore what tension headaches are, who is at risk, and how they can be treated in Singapore.

What Is A Tension Headache?

A tension headache, also known as a stress headache, is characterised by a constant, dull ache or pressure around the head, often described as feeling like a tight band or clamp squeezing the forehead or scalp.

Tension headaches can be episodic, occurring less than 15 days per month, or chronic, where the pain is present on most days. Unlike migraines [link to Migraine], tension headaches usually don’t come with nausea, vomiting, or visual disturbances, but they can still significantly affect daily life.

What Causes Tension Headaches?

The exact cause of tension headaches isn’t fully understood, but several factors contribute to their development. Stress is a significant trigger, whether it’s due to work, family, or financial pressures. Muscle tension in the neck, shoulders, and scalp is often linked to these headaches, which can be caused by poor posture, long hours spent at a desk, or lack of movement. Eye strain from prolonged screen time, inadequate sleep, and dehydration are also common factors that can lead to tension headaches.

In Singapore, where many individuals face high-pressure work environments and long hours in front of computers, tension headaches are particularly prevalent. The hot and humid climate can also contribute to dehydration, which is another known trigger.

What Are the Symptoms of Tension Headaches?

The symptoms of tension headaches can vary in intensity, but common signs include:

• A dull, aching pain across the forehead, sides, or back of the head
• A sensation of tightness or pressure around the head
• Tenderness in the scalp, neck, and shoulders
• Fatigue and difficulty concentrating
• Sensitivity to light or sound in some cases

Unlike migraines, tension headaches don’t usually cause nausea or visual disturbances, making them easier to differentiate from other types of headaches [link to Other Headaches]. However, they can still be disruptive and persistent, especially when they become chronic.

Is A Tension Headache Painful?

Yes, tension headaches can be painful, but they are usually described as a mild to moderate, constant, dull ache, rather than the throbbing pain associated with migraines. While the discomfort is often manageable, it can still affect your ability to focus and complete daily tasks. In some cases, the pain can become severe, especially if the tension headache becomes chronic or is left untreated.

Who Is At Risk of Getting Tension Headaches in Singapore?

Tension headaches can affect anyone, but certain groups may be at higher risk, especially in a fast-paced, high-stress environment like Singapore:

• Individuals with High-Stress Jobs: People working in demanding industries, such as finance, healthcare, or tech, are more prone to tension headaches due to the stress and long hours.
• Office Workers: Sitting for long periods, especially with poor posture or inadequate ergonomic setups, can contribute to muscle tension and headaches.
• People with Poor Sleep Habits: Inadequate rest can lead to both mental and physical stress, making tension headaches more likely.
• Dehydration: Those who don’t drink enough water, particularly in Singapore’s hot climate, are at higher risk for headaches, including tension headaches.
• People with Anxiety or Depression: Individuals suffering from these mental health conditions may also be more susceptible to tension headaches due to increased stress and muscle tension.

How Is A Tension Headache Diagnosed?

Tension headaches are primarily diagnosed based on a thorough medical history and physical examination. A neurologist will ask about the frequency, duration, and characteristics of your headaches to determine whether they are tension-related or another type, such as migraines or cluster headaches.

In some cases, additional tests such as MRI [link to MRI] or CT [link to CT] scans may be required to rule out other conditions like brain tumours or infections. Keeping a headache diary to track triggers, symptoms, and their impact on your daily life can also help in diagnosis and treatment.

What Are the Treatment Options for Tension Headaches in Singapore?

There are several effective treatments available to manage tension headaches. In Singapore, you can opt for a variety of approaches based on the frequency and severity of your headaches.

• Over-the-counter Pain Relief: Medications such as paracetamol, ibuprofen, or aspirin can provide quick relief for episodic tension headaches. However, they should not be overused, as frequent use can lead to rebound headaches.
• Prescription Medications: For chronic tension headaches, doctors may prescribe stronger pain relief or preventive medications, such as muscle relaxants or low-dose antidepressants, which help reduce headache frequency.
• Lifestyle Modifications: Stress management techniques, such as yoga, meditation, or mindfulness, can significantly reduce the frequency of tension headaches. Maintaining good posture, having an ergonomic office set up, taking regular breaks from desk work, and ensuring proper hydration are also important.
• Physical Therapy and Massage: Muscle tension is a major contributor to tension headaches, so physical therapy and massage can help relieve tightness in the neck, shoulders, and scalp.
• Cognitive Behavioural Therapy (CBT): For patients whose headaches are closely linked to stress or anxiety, CBT [link to Cognitive Behavioural Therapy) can help change the way they respond to stressful situations, reducing headache triggers.

Tension headaches are a common issue, particularly in busy, high-pressure environments like Singapore. With the right diagnosis and treatment plan, you can reduce the frequency and intensity of these headaches, improving your overall quality of life. It’s important to seek professional advice to ensure you receive the most appropriate care. Schedule a consultation with Dr Charles Siow today to get started on your journey to headache relief and better health.