85% of headaches seen by CP’s are of the tension-type. These may not always occur in the same part of the head. Nor do they occur for the same reason.
Many headaches are caused probably by muscle tension which is secondary to tension, anger, and other repressed feelings which lead to muscle spasm.
They are usually felt in the back of the head but they may also occur in the temples. They are sometimes associated with eyestrain and pain around the eye sockets.
Tension headaches are commonly described as being ‘like a tight band’ or ‘like someone is drilling a needle into my temple’. Such headaches are often in evidence for prolonged periods — literally from hours to days or even weeks. Some complain that they awaken with the headache and go to sleep with it.
They are often triggered by whiplash type injuries following motor car accidents. Recently, patients with repetitive strain injury have also complained of similar headaches as well as their other soft tissue pain.
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