Tension headache

Introduction

• The most common type of headache

• May be diagnosed and treated without long consultation and investigation

Assessment

Two or more to make the diagnosis… (No Red Flags!)

• Non-pulsating and bilateral

• Mild to moderate intensity

• Not aggravated by physical activity

• No nausea or vomiting

• May have sensitivity to light or sound but not both

• Vital signs normal

• Neurological examination normal

• Nothing else found on examination

Management

Paracetamol 1, 6 hourly; add in Ibuprofen 400 mg 6-8 hourly; use Oxycodone 5-10 mg for breakthrough pain. See the ECI Pain Management Factsheet.

Disposition

Discharge home with analgesia and advice. See the ECI Headache Factsheet.