Tension-Type Headache: Current Research and Clinical Management

[en] Tension-type headache (TTH) is the most common form of headache, and chronic tension-type headache (CTTH) is one of the most neglected and difficult types of headache to treat. The pathogenesis of TTH is multifactorial and varies between forms and individuals. Peripheral mechanisms (myofascial nociception) and central mechanisms (sensitisation and inadequate endogenous pain control) are intermingled: the former predominate in infrequent and frequent TTH, whereas the latter predominate in CTTH. Acute therapy is effective for episodes of TTH, whereas preventive treatment--which is indicated for frequent and chronic TTH--is, on average, not effective. For most patients with CTTH, the combination of drug therapies and non-drug therapies (such as relaxation and stress management techniques or physical therapies) is recommended. There is clearly an urgent need to improve the management of patients who are disabled by headache. This Review summarises the present knowledge on TTH and discusses some of its more problematic features.

Disciplines :

Neurology

Author, co-author :

Fumal, Arnaud ; Centre Hospitalier Universitaire de Liège - CHU > Neurologie CHR

Schoenen, Jean ; Université de Liège - ULiège > Département des sciences biomédicales et précliniques > Neuro-anatomie

Language :

English

Title :

Tension-Type Headache: Current Research and Clinical Management

Publication date :

January 2008

Journal title :

The Lancet Neurology

ISSN :

1474-4422

eISSN :

1474-4465

Publisher :

The Lancet Publishing Group, United Kingdom

Volume :

Issue :

Pages :

70-83

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 23 September 2009

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Scopus citations^®

210

Scopus citations^®
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203

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177

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