What is the Difference Between Tension Headache and Migraine?

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Tension headaches and migraines are two different types of headaches with distinct characteristics. Here are the main differences between them:

Tension Headaches:

  • Pain is dull and occurs on both sides of the head.
  • Tightness or pressure in the head is common.
  • Usually caused by stress, worry, or tiredness.
  • Muscles in the scalp, neck, and jaw tighten, leading to pain.
  • Treatment may include over-the-counter drugs like aspirin, acetaminophen, ibuprofen, or naproxen, as well as caffeine.

Migraines:

  • Pain is severe, throbbing, or pulsing, and usually occurs on one side of the head or is worse on one side.
  • Can be much more painful and draining, lasting between 4 and 72 hours.
  • Exact cause is unclear, but genes, environment, and certain chemicals in the brain may play roles.
  • Triggers can include hormone level changes, bright lights, and more.
  • Treatment may require prescription medications, as over-the-counter drugs may not be as effective.

In summary, tension headaches are characterized by dull, bilateral pain and are often caused by stress, while migraines involve severe, throbbing pain on one side of the head and can be triggered by various factors. Treatment options also differ, with migraines sometimes requiring prescription medications.

Comparative Table: Tension Headache vs Migraine

Here is a table comparing the differences between tension headaches and migraines:

Feature Tension Headache Migraine
Pain Intensity Mild to moderate Severe
Pain Location Both sides of the head May be one-sided
Pain Type Tight pressure rather than throbbing Throbbing
Aggravated by Physical Activity Unchanged Worsened
Sensitivity to Light None Present
Sensitivity to Sound None Present
Sensitivity to Smells None Present
Cause Stress, worry, or being tired Unclear, possibly genetic and environmental factors
Duration 30 minutes to 1 week 4 to 72 hours

Tension headaches are generally mild to moderate in intensity, while migraines can be much more severe and debilitating. Tension headaches usually cause tight pressure rather than throbbing, and they do not typically have associated sensitivities to light, sound, or smells. In contrast, migraines are often one-sided, have throbbing pain, and can be exacerbated by physical activity.