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Abstract
Chronic tension-type headache (CTTH) is defined as severe and persisting pain in the head with the pain being above the eyes behind the head and undoubtedly one of the most frustrating symptoms that physicians encounter it is one of the most commonly experienced of all physical discomforts by the people &are one of the most neglected headaches. It occurs as (a tight band like pressure or non- pulsating like pain). There is also an increased risk of depression in CTTH. The pathogenesis of TTH is multifactorial and varies between forms and individuals. Peripheral mechanisms (myofascial, nociception) and central mechanisms (sensitization & inadequate endogenous pain control) are intermingled combination of drug therapies and non-drug therapies (such as progressive muscle relaxation techniques) is recommended. This work is needed to improve the management of patients who are disabled by headache, knowledge on CTTH and discusses some of its more problematic features.
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References
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References
[1]. Medicinenet https://www.medicinenet.com/script/main/art.asp?articlekey=11396
[2]. American Migraine Foundation, https://americanmigrainefoundation.org/understanding-migraine/tension-type-headache/
[3]. E Loder et al BMJ https://www.bmj.com/content/336/7635/88.full
[4]. American Migraine https://americanmigrainefoundation.org/understanding-migraine/tension-type-headache/
[5]. PubMed, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3444216/
[6]. Medicinenet, https://www.medicinenet.com/script/main/art.asp?articlekey=11396
[7]. IHS Classification, ICHD-3, https://www.ichd-3.org/2-tension-type-headache/2-3-chronictension-type-headache/
[8]. Upto date https://www.uptodate.com/contents/tension-type-headache-in-adults
[9]. Headache in Older Adults: Unique Causes and Treatments. https://www.neurologyadvisor.com/advisor-channels/headache.
[10]. Indian Academy of Neurology,
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3444224/.
[11]. XVII World Congress of Neurology, http://www.jhasim.com/files/articlefiles/pdf/Chronic%20Tension-Type%20Headache.pdf
[12]. Journal of Headache and Pain Management http://headache.imedpub.com/tensiontypeheadache-a-lifecourse-review.php?aid=7702
[13]. Tension type headache - NCBI – NIH https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3444224/
[14]. Tension type headache - NCBI – NIH https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3444224/
[15]. The International Classification of Headache Disorders, 3rd edition ... https://www.ichd3.org/.../International-Headache-Classification-III-ICHD-III-2013-Beta.
[16]. Essential of medical pharmacology KD tripathi Drug used in mental illness antidepressant &anxietydrugs 7(3).
[17]. Clinical pharmacy & therapeutics 5th edition author Roger walker &catewhittlesea Anxiety disorder 28, 454, 455, 456, 457.
[18]. Guideline for primary care management of headache in adults Clinical.
https://www.guidelinecentral.com/summaries/guideline-for-primary-care-management-ofheadache-in-adults/#section-420
[19]. A randomized controlled trial. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2128735
[20]. Non-pharmacological self-management for people living with migraine or tension-type headache: a systematic review including analysis of intervention components.
https://www.ncbi.nlm.nih.gov/pubmed/2880142
[21]. TRICYCLIC ANTIDEPRESSANTS AND HEADACHES: SYSTEMIC REVIEW AND METAANALYSIS. 20, 2010, 341. c5222 Patient-centred medicine Research https://www.ncbi.nlm.nih.gov/pubmed/20961988.