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Signs & Symptoms of Migraine Headache Vs. Tension Headache

Migraine headache and tension headache are two of the most prevalent types of headache pain. Although there is some overlap in symptoms and how the two are treated, there are distinctions between them that may better determine a prevention and treatment plan.

  1. Identification

    • Pain associated with a tension headache is likely to occur in the top of the shoulders, up the neck and into the head. It often feels as if there's a vise-like grip around the temples and forehead. Migraine head pain is frequently one-sided and may be felt in the eye, ear and side of the face as well.

    Causes

    • A tension headache is most often caused by physical or mental stress related muscle tension, usually occurring in the head, neck and shoulder area. Migraines are more complex; causes can range from a hormone imbalance, substance ingestion or event triggers to postural issues, jaw-related conditions and weather changes.

    Intensity

    • Although tension headaches can be painful, you may still be able to function fully. However, migraine sufferers may have the added discomfort of nausea and vomiting, sensitivity to light and dizziness that can prohibit normal daily function.

    Treatment

    • Tension headaches may be relieved with applications of heat to the source of tension, massage, rest, removal from the stressful situation or the use of topical or oral analgesics. Migraines may respond best to over-the-counter or prescription pain medications, cold compresses on the neck and forehead and resting in a dark, quiet environment.

    Warning

    • You should see your doctor if your headaches significantly increase in intensity or if you have several headaches per month, each lasting for several hours or days.

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