Tension-type headache

Headache

“…Simple and compound over-the-counter analgesic agents with caffeine have shown efficacy. Preventive agents include tricyclic antidepressant medications and various muscle relaxants 26,27 ( Table 9).…”

“…28 Monoamine oxidase inhibitor drugs have shown efficacy but are used only infrequently owing to potential side effects. 26,27 Memantine, a glutamatergic N-methyl-d-aspartate receptor antagonist, has been studied in chronic tensiontype headache and chronic migraine and may have some benefit. 29,30 In those patients with chronic daily headache having features of both tension-type headache and migraine, treatment may default to the preventive management of migraine, including, at times, the use of onabotulinumtoxin A.…”

Coping Strategies in Episodic and Chronic Tension‐type Headache

“…While the episodic form is regarded as a more or less physiologic response to stress, anxiety, emotional conflicts, fatigue, or repressed hostility, CTTH may result from persistent anxiety states or depression. 8,9 Ficek and Wittrock found that subjects with recurrent TTH presented higher levels of depression and trait anxiety, but no different pain-coping strategy (compared with healthy controls). 10 As far as CTTH is concerned, Spinhoven and coworkers reported that higher perceived control of pain was associated with a lower level of pain intensity and that feelings of helplessness were more prominent in patients with CTTH.…”

“…Psychological variables are most important in any study of factors contributing to the transformation to chronic pain. While the episodic form is regarded as a more or less physiologic response to stress, anxiety, emotional conflicts, fatigue, or repressed hostility, CTTH may result from persistent anxiety states or depression 8,9 . Ficek and Wittrock found that subjects with recurrent TTH presented higher levels of depression and trait anxiety, but no different pain‐coping strategy (compared with healthy controls) 10 .…”

Tratamiento cognitivo conductual de la migraña en el adulto

“…Sin embargo, no se encontraron diferencias entre el tratamiento de bioretroalimentación y el tratamiento cognitivo conductual aplicados en forma independiente. A diferencia de otros tratamientos alternativos e inclusive de farmacología sola, estos dos tipos de tratamiento parecen ser los efectivos en el manejo del dolor crónico de migraña (Arena, et al, 1991;Llacqua, 1994;Grazzi, Amico, Leone, Moschiano y Bussone, 1998;Pryse-Phillips, 1998;Diamond, 1999;Kenneth, 2002). La práctica de la bioretroalimentación ofrece al paciente reducir el dolor de cabeza y aprender a auto controlarse y usar estrategias de relajación.…”