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Are tension headaches and migraines the same?

2026-02-01 17:34:50 · · #1

Tension headaches and migraines are two different conditions, and their treatments differ. Tension headaches are often related to psychological factors such as tension and anxiety, while migraines are frequently triggered by genetic factors, hormonal changes, or environmental factors.

1. Tension headaches are mainly caused by psychological stress, anxiety, or depression, and manifest as a persistent feeling of pressure or tightness in the head. Treatment methods include psychological counseling, relaxation training, and medication. Psychological counseling can relieve emotional stress through cognitive behavioral therapy; relaxation training, such as deep breathing and progressive muscle relaxation techniques, can help reduce headaches; medication commonly used are nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and acetaminophen, or anti-anxiety medications such as alprazolam.

2. The causes of migraines are complex, involving genetics, hormonal fluctuations, and environmental stimuli such as bright light and noise. Symptoms include unilateral throbbing headache, possibly accompanied by nausea, vomiting, or sensitivity to light and sound. Treatment methods include medication for prevention and management of acute attacks. Preventive medications include beta-blockers such as propranolol and antiepileptic drugs such as sodium valproate; for acute attacks, triptans such as sumatriptan or nonsteroidal anti-inflammatory drugs (NSAIDs) such as naproxen can be used.

3. In daily management, patients with tension headaches should focus on psychological adjustment, avoid prolonged periods of high stress, and engage in appropriate yoga or meditation; they should also reduce their intake of caffeine and alcohol. Migraine sufferers need to maintain a regular sleep schedule, avoid triggers such as strong light and high altitudes, and control their intake of foods high in tyramine, such as cheese and red wine. If symptoms persist or worsen, they should seek medical attention promptly for a definitive diagnosis.

There are significant differences in the causes and treatments of tension headaches and migraines. Patients need to manage their symptoms according to their specific circumstances and seek professional medical help when necessary in order to effectively control symptoms and improve their quality of life.

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