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Doctor insights on: Neck Muscle Tension Headache

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How can you tell the difference between a tension headache & migraine? Headache has been around for 2 days, nauseated, neck muscle tension. Behind eye

How can you tell the difference between a tension headache & migraine? Headache has been around for 2 days, nauseated, neck muscle tension. Behind eye

Migraine vs Tension: Traditionally, migraine and episodic TTH were viewed as different clinical entities, yet epidemiological studies have not been able to find clinical and pathophysiological features to distinguish episodic TTH from migraine. Most migraineurs have signs and symptoms of TTH; 25% of TTH patients reportedly have migraine symptoms. See orofacial pain or headache specialist for evaluation. ...Read more

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Dr. Bennett Machanic
3,819 doctors shared insights

Headache (Definition)

Also called cephalalgia, is pain anywhere in the region of the head or neck, & can be a symptom of a number of conditions affecting those areas. It originates from pain-sensitive structures such as cranium, muscles, nerves, vessels, subcutaneous tissues, eyes, ears, sinuses & mucous membranes. It is non-specific symptom & can be primary such as tension ha, or secondary ...Read more


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Tension headache (from neck) for over 3 months now and have been to doctor. What will help for the pain and headaches other than muscle relaxants?

Tension headache (from neck) for over 3 months now and have been to doctor. What will help for the pain and headaches other than muscle relaxants?

Several things: One thing that could help is finding an osteopathic physician who does gentle manipulation (not chiropractic high-velocity neck cracking) to work with you. http://www.osteopathic.org/osteopathic-health/about-dos/about-osteopathic-medicine/pages/default.aspx massage could help also. Additionally, using some guided imagery: http://www.Healthjourneys.Com/product_detail.Aspx?Id=12&mcid=6&catid=. ...Read more

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Dr. Crystal Twynham
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27 years in practice
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Neck/tension headache over a week. Now when lay head back on stuff where skull neck meet is sore. Eds3 syrinx history. Muscle related or other causes?

Neck/tension headache over a week. Now when lay head back on stuff where skull neck meet is sore. Eds3 syrinx history. Muscle related or other causes?

Most likely muscle: While this is most likely muscular pain, any change in back or neck pain when you have history of a syrinx, should be examined to look for any neurologic changes. I would recommend follow up with your neurologist just to be safe. If the pain continues to get better, its less concerning and most likely musculature. If it radiates, causes weakness, gets worse, recommend seeing neurologist sooner. ...Read more

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Surgery resolved my occipital neuralgia a year ago. Constant muscle spasm in neck/shoulders, plus tension headache, remain. What's the next step?

Surgery resolved my occipital neuralgia a year ago. Constant muscle spasm in neck/shoulders, plus tension headache, remain. What's the next step?

Pin down cause: Glad surgery worked, but talk to your doc about MRI of neck and thoracic spines, and maybe EMG of brachial plexus. An experienced physical therapist could be very helpful. ...Read more

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Dr. Crystal Twynham
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My brain runs so fast and so obsessively. I have tension headaches and tension in my neck because I clench all my muscles when I am thinking. Everyth?

My brain runs so fast and so obsessively. I have tension headaches and tension in my neck because I clench all my muscles when I am thinking.  Everyth?

Help is at hand: It sounds as though you have really been dealing with a lot. Fortunately you can feel a lot better if you get help. Talk to your doctor and get a referral to a good therapist and/or psychiatrist. ...Read more

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I went to neurologist for my headaches and diagnosed me with neck muscle spasm. But I am afraid its something worse because they dont go away?

I went to neurologist for my headaches and diagnosed me with neck muscle spasm. But I am afraid its something worse because they dont go away?

Could be the neck to: Neck muscle spasm can also cause a headache that does not go away. It should also feel worse with palpation (touching the neck) or head movement. A person can have a headache and neck muscle spasm at the same time also. ...Read more

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I have been having mild-severe headaches, only when i work out. The pain comes from my upper neck muscle/skull area its a throbbing sharp pain?

I have been having mild-severe headaches, only when i work out. The pain comes from my upper neck muscle/skull area its a throbbing sharp pain?

See your doctor: Pain that severe needs to be worked up by your doctor in person. He/she will listen to you, perform an examination and possibly order some tests to see what's wrong with you. ...Read more

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Back of right side of my neck has a sore lump. Been there approx 6mths. Get headaches & stiff neck. Muscle related or part of having mono since Jan?

Back of right side of my neck has a sore lump. Been there approx 6mths. Get headaches & stiff neck. Muscle related or part of having mono since Jan?

Both: Viral myositis with muscular trigger point likely explanation could be a swollen lymph node from posterior cervical chain ...Read more

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1 week ago i hit my head on a freezer door with good force. Since then i've had a constant headache, ear and neck, muscle pain and fatigushould i worry?

1 week ago i hit my head on a freezer door with good force. Since then i've had a constant headache, ear and neck, muscle pain and fatigushould i worry?

Concussion: You may just have muscle spasms from the injury or may have a mild concussion. It would be smart to get checked out, just to be sure. ...Read more

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Muscle (Definition)

It is a body tissue that has the ability to contract. It shortens and generates force. It relaxes and returns to its original length. Muscles move joints, stabilize the body, move air and food through the organs, act as valves for bladder, bowel and other organs. They control movement of the eyes. They help us express ourselves by changing the shape of our ...Read more


Dr. Dariush Saghafi
368 doctors shared insights

Tension Headache (Definition)

Tension headache is also known as Stress headache. Tension headache is a condition where there is dull pressure or pain within the head, often associated with muscle tension, especially the muscles in the back of ...Read more


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Dr. Crystal Twynham
Board Certified, General Surgery
27 years in practice
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