Tension headache. Let us get a second look

Tension headache. Let us get a second look

Introduction. Tension headache (TH) is the most frequent type of headache. The overall amounts of patients’ disadaptation and social and economic damage caused by TH are more significant than ones caused by migraine. TH diagnostics and treatment are a challenge in outpatient conditions. Aim. To ana...

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Bibliographic Details
Main Authors: Margarita V. Naprienko, Elena G. Filatova, Larisa V. Smekalkina, Sergei A. Makarov
Format: Article
Language:Russian
Published: ZAO "Consilium Medicum" 2019-02-01
Series:Consilium Medicum
Subjects:
and to generalize therapeutic approaches to TH treatment. Materials and methods. Materials from Russian and foreign publications for the last 20 years (PubMed
eLIBRARY and others) as well as clinical guidelines on TH diagnostics and treatment were systematized. Results. According to the results of a population study conducted in Russia in 2009–2011
TH prevalence rate was 30.8% over one year. TH is subdivided into infrequent
frequent and chronic headache. Apart from that
episodic and chronic TH with and without “tension” of pericranial muscles determined by palpation are distinguished. The studies conducted in recent years confirmed neurobiological genesis of TH. Peripheral as well as central mechanisms are involved in its genesis. The main risk factors of TH development include inability of psychological and muscular relaxation and insufficient nocturnal sleep. Emotional stress and pose strain are the most frequent predisposing factors. We thoroughly analyzed data of randomized controlled studies of rapid relief of TH symptoms and identified the most frequently used medications among which ketoprofen (Ketonal®) occupies an important place. Chronic or frequent episodic TH is indication for TH prevention therapy prescription. Antidepressants such as amitriptyline are considered the first choice medications for chronic TH treatment
mirtazapine and venlafaxine are of lower effectiveness. The third choice therapy includes other tricyclic and tetracyclic antidepressants
clomipramine
maprotiline
and mianserine. Effectiveness of muscle relaxant tizanidine use
dosage and duration of its use in TH treatment
possibilities of monotherapy and combination with antidepressants are discussed. Among non-pharmacological treatment methods biofeedback and cognitive behavior therapy are considered the most effective ones. Conclusion. Combination therapy
including non-pharmacological treatment methods along with pharmacotherapy
tension headache
tension headache treatment
ketoprofen
tizanidine
Online Access:http://consilium.orscience.ru/en/archive/2019/vol-21-2-2019/tension-headache-let-us-get-a-second-look_5402/?element

Internet

http://consilium.orscience.ru/en/archive/2019/vol-21-2-2019/tension-headache-let-us-get-a-second-look_5402/?element

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