Physiotherapy and Massage Therapy can be very useful for the Tension Type headache described below.
Table: Diagnosis of Tension-Type Headache, Migraine and Cluster Headache
|Headache Feature||Tension-Type Headache||Migraine (With or Without Aura)||Cluster Headache|
|Pain location1||Bilateral||Unilateral or bilateral||Unilateral (around the eye, above the eye and along the side of the head/face)|
|Pain quality||Pressing/tightening (nonpulsating)||Pulsating (throbbing or banging in young people aged 12–17 years)||Variable (can be sharp, boring, burning, throbbing or tightening)|
|Pain intensity||Mild or moderate||Moderate or severe||Severe or very severe|
|Effect on activities||Not aggravated by routine activities of daily living||Aggravated by, or causes avoidance of, routine activities of daily living||Restlessness or agitation|
|Other symptoms||None||Unusual sensitivity to light and/or sound or nausea and/or vomiting
Symptoms can occur with or without headache and:
Typical aura symptoms include visual symptoms such as flickering lights, spots or lines and/or partial loss of vision; sensory symptoms such as numbness and/or pins and needles; and/or speech disturbance.
|On the same side as the headache:
|Duration of headache||30 minutes–continuous||4–72 hours in adults
1–72 hours in young people aged 12–17 years
|Frequency of headache||<15 days per month||≥15 days per month for more than 3 months||<15 days per month||≥15 days per month for more than 3 months||1 every other day to 8 per day3, with remission4 >1 month||1 every other day to 8 per day3, with a continuous remission4 <1 month in a 12-month period|
|Diagnosis||Episodic tension-type headache||Chronic tension-type headache5||Episodic migraine (with or without aura)||Chronic migraine6 (with or without aura)||Episodic cluster headache||Chronic cluster headache|