title: Diagnosis and treatment of muscle contraction (tension-type) headaches.
abstract: Acute tension-type headache is a very common condition that rarely is a problem in treatment. Chronic tension-type headache, however, is often a difficult therapeutic problem. The pathogenesis is not well understood, but both peripheral muscle contraction and central pain-modulating systems are probably involved. Therapy usually works best when multiple techniques are used, including pharmacologic, psychological, and physiologic modalities.
authors.affiliation: Department of Internal Medicine, Cleveland Clinic Foundation, Ohio.
authors.forename: R S
authors.initials: RS
authors.lastname: Kunkel
mesh_terms: D006261:Headache / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D009119:Muscle Contraction; D009626:Terminology as Topic