[Treatment of tension headache].
The scientific basis of tension- type headache suffers from the lack of precise pathophysiological knowledge and the heterogenecity of this disorder. Treatment of acute tension-type headache episodes is more effective with an NSAIDs (ibuprofen 400-800mg, naproxen 550-825mg, ketoprofen 50-75mg) than with aspirin or paracetamol. Caffein containing preparations of NSAIDs are slightly superior, but should not be taken frequently to avoid headache chronification. For chronic tension-type headache, relaxation therapies with EMG biofeedback and tricyclics have about the same efficacy rate of 40-50p.100. Physical therapy and acupuncture are in general less effective. There is thus clearly a need for better strategies, e.g. combination of available therapies and novel approaches.
Schoenen
J
J
Université de Liège, Belgique. schoenen.j@village.unnet.be
D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use*; D000929:Antidepressive Agents, Tricyclic / Q000627:therapeutic use; D002110:Caffeine / Q000627:therapeutic use; D004338:Drug Combinations; D006801:Humans; D008405:Massage; D018781:Tension-Type Headache / Q000503:physiopathology / Q000517:prevention & control* / Q000628:therapy*
D000894:Anti-Inflammatory Agents, Non-Steroidal; D000929:Antidepressive Agents, Tricyclic; D004338:Drug Combinations; D002110:Caffeine