title: Precipitating and relieving factors of migraine versus tension type headache.
abstract: BACKGROUND
  To determine the differences of precipitating and relieving factors between migraine and tension type headache.
  
  
  METHODS
  This is a cross sectional study. We retrospectively reviewed the records of 250 migraine patients and 250 patients diagnosed as tension type headache from the specialized headache clinic in Dept. of Neurology, Dhaka Medical College Hospital. Data were collected through a predesigned questionnaire containing information on age, sex, social status and a predetermined list of precipitating and relieving factors.
  
  
  RESULTS
  In this study, the female patients predominated (67%). Most of the patients were within 21-30 years age group (58.6%). About 58% of them belonged to middle class families. The common precipitating factors like stress, anxiety, activity, journey, reading, cold and warm were well distributed among both the migraine and tension type headache (TTH) patients. But significant difference was demonstrated for fatigue (p < 0.05), sleep deprivation (p < 0.05), sunlight (p < 0.01) and food (p < 0.05), which were common among migraineurs. In consideration of relieving factors of pain, different maneuvers were commonly tried by migraineurs and significant difference were observed for both analgesic drug and massage (p < 0.05), which relieved migraine headache. But maneuvers like sleep, rest and posture were used by both groups.
  
  
  CONCLUSIONS
  The most frequent precipitating factors for headache appear to be identical for both migraine and TTH patients. Even though some factors like fatigue, sleep deprivation, sunlight and food significantly precipitate migraine and drug, massage are effective maneuver for relieving pain among migrianeurs.
authors.affiliation: Department of Neurology, Dhaka Medical College Hospital, Dhaka, Bangladesh.
authors.forename: Badrul
authors.initials: B
authors.lastname: Haque
authors.forename: Kazi Mohibur
authors.initials: KM
authors.lastname: Rahman
authors.forename: Azharul
authors.initials: A
authors.lastname: Hoque
authors.forename: A T M Hasibul
authors.initials: AT
authors.lastname: Hasan
authors.forename: Rajib Nayan
authors.initials: RN
authors.lastname: Chowdhury
authors.forename: Sharif Uddin
authors.initials: SU
authors.lastname: Khan
authors.forename: Mondal Badrul
authors.initials: MB
authors.lastname: Alam
authors.forename: Mansur
authors.initials: M
authors.lastname: Habib
authors.forename: Quazi Deen
authors.initials: QD
authors.lastname: Mohammad
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D001459:Bangladesh / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D015897:Comorbidity; D005221:Fatigue / Q000453:epidemiology* / Q000517:prevention & control; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008405:Massage / Q000706:statistics & numerical data*; D008875:Middle Aged; D008881:Migraine Disorders / Q000453:epidemiology* / Q000534:rehabilitation*; D012307:Risk Factors; D017678:Sex Distribution; D013315:Stress, Psychological / Q000453:epidemiology* / Q000517:prevention & control; D018781:Tension-Type Headache / Q000453:epidemiology* / Q000534:rehabilitation*; D055815:Young Adult