title: Considerations in the treatment of tension-type headache in the elderly.
abstract: Tension-type headache (TTH) is the most prevalent headache type in all age groups worldwide, including patients with advanced age. Because of its high prevalence and possible association with medical and psychiatric co-morbidities, TTH has a major socioeconomic impact. The lifetime prevalence of TTH ranges between 30 and 78 %, and the 1-year prevalence in individuals over the age of 55 years is 35.8 % (27.8 % in men, 42.4 % in women). Since the prevalence of secondary headache disorders increases in the elderly, the initial evaluation of this group of patients with a new-onset headache or a change in a pre-existing headache pattern should be directed towards their exclusion. This article reviews the diagnostic and treatment dilemmas encountered in elderly patients with tension-type headaches, highlighting both pharmacological and non-pharmacological interventions.
authors.affiliation: Headache Center, Thomas Jefferson University Hospital, 900 Walnut Street, Suite 200, Philadelphia, PA, 19107, USA, stephwg@gmail.com.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Wrobel Goldberg
authors.forename: Stephen
authors.initials: S
authors.lastname: Silberstein
authors.forename: Brian M
authors.initials: BM
authors.lastname: Grosberg
mesh_terms: D000368:Aged; D000700:Analgesics / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D006801:Humans; D018781:Tension-Type Headache / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control / Q000628:therapy*
chemical_list: D000700:Analgesics; D000894:Anti-Inflammatory Agents, Non-Steroidal