Update of chronic tension-type headache
Abstract
Tension-type headache (TTH) is the most common type of primary headaches, and its chronic form, chronic tension-type headache (CTTH), is affecting 0.5 to 4.8 % of the worldwide population. Although the mechanism underlying CTTH remains unclear, the role of central versus peripheral mechanisms has always been discussed while explaining the pathogenesis of CTTH. There is always a debate on differential diagnosis between CTTH and chronic migraine without aura which are regarded as different aspects of chronic daily headache spectrum because of many similarities and fuzzy boundaries. Compared with pharmacological treatments, non-pharmacological treatments have been popular as alternative interventions for CTTH in recent years. This review summaries the update knowledge on CTTH and discusses the most interested questions regarding pathogenesis and therapeutic strategies of CTTH.
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One of the most well-accepted hypotheses states that peripheral pain mechanisms are likely to play a role in episodic tension-type headache, while central mechanisms such as central sensitization might be predominant in chronic tension-type headache.
“One of the most well-accepted hypotheses states that peripheral pain mechanisms are likely to play a role in episodic TTH, while central mechanisms such as CS might be predominant in CTTH [59].”
From Effectiveness of acceptance and commitment therapy in central pain sensitization syndromes: A systematic review (2021) · cites this paper as [59]
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- Authors
- Yu, S., & Han, X.
- Affiliations
- Chinese PLA General Hospital (CN)
- Corresponding author
- Yu, Shengyuan
- Venue
- Current Pain and Headache Reports
- Published
- 2014-11-22
- Volume
- 19
- Issue
- 1
- Pages
- 469-469
- ISSN
- 1531-3433 (ISSN-L)
- 1534-3081
- OpenAlex
- W2003532038
- Cited by
- 73
- References
- 97
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 6 · 2022: 6 · 2021: 15 · 2020: 11 · 2019: 9 · 2018: 4 · 2017: 8 · 2016: 3 · 2015: 3
- FWCI
- 0.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Current Pain and Headache Reports (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Migraine and Headache Studies
- Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Keywords
- chronic tension-type headache, primary headache, headache pathogenesis, differential diagnosis, non-pharmacological treatment, pharmacotherapy
- MeSH terms
- Analgesia, Anti-Inflammatory Agents, Non-Steroidal, Anticonvulsants, Antidepressive Agents, Tricyclic, Chronic Disease, Humans, Quality of Life, Tension-Type Headache, Physical Therapy Modalities
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