• Med. Clin. North Am. · May 1991

    Diagnosis and treatment of muscle contraction (tension-type) headaches.

    • R S Kunkel.
    • Department of Internal Medicine, Cleveland Clinic Foundation, Ohio.
    • Med. Clin. North Am. 1991 May 1; 75 (3): 595-603.

    AbstractAcute 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.

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