What is the appropriate management for a patient presenting with a tension headache?

The appropriate management for a patient presenting with a tension headache is centered around the use of analgesics and lifestyle modifications. Tension headaches are often triggered by stress, muscle tension, or inadequate posture, and treatment typically focuses on alleviating pain and addressing potential lifestyle factors that contribute to the frequency and intensity of headache episodes.

Analgesics, such as non-steroidal anti-inflammatory drugs (NSAIDs) or acetaminophen, are effective for managing the acute pain associated with tension headaches. They help to reduce inflammation and pain sensation, providing relief to the patient.

Lifestyle modifications play a crucial role in the long-term management of tension headaches. These may include stress management techniques, regular exercise, adequate hydration, and ensuring proper ergonomics at work and home to lessen muscle tension. Cognitive-behavioral therapy or other forms of psychological support may be beneficial to help patients develop coping strategies for stress.

Other options, such as neurological evaluations or surgery, are more suited for different types of headaches or conditions that require more invasive procedures, which is not the case for typical tension headaches. MRI and prescription medications may be appropriate in certain scenarios, particularly if headaches are persistent or atypical, but they are usually not first-line treatments for tension-type headaches. Injections and