A tension headache can feel like pressure or tightness around the head. Headaches have several possible causes, so a new or changing pattern should not be self-diagnosed.
What might a tension headache feel like?
People often describe pain on both sides of the head, face or neck, or a feeling of pressure. Headache symptoms vary. Recording when pain begins, how long it lasts and any associated symptoms can help a clinician assess the pattern.
When should I arrange a review?
See a clinician if headaches keep recurring, affect daily life or change from your usual pattern. Bring a list of medicines and explain how often you use pain relief. Frequent painkiller use can itself contribute to headaches in some people.
Warning signs
Seek emergency care for a sudden extremely severe headache, or a headache with new weakness, difficulty speaking, confusion, seizure or loss of vision. A serious head injury or headache with high fever and signs of meningitis also needs emergency assessment.
What can a clinician discuss?
A clinician can consider your history, examination and possible causes. Treatment and prevention depend on the pattern and your health. Ask about appropriate pain relief, follow-up and whether keeping a headache diary would be useful.
Frequently asked questions
Are all headaches tension headaches?
No. Headaches can have different causes.
Should I keep a headache diary?
It can help you describe timing, symptoms and medicines used.
Can frequent painkillers cause problems?
Frequent use can contribute to medication-overuse headache in some people. Discuss your use with a clinician.
What if a headache is sudden and extremely severe?
Seek emergency assessment immediately.
Related reading
Further reading
Explore Neurology services or contact the team about appointments.
This article is general information and does not replace individual clinical advice.