Abstract:
:Tension-type headache typically causes pain that radiates in a band-like fashion bilaterally from the forehead to the occiput. Pain often radiates to the neck muscles and is described as tightness, pressure, or dull ache. Migraine-type features (unilateral, throbbing pain, nausea, photophobia) are not present All patients with frequent or severe headaches need careful evaluation to exclude any occult serious condition that may be causing the headache. Neuroimaging is not needed in patients who have no worrisome findings on examination. Treatment of tension-type headache typically involves the use of over-the-counter analgesics. Use of pain relievers more than twice weekly places patients at risk for progression to chronic daily headache. Sedating antihistamines or antiemetics can potentiate the pain-relieving effects of standard analgesics. Analgesics combined with butalbital or opiates are often useful for tension-type pain but have an increased risk of causing chronic daily headache. Amitriptyline is the most widely researched prophylactic agent for frequent headaches. No large trials with rigorous methodologies have been conducted for most non-medication therapies. Among the commonly employed modalities are biofeedback, relaxation training, self-hypnosis, and cognitive therapy.
journal_name
Am Fam Physicianjournal_title
American family physicianauthors
Millea PJ,Brodie JJsubject
Has Abstractpub_date
2002-09-01 00:00:00pages
797-804issue
5eissn
0002-838Xissn
1532-0650journal_volume
66pub_type
杂志文章,评审abstract::Atrial fibrillation is the most common arrhythmia in patients visiting a primary care practice. Although many patients with atrial fibrillation experience relief of symptoms with control of the heart rate, some patients require restoration of sinus rhythm. External direct current (DC) cardioversion is the most effecti...
journal_title:American family physician
pub_type: 杂志文章,评审
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更新日期:1998-08-01 00:00:00
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journal_title:American family physician
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pub_type: 杂志文章,评审
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更新日期:2018-12-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:1997-10-15 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
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更新日期:1987-10-01 00:00:00
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journal_title:American family physician
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journal_title:American family physician
pub_type: 杂志文章
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journal_title:American family physician
pub_type: 杂志文章
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journal_title:American family physician
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:2006-03-01 00:00:00
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journal_title:American family physician
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journal_title:American family physician
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journal_title:American family physician
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