My tension headache is getting worse: what should I know?

Tension-type headache often feels like pressure or a tight band, commonly on both sides of the head, and may be linked with muscle tension, stress, poor sleep, dehydration, or prolonged screen posture. A worsening pattern can also reflect frequent painkiller use, migraine, infection, vision problems, or another condition. The change does not prove a dangerous cause, but it is a reason to review the diagnosis and treatment.

Record when the pain starts, where it is, how it feels, what makes it worse, and any associated symptoms. Drink water, eat regularly, take screen breaks, relax your jaw and shoulders, and aim for consistent sleep. Use pain medicine only as directed on its label or by a clinician; frequent use can itself contribute to recurring headaches. Arrange a GP consultation if relief is fading, headaches are becoming more frequent, or daily activities are affected.

Get emergency help for a sudden explosive headache, new weakness or numbness, trouble speaking, confusion, seizure, fainting, vision loss, stiff neck with fever, repeated vomiting, or a headache after a significant head injury. Seek prompt assessment for a new headache during pregnancy, with very high blood pressure symptoms, or a steady worsening trend.

Ask whether the pattern still fits tension-type headache, how often pain medicine is safe for you, whether an examination or tests are needed, and what symptoms should trigger emergency care.