Pulsating tension headache

Tension-type headache often feels like pressure across the forehead, temples, or back of the head, with tenderness in the scalp, neck, or shoulders. A pulsing sensation can occur, especially when discomfort is stronger. Migraine becomes more likely when pain is one-sided and accompanied by nausea or marked sensitivity to light or sound, but symptoms overlap. Recording sleep, screen time, meals, stress, jaw clenching, and posture can reveal useful patterns.

Take a break from close work, adjust your screen and sitting position, relax your jaw and shoulders, and try gentle neck movement if it does not increase pain. Drink water and eat regularly. A cool or warm pack may ease muscle discomfort. If you use an over-the-counter pain reliever, follow the label and check that it is appropriate with your health conditions and other medicines. Frequent headaches or frequent pain-medicine use should be discussed in a GP consultation.

Seek emergency help for sudden severe headache, weakness, confusion, fainting, seizure, difficulty speaking, new vision loss, stiff neck, or repeated vomiting. Arrange prompt assessment for a headache after head injury, with fever or a new rash, or one that steadily worsens. A recurrent headache that is disrupting work, sleep, or daily life merits a planned review.

Ask how to distinguish tension-type headache from migraine, which treatments are suitable for you, and how often pain medicine can be used safely. Share when the headache began, how long attacks last, and any changes in sleep, vision, stress, posture, or jaw symptoms.