How long can a tension headache last?

Tension-type headache often causes steady pressure rather than a pulsating sensation. Some episodes settle after rest or a change in posture, while others continue because the underlying trigger remains, such as prolonged screen work, poor sleep, dehydration, stress, or jaw clenching. Duration alone cannot identify the cause. Note whether the pain is improving, staying level, or becoming stronger, and whether nausea, fever, neurological symptoms, or visual changes are appearing.

Pause demanding visual work, drink water, eat regular meals, and use gentle neck and shoulder movement. A quiet environment and warmth over tight muscles may help. Use any non-prescription pain medicine only as directed and avoid taking it repeatedly without advice. Keep a brief headache record with start time, location, severity, possible trigger, sleep, and medicine. Book a [GP Consultation](/treatments/consultations-and-assessment/gp-consultation/) if the episode is not settling or if headaches are becoming more frequent.

Get urgent help for a sudden severe headache, new weakness, numbness, confusion, fainting, trouble speaking, vision loss, fever with a stiff neck, or headache after a head injury. Seek prompt advice if the pain steadily worsens, wakes you repeatedly, or feels unlike your previous headaches. Persistent pain with vomiting or marked drowsiness also needs timely assessment.

Does the duration and pattern fit a tension-type headache? Which triggers should I monitor? What should I do if the pain continues despite the recommended treatment?