What to expect from a GP consultation for tension headache

Describe where the pain is, whether it feels pressing or tight, how long episodes last, and how often they occur. Mention neck or jaw tension, screen use, sleep changes, stress, dehydration, skipped meals and any nausea or light sensitivity. A headache diary can make this pattern easier to recognise.

The GP may check blood pressure, vision, eye movements, speech, strength, sensation, coordination and the neck. The history and examination help separate a tension-type pattern from migraine, medication-overuse headache or a less common but urgent cause. Tests are considered when the pattern or examination suggests they are needed.

Bring a list of every pain medicine and how often you take it, including over-the-counter products. Note recent injuries, pregnancy, new medicines and other health conditions. The plan may include regular meals, fluids, sleep routines, posture or screen breaks, neck relaxation and a safe medicine strategy. Follow-up is useful if headaches become more frequent or change character.

Seek emergency care for a sudden severe headache, new weakness or numbness, trouble speaking, fainting, confusion, fever with a stiff neck, repeated vomiting, a new headache after head injury, or a major change in vision. These signs require urgent assessment rather than waiting for routine headache advice.

Ask what headache pattern fits your symptoms, how often pain medicine is safe for you, which lifestyle changes are most relevant, whether you need an eye or neck assessment, and when to return if the pattern changes.