Abstract
Tension-type headache (TTH) is the most prevalent primary headache problem, affecting 46 percent to 78 percent of people at some point in their lives. However, the majority have episodic infrequent TTH (1 day per month or fewer) with no specific need for medical treatment. The diagnosis is made based on the patient's medical history and physical examination. The exact etiology of tension-type headache is unknown. The most likely cause of rare tension-type headaches is activation of hyperexcitable peripheral afferent neurons from head and neck muscles. Nondrug management is commonly utilized and should be considered for all patients with TTH. The scientific evidence for the efficacy of most treatment approaches, on the other hand, is limited. Pharmacological treatment depends on whether the headache is acute or chronic. In this review we will cover the disease epidemiology, etiology, diagnosis, and management.
 The aim is to study the Causes and Treatment of Tension Headache method a population-based study in Denmark, About 24% to 37% of the population experienced TTH several times a month, 10% had it weekly, and 2% to 3% of the population had chronic TTH,
 In contrast to migraine, women are only slightly more affected than males (the female-to-male ratio of TTH is 5:4), and onset is delayed (25 to 30 years). Between the ages of 30 and 39.
Highlights
Tension type headaches (TTH) are repeated headache episodes that can last anywhere from a few minutes to many weeks
In 1988, the International Classification Headache Diagnosis I (ICHD I) used the term "tension type headache" (TTH), which was preserved by ICHD II in 2004 [2]
For the treatment of episodic Tension-type headache (TTH), nonprescription analgesics are recommended
Summary
Tension type headaches (TTH) are repeated headache episodes that can last anywhere from a few minutes to many weeks. In 1988, the International Classification Headache Diagnosis I (ICHD I) used the term "tension type headache" (TTH), which was preserved by ICHD II in 2004 [2]. Tension-type headache is a neurological condition marked by a proclivity for mild to moderate headache bouts with few other symptoms. TTH is divided into three subtypes: occasional episodic, frequent episodic, and chronic. Patients report their headache discomfort as pressing, dull, and as if it were a tight band around their head. Patients with chronic TTH, highly frequent episodic TTH, who are at risk of medication overuse headache, and who are unable to take effective doses of first-line medications might consider prophylaxis. Electromyography biofeedback, cognitive behavioural therapy, exercise, massage, and trigger point injection are examples of physical and integrative therapies for TTH management [4]
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