Abstract

Tension-type headaches, associated with young age, poor health, sleep disturbances, anxiety, stress, and poor posture, account for 90% of all headaches diagnosed by healthcare professionals. Diagnosis and treatment of the various headache subtypes are often aimed at determining the underlying cause but commonly involve over-the-counter pain medication. Because recurrence is common in tension-type headaches, with a subsequent refractory response to over-the-counter medications, adjunctive and alternative treatment modalities should be further studied. Here we present a case of tension headache initially non-responsive to pain medication but resolved with osteopathic manipulative treatment and lifestyle modifications. Osteopathic considerations and literature are also reviewed in the broader context of headache management.

Highlights

  • Headaches are among the most common reasons for seeking medical care in emergency rooms and primary care offices alike [1]

  • Tension-type headaches, associated with young age, poor health, sleep disturbances, anxiety, stress, and poor posture, account for 90% of all headaches diagnosed by healthcare professionals

  • Diagnosis and treatment of the various headache subtypes are often aimed at determining the underlying cause but commonly involve over-the-counter pain medication

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Summary

Introduction

Headaches are among the most common reasons for seeking medical care in emergency rooms and primary care offices alike [1]. The surrounding head and neck structures do, and pain can refer there to cause headaches [4]. He noted that he was under a large amount of stress due to upcoming graduate school examinations The patient stated he typically spent greater than eight hours at a time reviewing material on his computer in the last week. Physical exam revealed normal neurological and musculoskeletal findings, How to cite this article Chin J, Qiu W, Lomiguen C M, et al (December 12, 2020) Osteopathic Manipulative Treatment in Tension Headaches. The treatment sequence was completed with a stretch of the suboccipital muscles with active resistance (Figure 4). B. Active resistance and force of the patient engagement cervical muscles toward the ground (red arrow)

Discussion
Conclusions
Disclosures
11. Lenaerts ME
Findings
14. Chen Y
17. Ajimsha MS
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