Tension Headache: UK Online Doctor Treatment Guide
Educational information — not medical advice.
This article was prepared by the OnlineDoctor24 editorial team and reviewed for factual accuracy against UK clinical guidance (NHS and NICE). It is not written by a doctor and does not replace personal medical advice. For symptoms specific to you, book an online doctor consultation.
Key points
- Tension headaches feel like a tight band around the head.
- Triggers include stress, poor posture, screen use, dehydration and missed meals.
- Simple analgesics work for most acute attacks.
- Frequent headaches may need preventive treatment (e.g. amitriptyline).
Symptoms
- Bilateral, pressing/tightening pain.
- Mild to moderate intensity.
- Not aggravated by activity.
- No nausea (occasionally mild light/sound sensitivity).
Self-care
- Hydrate, eat regularly.
- Limit screen time; take breaks.
- Manage stress — exercise, mindfulness, sleep hygiene.
- Address neck/shoulder tension with stretches.
Acute treatment
Paracetamol, ibuprofen or aspirin work for most. Avoid using painkillers more than 2–3 days per week — overuse causes 'medication overuse headache'.
Preventive treatment
For chronic tension headache (>15 days/month), low-dose amitriptyline at night is first-line. CBT and acupuncture also have evidence.
Red flags — when to seek urgent help
Call 999 or go to A&E if you experience any of the following:
- Sudden severe 'thunderclap' headache
- Headache with fever and neck stiffness
- Headache with weakness, vision loss or confusion
Frequently asked questions
Common questions UK patients ask about tension headache.
How an online doctor can help
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This article is for general information only and does not replace personal medical advice from a qualified doctor. Content is reviewed against UK NHS and NICE guidance by the OnlineDoctor24 editorial team and is not authored by a medical doctor. If your symptoms worsen or you are unsure, please book a consultation with a GMC-registered GP.
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