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SYMPTOMS OF MUSCLE CONTRACTION HEADACHE
A muscle contraction headache is often described as a tight, squeezing, vise-like pain around the back of the head, the neck, the scalp, or the forehead. The entire face sometimes becomes painful. The discomfort can be like a band or rope of tightness or pressure around the head and neck. Some patients describe the pain as similar to that of wearing a hat many sizes too small.
The constant pain is usually dull, but sharp and jabbing knife-like pains about the head and neck can also occur. Muscle contraction headaches most often hurt on both sides, but one-sided headaches are not uncommon. The pain may spread down the shoulders and back, into the jaw, or behind the ears.
Muscle contraction headaches may begin at any time of the day, although they rarely awake their victims during the night. The morning is the most common time for the onset of an attack, but afternoon headaches are also frequent. If you are depressed and awaken early in the morning, a feature common to many depressed individuals, the pain may begin soon after.
A muscle contraction headache can last for a few hours, a few days, or even a few weeks. Unlike migraine, which often forces its victims into a dark room to sleep, many people with muscle contraction headache attempt to actively preoccupy themselves during painful experiences and often keep to their regular schedule, suffering in silence. Sleep is not usually disrupted by a muscle contraction headache, but many people awaken in the morning with the same headache that they had when they retired the night before.
A migraine headache is often preceded or accompanied by many additional symptoms, but aside from pain, there are few additional symptoms associated with muscle contraction headache. Nausea and vomiting and blurred vision may occur periodically. The headache does not have a distinguishable warning or pre-headache phase as does migraine, but many people who are troubled with muscle contraction headaches are also afflicted with migraine. A migraine headache or migraine-like throbbing pain may actually accompany muscle contraction headache, frequently subjecting the victim to double agony.
There is no clearcut relationship between the muscle contraction headache and foods, medications, or hormonal changes, as there is in migraine. Muscle contraction headaches do not seem to be an inherited problem, but usually more than one member of the family suffers from them. In other words, the tendency for the muscles around the head and neck to contract in an exaggerated way may also be biologically programmed, just as is the case in migraine. While genetic studies do not demonstrate a hereditary pattern, biological programming may have set an individual’s “thermostat” in such a way that this reflex occurs more readily in some people than in others.
Muscle contraction headaches usually begin during adult life, although 10 to 20 percent of the victims may experience their first headaches in childhood or adolescence. Men and women seem to be more equally affected by muscle contraction headaches than in the case of migraine, which afflicts many more women than men.
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