Treatment for a current<unk>  is to drink water and confirm<unk> at<unk> ere is no dehydration. If symptoms do not resolve within an hour for a person who has had water,<unk> en stress reduction might resolve<unk> e issue. Exercise Evidence supports simple neck and shoulder exercises in managing ETTH and CTTH for<unk> s associated with neck pain. Exercises include stretching, strengthening and range of motion exercises. CTTH can also benefit from combined<unk> erapy from stress<unk> erapy, exercises and postural correction. Medications Episodic Over-the-counter drugs, like paracetamol, aspirin, or NSAIDs (ibuprofen, naproxen, ketoprofen), can be effective but tend to only be helpful as a treatment for a few times in a week at most. For<unk> ose with gastrointestinal problems (ulcers and bleeding), acetaminophen is<unk> e better choice over aspirin,<unk> ough both provide roughly equivalent pain relief. It is important to note<unk> at large daily doses of paracetamol should be avoided as it may cause liver damage especially in<unk> ose<unk> at consume 3 or more drinks/day and<unk> ose with pre-existing liver disease. Ibuprofen, one of<unk> e NSAIDs listed above, is a common choice for pain relief but may also lead to gastrointestinal discomfort. Analgesic/caffeine combinations are popular such as<unk> e aspirin-caffeine combination or<unk> e aspirin, acetaminophen and caffeine combinations. Frequent use (daily or skipping just one day in between use for 7–10 days) of any of<unk> e above analgesics may, however, lead to medication overuse<unk> . Analgesic/sedative combinations are widely used (e.g., analgesic/antihistamine combinations, analgesic/barbiturate combinations such as Fiorinal). Muscle relaxants are typically used for and are helpful with acute post-traumatic TTH rather<unk> an ETTH. Opioid medications are not utilized to treat ETTH. Botulinum toxin does not appear to be helpful. Chronic Classes of medications involved in treatment of CTTH include tricyclic antidepressants (TCAs), SSRIs, benzodiazepine (Clonazepam in small evening dose), and muscle relaxants.<unk> e most commonly utilized TCA is amitriptyline due to<unk> e postulated role in decreasing central sensitization and analgesic relief. Another popular TCA used is Doxepine. SSRIs may also be utilized for management of CTTH. For patients with concurrent muscle spasm and CTTH,<unk> e muscle relaxant Tizanidine can be a helpful option.<unk> ese medications however, are not effective if concurrent overuse of over<unk> e counter medications or other analgesics is occurring. Stopping overuse must occur prior to proceeding with other forms of treatment. Manual<unk> erapy Current evidence for acupuncture is slight. A 2016 systematic review suggests better evidence among<unk> ose with frequent<unk> s, but concludes<unk> at further trials comparing acupuncture with other treatment options are needed. People with<unk> -type<unk>  often use spinal manipulation, soft tissue<unk> erapy, and myofascial trigger point treatment. Studies of effectiveness are mixed. A 2006 systematic review found no rigorous evidence supporting manual<unk> erapies for<unk> . A 2005 structured review found only weak evidence for<unk> e effectiveness of chiropractic manipulation for<unk> , and<unk> at it was probably more effective for<unk> <unk> an for migraine. A 2004 Cochrane review found<unk> at spinal manipulation may be effective for migraine and<unk> , and<unk> at spinal manipulation and neck exercises may be effective for cervicogenic<unk> . Two other systematic reviews published between 2000 and May 2005 did not find conclusive evidence in favor of spinal manipulation. A 2012 systematic review of manual<unk> erapy found<unk> at hands-on work may reduce both<unk> e frequency and<unk> e intensity of chronic<unk> -type<unk> s. More current literature also appears to be mixed however, CTTH patients may benefit from massage and physiotherapy as suggested by a systemic review examining<unk> ese modalities via RCTs specifically for<unk> is patient population Despite being helpful,<unk> e review also makes a point to note<unk> at<unk> ere is no difference in effectiveness long term (6 months) between<unk> ose CTTH patients utilizing TCAs and physiotherapy. Another systemic review comparing manual<unk> erapy to pharmacologic<unk> erapy also supports little long term difference in outcome regarding TTH frequency, duration, and intensity.
Tension headache
Migraine
External compression headache
Lupus headache
Vascular headache
Cold-stimulus headache
Cluster headache
Thunderclap headache