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Tension related headaches - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Headache and Migraines
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2497 Questions
User :   just a few questions to clear things up for me..
Doctor :   Hi
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries.
User :   hi
Doctor :   Hi
User :   hi
Doctor :  
Are you back?
Doctor :  
Fine
Doctor :  
continue with your query
User :   yes what is your specialty?
Doctor :   I am a General Physician

User :   Ok.. i just had a few questions .. I have been having a very dull .. but constant ache in the back of my head.. sometimes it seems to be on the crown and sometimes over my ears or forehead..
Doctor :   Ok

User :   I was wondering what this could be because I don't have any other symptoms except this just dull constant ache.. it doesn't even stop me from doing anything throughout the day and actually when I do some things it seems to go away
Doctor :   Ok

Doctor :  
I shall explain you
User :   but for example here now at night when I'm sitting around and rubbing on my head I know its there.. and just wonder what it could be
Doctor :  
Most of the headaches are due to a psychological tension irrespective of the root cause
Doctor :  
Meaning even if it is a headache due to sinus, migraine or any other cause
Doctor :  
it becomes more when you have tension
Doctor :  
and more evident when you are not doing any work
Doctor :  
Does that correlate to you?
User :   well i was laid off about 5 months ago.. about 3 months ago this started.. and about 3 months ago I started seriously struggling to pay my bills
Doctor :   Ok

User :   does that sound like it could be the cause?
Doctor :  
I can understand that
Doctor :  
and yes it is very likely to disturb your health
Doctor :  
During such crisis, what you need to do is to draw energy from your mind
Doctor :  
rather that weakening if further
Doctor :   'than
Doctor :  
For that you will need to do some changes in your lifestyle
User :   you mean like working out ? I have started that and it does go away while I'm working out .. or at the sauna..
Doctor :   Yes, a work out is good enough

Doctor :  
I would recommend jogging/running in your workout
Doctor :  
that is more beneficial
User :   can i ask this.. with this tension.. can it make your ears click or pop sometimes.. when I get up in the morning or before i go to bed at night my ears seem to click or feel like they need to pop when I swallow with my mouth closed
Doctor :   Yes, it is air trapped inside the muscle
Doctor :  
and occurs more frequently when muscles are contracted
User :   I am working out and running every other day... it does go away too when I run..
Doctor :  
which is likely in tension
Doctor :  
called as Muscular tension
User :   so the tension can cause my ears to do this also?
Doctor :   Sure
Doctor :  
those clicking sounds, are heard
Doctor :  
on movement
User :   I try to not think about it but like I said when I'm at my house and thinking about the ache and clicking ..I try to get up and do something to take my mind off of it...I just didn't know it could last this long
Doctor :   Ok, it happens

Doctor :  
during such times
Doctor :  
Even with awareness, you wont be able to help yourself much
Doctor :  
But it can be minimised to some extent
User :   ok how can I minimize it? will I ever get it to go away?
Doctor :   Sure
Doctor :  
You can
Doctor :  
What you need to do now is
Doctor :  
the workout part
Doctor :  
Mainly running
Doctor :  
and next comes sleep
Doctor :  
How is your sleep?
User :   well besides not going to bed till usually 1 or so.. I try to get 8 hours of sleep.. if I can.. but somewhere between 6-8 usually
Doctor :   Ok

Doctor :  
You should concentrate on your sleep
User :   that might have contributed to it at the beginning of all this too because I used to be so worked up or full of energy I had a hard time getting to sleep or staying asleep long when this all began
Doctor :  
Follow a regular routine
Doctor :   Ok
User :   I will start to try to get a regular sleep routine..
Doctor :  
Sleep is very important for overall health and wellbeing
Doctor :  
Good, that will surely help you
User :   So is there any part of this where or when I should be worried and really need to see a doctor?
Doctor :   Avoid your work out in the evening

Doctor :  
meaning atleast 4 hours before sleep
User :   I usually try to do that in the afternoon.. no later than 6
Doctor :  
Now more than medical treatment what I can tell you is
Doctor :  
You will need Psychotherapy
Doctor :  
One of which is Cognitive Behavioural therapy(CBT)
Doctor :  
which helps you in avoiding those thoughts
Doctor :  
which cause problem to you
User :   ok.. I will look into that.. but none of this sounds like anything that needs immediate medical attention?
Doctor :   Yes, that is right
Doctor :  
No need of acute medical intervention
Doctor :  
But if it deteriorates like this over a period of time, then it can turn to a Psychiatric need
User :   thats what was worrying me also.. with the length of time these "tension aches" have lasted.. but then I thought if there's been no other symptoms that also means it must not be that serious...
Doctor :   Yes, not serious

Doctor :  
Take steps now to reduce it
Doctor :  
You will need to improve your quality of life
Doctor :  
with less pain and discomfort
User :   that does help already to know that.. and will find ways to change my lifestyle to get out of this "rut" I've gotten into of worry stress and anxiety
Doctor :   Ok

Doctor :  
Be positive and I am sure you will overcome this
Doctor :  
and will find major changes
Doctor :   Is there any thing else I can help you with?

User :   thats all I need for now.. thank you
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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