Migraine vs. Tension Headache: Expert Insights by Dr. Varun Kodam

Introduction

Headaches are a prevalent condition, and not all headaches are alike. Migraines and tension headaches are two of the most common forms, and although they have some things in common, they have different causes, symptoms, and treatments in many cases. Understanding the differences between the two can help you manage and even prevent them.

What is a Migraine?

A migraine is more than a headache—it is a neurological disorder that may produce severe, throbbing pain, usually on one side of the head. Migraines may persist for hours or even days, hindering daily functioning.

Symptoms of a Migraine

Severe, throbbing pain on one side of the head (sometimes both)

  • Light and sound sensitivity

  • Nausea and vomiting

  • Vision problems (auras, flashing lights, blind spots)

  • Physical activity aggravates it

Common Migraine Triggers

  • Stress and anxiety

  • Skipping meals

  • Inadequate sleep

  • Hormonal fluctuations (most particularly in women)

  • Some foods (chocolate, caffeine, processed meats)

  • Pungent smells or very bright lights

What is a Tension Headache?

The most prevalent type of headache is the tension headache, which is often related to stress (and/or) muscle tightness/fatigue. While a migraine can be debilitating, a tension headache is usually mild to moderate, often feeling like a tight band around the forehead or back of the head.

Symptoms of a tension headache

  • Dull, aching pain across the forehead or temples

  • Tightness or pressure around the head

  • A moderate or mild headache (not throbbing)

  • Not accompanied by nausea or vomiting

  • Not worsened by physical activity

Common causes of a tension headache

  • Stress and muscle tension

  • Dehydration

  • Poor posture (sitting too much at a desk)

  • Eyestrain from screens

  • Poor night's sleep or just generally rest

How to Prevent and Manage Headaches

For Migraines

  • Keep a consistent sleep schedule

  • Recognize and avoid triggers (specific foods, stress, dehydration)

  • Drink plenty of water and limit caffeine

  • Take pain relief medications (only as directed)

  • Try relaxation methods such as yoga and meditation

For Tension Headaches

  • Get regular breaks from screens

  • Sit with good posture

  • Minimize stress with relaxation exercises

  • Use a warm compress to ease muscle tension

  • Stay hydrated and avoid skipping meals

When should you visit a neurologist?

If you have frequent, severe, or ongoing headaches, - it is critical to see a neurologist for evaluation and management of your headache complaints. Some headaches could signify serious underlying neurological conditions that require evaluation by a physician.

Best neurologist in Hyderabad - Dr. Varun Kodam

If you would like an expert opinion for migraine, tension headache, or another neurological comorbidity, Dr. Varun Kodam is an expert Neurologist & Headache Specialist in Hyderabad.