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.