Signs and symptoms of a tension headache include:
Dull, aching head pain
Sensation of tightness or pressure across your forehead or on the sides and back of your head
Tenderness on your scalp, neck and shoulder muscles
Tension headaches are divided into two main categories — episodic and chronic.
Make an appointment with your doctor
If tension headache disrupts your life or you need to take medication for your headaches more than twice a week, see your doctor.
Even if you have a history of headaches, see your doctor if the pattern changes or your headaches suddenly feel different. Occasionally, headaches may indicate a serious medical condition, such as a brain tumor or rupture of a weakened blood vessel (aneurysm).
When to seek emergency help
If you have any of these signs or symptoms, seek emergency care:
Abrupt, severe headache
Headache with a fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness or speaking difficulties
Headache after a head injury, especially if the headache gets worse