Tension headaches may be countered with strength training which may also lower the pain as claimed by a Danish study. Some researchers discovered that shoulder and neck muscles were almost 26% weak in individuals with normal tension headaches. Strength imbalances within muscle sets holding the head straighter were also seen. As per a chiro-physiotherapist from Danish Headache Centre, non pharmacological treatment of tension headache patients requires working towards in depth understanding of muscular-skeletal influence on these headaches.

Past studies reveal that muscular strength and weaknesses were related to tension headache noted Madsen along with his associates. More research work is required for determining if muscular weakness is either a reason or an effect of the commonest form of headache. People suffering from this headache get a feeling of an airtight band being wrapped on their head. However, it causes low pain compared to the one experienced out of migraines or cluster headaches which is felt on one side of head.

More often the cluster headaches come with running nose or sinus congestion but migraines lead to moderate or acute pain. The latter also causes throbbing, nausea, vomiting along with audio and light sensitivity. This study made a comparison of sixty adults suffering from tension headache with 30 healthier individuals. Patients had just experienced this headache for eight or even more days from 20 days with a maximum of three migraines.

When the participants leaned their own head backwards, the neck extensor muscles underwent testing. Similarly, as they had bent heads forward, the neck flexor muscles were thoroughly tested again. Trapezius muscle extending up to neck back through the shoulder was also tested in terms of strength. Healthier individuals of the study had up to 26% more powerful neck extension compared to individuals suffering tension headache. There existed only a marquee difference in the neck flexor groups. Consequently, in the healthier comparison group, extension and the flexion strength ratio was up to 12% high.

Madsen, a PHD student of South Denmark University discovered that whenever neck extension muscles seemed weak, stronger were the flexor muscles. It might be responsible for pulling their own heads forward. Healthier people had better shoulder strength on raising their arms either side. According to Madsen, the previous studies did reveal how frontal leaning heady postures and weak neck extension can be responsible for tension headache.

Madsen added that extensive use of laptops, tablets and computer in these years elevates the period of sitting by a protruding head posture. The exercises on shoulder strengthening have helped a great deal in lowering the neck pain with past studies. According to Dr. Diamond, there is an appearance of strength and mechanical issues in individuals with these tension headaches.

Tenderness and neck pain have been frequently complaining subject of these patients but the doctors are yet to have a clear cut understanding of the same. These patients tend to be dental hygienists, physical laborers, or even horseback riders at times. Their repetitive motions in workplace can lead to muscular problems. Dr Merle suggests working with a professional physical trainer or therapist for strengthening their core.

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