How Can I Differentiate Between a Tension Headache and a Migraine?

Headaches are a common problem, but not all headaches are the same. Two of the most frequent types are tension headaches and migraines. Knowing the difference can help you find the right treatment and recover more quickly.

What Is a Tension Headache?

A tension headache usually feels like a dull, steady ache or pressure around your head. Many people describe it as a tight band squeezing both sides of the head. The pain is usually mild to moderate and doesn’t get worse with movement. Tension headaches typically don’t come with nausea, sensitivity to light, or sensitivity to sound. You might also feel tightness in your neck and shoulders.

Key signs of a tension headache:

  • Mild to moderate pressure
  • Pain on both sides of the head
  • Feels like a tight band or dull ache
  • No nausea or vomiting
  • No flashing lights or visual changes

What Is a Migraine?Migraine

A migraine is more than just a bad headache. It’s a neurological condition that causes severe, throbbing pain—often on one side of the head. Migraines may come with nausea, vomiting, and sensitivity to light, sound, or smell. Some people experience an “aura,” such as flashing lights or blurry vision, before the headache starts.

Key signs of a migraine:

  • Moderate to severe pain
  • Often on one side of the head
  • Throbbing or pulsing sensation
  • Nausea and/or vomiting
  • Sensitivity to light and sound
  • Possible visual changes or aura

What Causes Them?

Tension headaches are often triggered by stress, poor posture, or muscle strain. They can build up slowly over the day. Various factors, including hormonal fluctuations, specific foods, intense light, loud noises, stress, or alterations in sleep patterns, can trigger migraines.

How Long Do They Last?

Tension headaches can last from 30 minutes to several hours, but they usually go away with rest or over-the-counter medicine. Migraines can last anywhere from 4 to 72 hours and may require prescription treatment or a quiet, dark room to help manage the symptoms.

When Should I See a Doctor?

If you’re getting frequent headaches or your symptoms are severe, it’s a good idea to see a healthcare provider. You should also seek help if your headache changes in pattern or intensity, or if you experience other symptoms such as confusion, vision loss, or trouble speaking.

How Can Belden Village Chiropractic and Wellness Center Help?

At Belden Village Chiropractic and Wellness Center, we take a natural, whole-body approach to health. Our team can help you identify your headache triggers, improve your posture, and reduce muscle tension through chiropractic care, massage therapy, and lifestyle support. We’re here to help you find lasting relief—without relying on medication alone.

Final Thoughts

Tension headaches and migraines may seem similar, but they are very different conditions. Understanding the signs and symptoms can help you manage them more effectively. If you’re struggling with frequent headaches, we’re here to help you feel better and live more comfortably.

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