Table 11

Non-pharmacological treatment of tension-type headache

• Physical and neurological examination and reassurance.

• Rule out other underlying disorder e.g. depression or oromandibular dysfunction.

• Rule out overuse of analgesics

• Inform the patient about pain mechanisms

• Minimize, as possible, provoking factors, e.g. stress or non-physiological work posture

• Physiotherapy (daily exercises and posture correction)

• Biofeedback

• Stress- og pain management

• Acupuncture