The symptoms that can occur in tension headache are: a headache that felt like a heavy head, stiff as tied rope wrapped around head, and pressed tight. Sometimes with throbbing headache. If prolonged, on palpation can be found swollen, hard and tenderness area. Can also be accompanied by symptoms are: nausea, vomiting, vertigo, fatigue, difficulty to sleep, nightmares, frequent waking early in the morning and fall asleep, hyperventilation, abdominal bloating, sadly, the loss of the will to learn or work, anorexia and other depressive complaints. Pain can also be felt as a tense feeling the pinch in the head and pain located in the area occipitocervicale.
TTH pathophysiology is still not clearly known. In some of the literature and research results mentioned several circumstances relating to the occurrence of TTH as follows : ( 1 ) central nervous system dysfunction that is more involved than the peripheral nervous system dysfunction of the peripheral nervous system which leads to more ETTH , whereas central nervous system dysfunction leads to CTTH ,
Type Tension headache or tension-type headache is defined as a sensation of heaviness or pressure that settled, on both sides of the head arising episodic and associated with stress, but it can be repeated almost every day without any psychological factors. The pain arises due to continued contraction of the muscles of the head and neck is m. splenius capitis, m. temporalis, m.maseter, m. sternocleidomastoid, m. trapezius, m. posterior cervical, and m. levator scapula.