Other causes include eye strain, fatigue , alcohol use , excessive smoking , excessive caffeine use, or conditions such as sinus infection , nasal congestion , overexertion, colds , influenza , etc. Tension headaches are not associated with structural lesions in the brain. If a neurologic examination is performed, tension headache causes no abnormal findings. Headaches that disturb sleep, occur whenever the person is active, or that are recurrent or chronic may also require examination and treatment by the health care provider. Treatment Treatment is aimed at relieving symptoms and preventing recurrence of the headache.
Prevention is the best treatment.
Remove or control precipitating factors. Learn and practice stress management strategies. Relaxation through meditation, relaxation exercises, or other means, can be helpful for some people. Other preventive measures may include keeping warm if the headache is associated with cold, using a different pillow or sleeping position, or similar activities. Use good posture when reading, working, or being involved in activities that may cause headache.