These drugs act on headache independent of their effects on depression. Many studies have shown biofeedback to be very effective treatment for tension-type headache. Acupuncture Some patients may obtain benefit from acupuncture. Some patients report that applying a transcutaneous nerve stimulation device on their neck and shoulder muscles helps with tension-type headache. Techniques that help relieve stress, such as relaxation, imagery, and even yoga, have been shown in studies to be very effective.
Some patients report benefit from trigger point injections.
A needle is inserted directly into a specific tender site within a muscle. Most often, tension-type headache patients can be successfully managed by one physician, without the need for a comprehensive pain clinic treatment. However, some patients with severe headaches that fail to respond to routine measures may need a multidisciplinary approach involving several headache specialists, which may be provided in headache and pain clinics.