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 This information is provided by an independent source. Merck & Co., Inc. is not responsible for this content. Please discuss any and all treatment options with your healthcare professional. The manufacturer of a product generally has the most complete information about that product.
Mixed tension migraineDefinitionMixed tension migraine is a headache with features of both tension and migraine headaches. See also: Alternative NamesHeadache - mixed tension migraine CausesMigraine headaches affect millions of people. Tension headaches are even more common, affecting about 40% of the population. People with mixed tension migraine have features of both types of headaches. It is difficult to differentiate which symptoms are due to which type of headache. Women have mixed tension migraines more often than men. Common triggers for these headaches are hormonal changes, dietary factors, environmental factors, stimulation, and stress. Examples include:
Symptoms
Exams and TestsYour doctor will perform a physical exam and ask you about your symptoms. Tests that may be done include:
TreatmentThis version of the Encyclopedia has no treatment information. Please discuss any and all treatment options for your condition with your healthcare professional. Outlook (Prognosis)Avoiding triggers and taking the appropriate medicine can help manage headache symptoms in many people. Possible ComplicationsRebound headaches -- headaches that keep coming back -- may occur from overuse of painkillers. It's important to see a doctor if you have chronic headaches. In some cases, the headache may be a symptom of a more serious disorder. When to Contact a Medical ProfessionalIt is important to have a full medical and neurological exam if you suddenly have regular or severe headaches. See your health care provider if headaches are severe, persistent, recurrent, or are accompanied by other symptoms, including:
Also call your health care provider if your current treatment does not help your headaches. PreventionTips for preventing headaches:
Medicine may be needed to prevent headaches. ReferencesSilberstein SD, Young WB. Headache and facial pain. In: Goetz CG, ed. Textbook of Clinical Neurology. 3rd ed. Philadelphia, PA: WB Saunders; 2007:chap 53. Wilson JF. In the clinic: migraine. Ann Intern Med. 2007;147(9):ITC11-1-ITC11-16. Fumal A, Schoenen J. Tension-type headache: current research and clinical management. Lancet Neurol. 2008:7(1):70-83.
Review Date:
6/19/2008 Reviewed By: Daniel B. Hoch, PhD, MD, Assistant Professor of Neurology, Harvard Medical School, Department of Neurology, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997-
A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited. 
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