What pattern of pain distribution is described for tension-type headaches?

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Multiple Choice

What pattern of pain distribution is described for tension-type headaches?

Tension-type headaches classically present as a bilateral, pressing or tightening pain around the head, like a tight hatband over the forehead and temples. This bilateral frontal/temporal distribution reflects generalized cranial muscle tension rather than a focal vascular or neural trigger, which is why the hatband pattern is the best match. Other patterns don’t fit as well: pain behind one ear isn’t typical for tension-type headaches and would suggest a different source such as neck or ear issues. Pain in the jaw points toward temporomandibular joint problems, and a crown-centered pulsating pain aligns more with migraine, which is usually unilateral and throbbing rather than a bilateral, band-like sensation.

Tension-type headaches classically present as a bilateral, pressing or tightening pain around the head, like a tight hatband over the forehead and temples. This bilateral frontal/temporal distribution reflects generalized cranial muscle tension rather than a focal vascular or neural trigger, which is why the hatband pattern is the best match.

Other patterns don’t fit as well: pain behind one ear isn’t typical for tension-type headaches and would suggest a different source such as neck or ear issues. Pain in the jaw points toward temporomandibular joint problems, and a crown-centered pulsating pain aligns more with migraine, which is usually unilateral and throbbing rather than a bilateral, band-like sensation.

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