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Spenningshodepine: Diagnosen

Diagnosen baserer seg først og fremst på sykehistorien og beskrivelsen av de typiske symptomene. Ved en undersøkelse av bevegelighet og funksjon i nakken vil en skille tilstanden fra de plagene som kommer fra selve nakkevirvlene. Typiske funn kan være øm muskulatur og ømme muskelfester i nakken, men ikke alle har det. Hos mange fører et lett press over muskelfestene i nakken til at smertene strømmer fremover i pannen.

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Utredning med CT eller MR er sjelden nødvendig dersom man ikke finner noe ved legeundersøkelse som gir mistanke om annen type hodepine. 

Hodepinedagbok  - kan være til stor hjelp både for deg og for legen for å gi en detaljert beskrivelse av dine anfall eller episoder med hodepine. 

Hodepinekalender - her kan du registrere hver gang du får et anfall eller en episode med hodepine over en periode på inntil 3 måneder

Hodepinedagbok for mobil - utviklet ved St. Olavs hospital og NTNU

Dette dokumentet er basert på det profesjonelle dokumentet Hodepine av spenningstype . Referanselisten for dette dokumentet vises nedenfor

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  2. Idicula T. Hodepine av spenningstype (HST). Nevrologiske prosedyrer (NevroNEL). Sist oppdatert 21.12.2023.
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  9. Derry S, Wiffen PJ, Moore RA, Bendtsen L. Ibuprofen for acute treatment of episodic tension-type headache in adults. Cochrane Database of Syst Rev 2015, Issue 7. Art. No.: CD011474. DOI: 10.1002/14651858.CD011474.pub2. DOI
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  11. Jackson JL, Shimeall W, Sessums L, et al. Tricyclic antidepressants and headaches: systematic review and meta-analysis. BMJ 2010; 341: c5222. BMJ (DOI)
  12. Jackson JL;Mancuso JM;Nickoloff S;Bernstein R;Kay . Tricyclic and Tetracyclic Antidepressants for the Prevention of Frequent Episodic or Chronic Tension-Type Headache in Adults: A Systematic Review and Meta-Analysis. J Gen Intern Med. 2017; PMID: 28721535 PubMed
  13. Bendtsen L, Jensen R. Mirtazapine is effective in the prophylactic treatment of chronic tension-type headache. Neurology 2004; 62: 1706-11 Neurology
  14. Banzi R, Cusi C, Randazzo C, et al. Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) for the prevention of tension-type headache in adults. Cochrane Database Syst Rev 2015; 5: CD011681. pmid:25931277 PubMed
  15. Verhagen AP, Damen L, Berger MY, Passchier J, Koes BW. Lack of benefit for prophylactic drugs of tension-type headache in adults: a systematic review. Fam Pract 2010; 27: 151-65. PubMed
  16. Dhanasekara CS, Payberah D, Chyu JY, et al. The effectiveness of botulinum toxin for chronic tension-type headache prophylaxis: A systematic review and meta-analysis. Cephalalgia. 2023. PMID: 36786349.
  17. Moraska AF, Stenerson L, Butryn N, et al. Myofascial Trigger Point-focused Head and Neck Massage for Recurrent Tension-type Headache: A Randomized, Placebo-controlled Clinical Trial. Clin J Pain. 2015; 31:159-68. doi: 10.1097/AJP.0000000000000091 DOI
  18. Linde K, Allais G, Brinkhaus B, et al. Acupuncture for the prevention of tension-type headache. Cochrane Database Syst Rev. 2016 Apr 19;4:CD007587. doi: 10.1002/14651858.CD007587.pub2. The Cochrane Library
  19. Soderberg E, Carlsson J, Stener-Victorin E. Chronic tension-type headache treated with acupuncture, physical training and relaxation training. Between-group differences. Cephalalgia 2006; 26: 1320-9. PubMed
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  22. Hervik JA, Vika KS, Stub T. Transcranial direct current stimulation for chronic headaches, a randomized, controlled trial. Front PÅain Res 2024. pmid:38476353 PubMed
  23. Verhagen AP, Damen L, Berger MY, et al. Lack of benefit for prophylactic drugs of tension-type headache in adults: a systematic review. Fam Pract 2010; 27: 151-65. PubMed
  24. Hagen K, Åsberg AN, Uhlig BL, et al. The epidemiology of headache disorders: a face-to-face interview of participants in HUNT4. J Headache Pain. 2018; 19(1): 25. www.ncbi.nlm.nih.gov
  25. Idicula T. Hodepine av spenningstype (HST). Nevrologiske prosedyrer (NevroNEL). Sist oppdatert 21.12.2023. Siden lest 12.03.2024. nevrologi.legehandboka.no
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