Detailed, evidence-based help for common painful problems

All Archived Updates for:

The Complete Guide to Chronic Tension Headaches

This page lists all 59 updates for one book on PainScience.com, The Complete Guide to Chronic Tension Headaches For a more general summary of everything new around PainScience — recent updates for all articles, new articles, blog posts, and new study summaries, see What’s New on PainScience.com?

  1. Sep 30, 2020 — New section, the impact of smoking —
  2. Jul 10, 2020 — Science update, trigger point therapy — Cited a nail-in-coffin 2020 study of dry needling for neck pain.
  3. Jul 10, 2020 — Science update, phyical stresses — Added more detail and citations about headaches caused by physical irritation around the head, including (sigh) personal protective equipment like face masks.
  4. May 2, 2020 — New content, other causes of cervicogenic headache — Added a substantial new sub-section, “Trigger points, schmigger points: the many other kinds of muscle injury and dysfunction.”
  5. Apr 6, 2020 — COVID-19 update — Added information about headaches as a symptom of COVID-19.
  6. Mar 10, 2020 — More information, prognosis — Expanded the description in the spirit of helping people understand “what to expect,” what are the limits, with some new examples.
  7. Feb 14, 2020 — Upgraded, over-the-counter pain killers — More detail, more references, and more advice.
  8. Feb 8, 2020 — New chapter, medication-overuse headaches —
  9. Jan 5, 2020 — New chapter, about the role of alcohol — Alcohol has come up in a variety of ways. There’s a need to reconcile them.
  10. Dec 19, 2019 — Major upgrade, Botox chapter — More detail, editorial colour, and references.
  11. Dec 4, 2019 — Book launch — The headache guide has been free since I first introduced it in the early 2013. Six years and hundreds of hours of development later, it joins my inventory of full-blown books. It’s the second addition in 2019 (after frozen shoulder this summer), after years without any new ones. It is now for sale for $20 USD. All existing boxed set customers will have access automatically — someone who bought a set in 2009 is getting a new book out of that purchase a decade later.
  12. Dec 3, 2019 — New chapter, all about treating jaw issues —
  13. Nov 28, 2019 — New chapter, the role of the jaw in headache —
  14. Nov 23, 2019 — New chapter, Muscle relaxants (Robaxin, Robaxacet, etc), psychoactives, and sedatives —
  15. Nov 15, 2019 — New chapter, a case study that blurs the line between tension headache and migraine —
  16. Nov 12, 2019 — Science update, subluxation chapter — Added references to support “arthritis isn’t wear-and-tear.” Substantial additional editing and clarifications throughout the chapter.
  17. Nov 4, 2019 — Major upgrade — Much more detailed discussion of spinal manipulative therapy.
  18. Oct 31, 2019 — Minor maintenance — Updated about a dozen broken links.
  19. Oct 28, 2019 — New section, more exotic cervicogenic headaches —
  20. Oct 24, 2019 — Expanded — Added digital motion X-ray, homeopathy, supplements, electroacupuncture, and Epsom salts baths to the hall of treatment shame, making it more or less complete for now.
  21. Oct 18, 2019 — New section, hall of treatment shame —
  22. Oct 18, 2019 — New chapter, aquatic therapy —
  23. Oct 15, 2019 — Science update — Added a really huge footnote providing patient and physician guidance on the topic of diagnostic nerve blocks, with several references.
  24. Oct 15, 2019 — New intro, etiology — Added a substantive intro the nature-of-the-beast chapters of the tutorial.
  25. Oct 7, 2019 — New chapter, red wine and other triggers (not just for migraines) —
  26. Sep 25, 2019 — Added more, secondary headaches chapter — Covered CSF leaks, or “upright headache.”
  27. Sep 22, 2019 — Added more, secondary headaches chapter — Covered aneurysms that masquerade as tension headaches, and important safety-first update.
  28. Sep 20, 2019 — New chapter, “Headache, neck pain, and ‘cricks’” —
  29. Sep 12, 2019 — More information, headache triggers — Added more detail, with an actual citation about ponytail headaches (and the implications), and much more thorough coverage of computer display position.
  30. Aug 20, 2019 — Science update, headache and trigger points (muscle knots) — Added a citation to build the case that headaches are linked to muscle soreness.
  31. Aug 20, 2019 — Clarifications, intro the nature of tension headaches — Revised for clarity, added a reference.
  32. Jul 24, 2019 — Added more, secondary headaches chapter — Added jaw pain and eye strain, and also (more significantly) recruited both topics into later chapters in service of other points.
  33. Jun 27, 2019 — Huge expansion, trigger point therapy — Before the update: just a few paragraphs about massage for headache. After: a 2000-word whirlwind tour of the world of trigger point therapy, spelling out the relevance to headache in detail and plenty of specific advice.
  34. Jun 18, 2019 — Science update, spinal manipulation chapter — An “update” with an old citation, but a good one.
  35. Jun 18, 2019 — Expanded — A deeper exploration of cervicogenic headache has begun, based mainly on Bogduk. I added a nice case study, more detail to both the arguments for and against, and a nomenclature note.
  36. Jun 7, 2019 — Rewritten, definition of tension headache — Completely revised the introduction to the definition of a tension headache. I now discuss the two main interpretations of this very vague term. Another major goal was to change the scope of the article, so that it will include cervicogenic headache in the future. While it will never be a guide to all kinds of headache, it’s clear that “tension headache” alone was too limiting. What I’m really interested in is helping readers troubleshoot any non-migraine, non-ominous headache… which covers a lot more ground than just “tension” headaches.
  37. Mar 18, 2019 — Addition — Added discussion of MSG.
  38. Feb 16, 2019 — Elaborated — Added much more information about stress reduction and breathing exercises
  39. Feb 16, 2019 — Major improvements — Re-organized and chapterized treatment recommendations and reviews, added more of an introduction. Many small additions.
  40. Jan 19, 2019 — Upgraded — Substantial upgrade to review of evidence for over-the-counter medications.
  41. Oct 27, 2018 — New info — Expanded the “Worst case scenario” discussion with an anecdote about the impact of chronicity: even mild pain is draining when it just won’t quit.
  42. May 7, 2018 — Elaboration — Added more detailed and evidence-based exercise recommendations.
  43. Jul 21, 2017 — Improved — Improvements to the discussion of cervical myodural bridges.
  44. Apr 28, 2017 — Expanded — Added important red flag information about artery tears with pain as the only symptom.
  45. Jan 28, 2017 — Elaborated — Significantly beefed up discussion of other causes of headaches.
  46. Dec 2, 2016 — Elaborated — Added table contrasting tension headache with migraine — quite useful for many visitors, I hope.
  47. Nov 27, 2016 — Science update — Cited Chaibi et al on spinal manipulative therapy for migraine.
  48. Oct 11, 2016 — Science update & elaboration — More and better references and detail about spinal manipulation for headache. Conclusion? Meh.
  49. Sep 4, 2016 — Elaborated — Added an explanation of why we call it a “tension” headache, and a few other small changes.
  50. Aug 6, 2016 — New chapter —
  51. Jul 19, 2016 — New section —
  52. Jul 6, 2016 — Edited — General editing, a new citation, more information about general exercise.
  53. Jun 18, 2016 — Science update — Added two footnotes.
  54. May 27, 2016 — Improvements — Added more information and a citation about causes of thunderclap headache, and “don’t panic” graphic.
  55. May 12, 2016 — Upgraded — Added citation about “text neck,” and some modernization of recommendations related to posture and ergonomics.
  56. May 4, 2016 — Science update — Added citations about causes of thunderclap headaches.
  57. Apr 1, 2016 — Additions — Added more information about spinal adjustment.
  58. Apr 1, 2016 — Additions — Added more information about red flags.
  59. May 7, 2015 — Addition — Added sidebar about osmophobia and migraine.