Table 10 Non-pharmacological treatment of tension-type headache

Physical examination and reassurance

Exclude other underlying disease, e.g. depression or oromandibular dysfunction

Exclude overuse of analgesics

Inform the patient about disease mechanisms

Minimise, to the extent possible, trigger factors, e.g. stress and unphysiological work postures

Physiotherapy (daily exercise programme and posture correction)

Biofeedback

Stress and pain management