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Tension headaches
Migraine
Medically reviewed article

Understand the difference between tension headaches and migraines

Many people find it difficult to tell the difference between tension headaches and migraines.

By
Hemi Health
Hemi Health

The most notable differences lie in the quality of the pain, accompanying symptoms, and triggering factors. Migraines are often more intense and accompanied by additional symptoms such as nausea and light sensitivity, which are not typical for tension headaches.

Read more about migraine or tension headache.

The criteria for migraine and tension headache are listed below


Kriterium Spændings- hovedpine Migræne
1. Smertekvalitet
Konstant, oftest trykkende smerte. Dunkende/pulserende smerte
2. Lokalisation Oftest begge sider eller omkring hele hovedet Ofte kun på en side af hovedet
3. Intensitet Oftest mild til moderat Oftest moderat til svær
4. Fysisk aktivitet Forværres oftest ikke ved fysisk aktivitet Forværres ofte ved fysisk aktivitet
5. Varighed 30 minutter til en uge 4 timer til 3 døgn
6. Ledsage- symptomer Enten ingen eller kun lyd- eller lysfølsomhed. Kan være ledsaget af madlede eller ganske let kvalme Altid ledsaget af enten kvalme +/- opkast og/eller både lyd- og lysfølsomhed

If at least 2 of criteria 1-4 and the accompanying symptoms are present, it is likely a migraine.

As can be seen from the table, there are many different levels of severity for both tension headaches and migraines, both in terms of pain intensity and accompanying symptoms. For the individual, the episodes can also vary from time to time. So, even if you experience both mild and severe headache attacks, you do not necessarily have both tension headaches and migraines.

Difference in triggers

Migraines and tension headaches can be triggered by different factors in some people. The triggers experienced vary from person to person; the most common triggers are listed below


Spændings- hovedpine Migræne
Udløsere / triggers
Stress, Søvnmangel, Dårlig kropsholdning og muskelspæninger, Væskemangel Stress, Søvnmangel, Hormoner, Fødevarer, Miljø/vejrskift

When to seek medical help for headaches

If headaches are frequent, severe, or accompanied by other symptoms such as visual disturbances or numbness, it is important to seek medical help for a correct diagnosis and treatment.

Read more about when you should seek medical help here.

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