Migraine vs Tension Headache: How to Tell the Difference
Both migraines and tension headaches cause pain, but they feel and behave very differently. Knowing the difference helps you get the right treatment faster.
Headache is one of the most common reasons people visit a neurologist. Two conditions share the word headache but need very different treatment plans. Telling them apart usually comes down to where the pain sits, how it feels and what happens while it lasts.
How a Tension Headache Feels
Tension headaches feel like a tight band of pressure around the head, usually on both sides. The muscles in the neck and shoulders feel sore and stiff. Most people can continue working and are only mildly distracted by the pain.
How a Migraine Feels
A migraine is more intense and is often one sided. Patients describe throbbing or pulsing pain that worsens with movement. Nausea, vomiting and sensitivity to light or sound are common, and many people need to lie down in a dark room until the attack passes.
When to Get Checked
- A headache that starts suddenly and reaches maximum intensity within seconds
- Headaches after age fifty that feel different from your usual pattern
- A headache with fever, stiff neck, confusion, vision loss or weakness
A headache diary helps our doctors track triggers such as sleep loss, stress, bright light and certain foods, which is often the fastest route to long term relief.