Migraine and tension-type headache are among the most common headache patterns. They can overlap, and only a clinician can classify your headaches after a proper history.
Typical tension-type features
Pressing or tightening sensation, often both sides
Mild to moderate intensity for many people
Less often accompanied by nausea or vomiting
May relate to stress, posture, or muscle tension themes
Typical migraine features
Often throbbing, sometimes one-sided
Can be moderate to severe and activity-limiting
Nausea or light/sound sensitivity are common companions
Aura may occur before or during some attacks
Can someone have both patterns?
Yes. Mixed patterns occur. A clinician interprets the overall picture over time.
Does location of pain confirm the type?
No single location proves the diagnosis. Associated symptoms and attack behaviour matter more.
When is specialist care useful?
When headaches are frequent, disabling, atypical, or not adequately understood after initial care.
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Author and medical reviewer
Dr. Amjad Iqbal
Consultant Neurologist
Dr. Amjad Iqbal provides evidence-based assessment and treatment for conditions affecting the brain, spinal cord, nerves, and muscles, with a focus on clear guidance and compassionate follow-up.
Qualifications
MBBS • FCPS Medicine • FCPS Neurology • MRCP (UK)
Areas of expertise: Headache and migraine, Stroke, Epilepsy, Memory disorders, Movement disorders, Neuromuscular conditions.
