How Is Tension-Type Headache Diagnosed? Tests, Criteria & Process
Tension-Type Headache diagnosis relies on Full blood count (FBC), Comprehensive metabolic panel (electrolytes, creatinine, LFTs), Urinalysis. Learn the full diagnostic pathway, clinical criteria, differential workup, and what to expect at your evaluation.
Updated March 27, 2026
Tension-Type Headache is diagnosed using Full blood count (FBC), Comprehensive metabolic panel (electrolytes, creatinine, LFTs), Urinalysis and targeted clinical evaluation. Tension-type headache is the most common headache disorder, causing a dull, pressing, bilateral head pain described as a tight band. Stress, poor posture, and sleep deprivation are common triggers; it responds to simple analgesics.
Clinical Context
The diagnostic process for Tension-Type Headache begins with Thorough history and physical examination followed by basic blood and urine tests; targeted specialist investigation as needed. Key investigations include Full blood count (FBC), Comprehensive metabolic panel (electrolytes, creatinine, LFTs), Urinalysis, Chest X-ray. The gold standard is: Directed investigation based on clinical history and physical examination findings. Clinical guidelines from NICE / BMJ Best Practice / WHO define the diagnostic criteria and recommended investigation pathway.
Clinical Pathway
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How Is Tension-Type Headache Diagnosed? Tests, Criteria & Process?+
Tension-Type Headache is diagnosed using Full blood count (FBC), Comprehensive metabolic panel (electrolytes, creatinine, LFTs), Urinalysis and targeted clinical evaluation. Tension-type headache is the most common headache disorder, causing a dull, pressing, bilateral head pain described as a tight band. Stress, poor posture, and sleep deprivation are common triggers; it responds to simple analgesics.
How do doctors test for tension-type headache?+
The main tests used to diagnose Tension-Type Headache include Full blood count (FBC), Comprehensive metabolic panel (electrolytes, creatinine, LFTs), Urinalysis. Your doctor will select investigations based on your symptoms, clinical findings, and risk factors.
How long does it take to diagnose Tension-Type Headache?+
The time to diagnosis varies. Some cases are identified within hours using clinical presentation and blood tests; others require weeks, repeated investigations, or specialist referral.
Can Tension-Type Headache be missed on initial testing?+
Yes — Tension-Type Headache can be missed if initial tests are negative or if the presentation is atypical. If clinical suspicion remains high, repeat testing or specialist referral is appropriate.
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