What lifestyle modifications should I advise patients to help prevent tension-type headaches?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 14 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Advise patients to identify and manage potential triggers such as stress, poor posture, neck pain, diet, and sleep disorders to help prevent tension-type headaches.

Encourage regular exercise and consider physiotherapy to improve posture and reduce muscle tension.

Recommend relaxation techniques and cognitive behavioural therapy (CBT) as they may help some patients manage stress and muscle tension.

Advise patients to avoid frequent and excessive use of acute analgesics to reduce the risk of medication overuse headache.

Suggest keeping a headache diary to monitor symptoms, identify triggers, and improve self-management.

Educational content only. Always verify information and use clinical judgement.