Common in all age groups. Pain is described as bilateral tight, bandlike discomfort. May persist for hours or days; usually builds slowly.

• Pain can be managed generally with simple analgesics such as acetaminophen, aspirin, or NSAIDs.
• Often related to stress; responds to behavioral approaches including relaxation.
• Amitriptyline may be helpful for chronic (>15 days per month) tension-type headache prophylaxis.