Migraine vs. Tension Headache: How to Tell the Difference

Headaches are incredibly common, but not all head pain stems from the same source. Two of the most frequent types of primary headaches are migraines and tension-type headaches. While they may occasionally overlap, they require completely different treatment plans and lifestyle adjustments. Understanding their unique clinical profiles helps you communicate better with your healthcare provider and find the right relief.

Key Differences at a Glance

FeatureMigraine HeadacheTension-Type Headache
Pain TypePulsating, severe, often one-sidedDull, steady pressure, usually both sides
IntensityModerate to severe; disrupts daily activityMild to moderate; generally manageable
MovementWorsened by activity; sensitive to light/soundNot usually affected by physical activity
Other SymptomsOften includes nausea or vomitingNo nausea; rare sensitivity to light or sound

Understanding the Migraine Experience

A migraine is a complex neurological condition, not just a severe headache. Attacks can last 4 to 72 hours, often accompanied by visual “aura” symptoms such as flashes or tingling.

Recognizing a Tension Headache

Often triggered by stress or poor posture, these common headaches feel like a tight band around the head. They typically allow for normal daily functioning.