Tension-Related Dizziness: Causes and Concerns

Q: Tension-Related Dizziness: Causes and Concerns

Hello： The tension-type headache you mentioned is caused by tightness in the muscles of the head. <br>Common manifestations include a constricting pain in the forehead and temples, similar to wearing a tight headband. <br>Since it is caused by muscle fatigue, it typically begins

Tightening dizziness (pain?)

Hello Dr.
Jiang, I would like to ask you a few questions.
Several years ago, after changing jobs (in a typical office setting with extensive computer use), I started experiencing dizziness on the right side of my head a few times each year.
It's a bit difficult to describe because when I focus on my work, the sensation seems to temporarily disappear, but it reappears when I relax.
Usually, it resolves itself within about two weeks, so I haven't paid much attention to it, although it is quite bothersome.
However, the frequency of these episodes has increased this year.
In mid-October, I visited a neurologist.
At that time, I had received a flu vaccine, but the news surrounding it made me a bit anxious.
The doctor mentioned a term related to tension-type headaches (though I feel dizzy), and upon researching, I found that it might be caused by muscle tension.
I also wondered if something was happening in my brain, especially since I have three children, which makes me think a lot.
The doctor pressed on the right side of my head and noted some tightness, then prescribed muscle relaxants and anti-inflammatory medication.
I’m not sure if it was the conversation with the doctor that helped me relax, but eventually, the sensation gradually disappeared.
However, this morning I started feeling a bit dizzy again.
While I was out for lunch, a group of foreigners sat next to me (at a social distance of 1.5 meters), and about five minutes later, I left.
I didn’t notice any symptoms from them, but I felt uneasy.
While writing this, I realized that there seems to be something that makes me anxious before each episode...
which then triggers the dizziness.
I find this quite troubling.
I apologize for rambling, but I would like to ask you: 1.
I have seen articles discussing tension-type headaches, but I feel dizzy, and when it’s intense, it may be accompanied by nausea, although I haven’t vomited.
Is this common? 2.
Could this description indicate that there is something growing in my brain? This really makes me anxious.
3.
Each time, the tightness is on the right side, and the dizziness is also consistently on the right side...
is this normal? I apologize for having so many questions, and I appreciate your response, Dr.
Jiang.
Take care.

Jerry, 30~39 year old female. Ask Date: 2020/12/26

Dr. Jiang Junyi reply Neurology

Hello: The tension-type headache you mentioned is caused by tightness in the muscles of the head.
Common manifestations include a constricting pain in the forehead and temples, similar to wearing a tight headband.
Since it is caused by muscle fatigue, it typically begins in the afternoon and peaks in the evening or at night.
Taking a hot shower, getting a massage, or sleeping can provide relief.
Lack of sleep, stress, or anxiety can exacerbate the severity of the headache.
In summary, tension-type headaches may arise from stress, anxiety, or poor posture leading to excessive tightness in the muscle fascia.

In terms of treatment, patients are encouraged to identify and address their sources of stress, engage in muscle relaxation exercises such as yoga, or pay attention to their posture.
Pharmacological treatment usually involves muscle relaxants, anxiolytics, and mild analgesics.
Persistent discomfort on the right side may commonly be due to cervical myofascial pain: prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder pain.
Initially, resting may alleviate the pain, but it can progressively worsen, affecting daily activities.
Some patients may experience severe neck pain upon waking, accompanied by stiffness, tightness, and intolerable pain levels.
It is advisable to consult a neurologist for further evaluation and follow-up.
Wishing you good health and peace.

Dr.
Jiang Junyi, Department of Neurology, Taoyuan Hospital, cares about you.

Reply Date: 2020/12/26

More Info

Understanding tension-related dizziness can be quite complex, especially when it is intertwined with stress and anxiety. Based on your description, it seems that you are experiencing episodes of dizziness that are likely linked to muscle tension and stress, particularly in the context of your work environment and personal life.

1. Tension-Type Headaches and Dizziness: Tension-type headaches are indeed common and can manifest as a feeling of tightness or pressure in the head, often accompanied by muscle tightness in the neck and shoulders. This muscle tension can lead to dizziness, especially when the muscles around the neck and head are strained. The fact that your dizziness tends to improve when you are focused on work suggests that it may be related to your posture or the way you hold tension in your body while working. When you relax, the tension may release, leading to a sensation of dizziness.

2. Concerns About Brain Health: It is understandable to be concerned about potential neurological issues, especially with symptoms like dizziness and nausea. However, the likelihood of having a serious condition such as a brain tumor is low, particularly if your symptoms have been episodic and have improved with relaxation and muscle relaxants. Dizziness can arise from many benign causes, including vestibular issues, anxiety, and muscle tension. If your healthcare provider has assessed your neurological function and found no alarming signs, it is a good indication that your symptoms are likely not due to a serious underlying condition.

3. Location of Symptoms: The fact that your symptoms are localized to the right side of your head may suggest that there is a specific pattern of muscle tension or perhaps even a preference in how you carry stress. It is not uncommon for individuals to experience tension and discomfort in specific areas of the body, often reflecting their posture or habitual movements.

Recommendations:
- Stress Management: Since your symptoms appear to correlate with stress and tension, incorporating stress management techniques such as mindfulness, yoga, or regular physical activity may help alleviate your symptoms. These practices can help reduce muscle tension and improve overall well-being.

- Posture Awareness: Being mindful of your posture while working at a computer can also be beneficial. Ensure that your workstation is ergonomically set up to minimize strain on your neck and shoulders. Taking regular breaks to stretch and move around can help reduce muscle tightness.

- Follow-Up with Healthcare Provider: If your symptoms persist or worsen, it is important to follow up with your healthcare provider. They may recommend further evaluation, such as imaging studies or referrals to specialists if necessary. Keeping a symptom diary can also help your doctor understand the triggers and patterns of your dizziness.

- Consider Psychological Support: If anxiety is a significant factor in your symptoms, speaking with a mental health professional may provide additional strategies to cope with stress and anxiety, which could, in turn, help alleviate your physical symptoms.

In conclusion, while your symptoms are concerning, they are likely related to tension and stress rather than a serious neurological condition. By addressing the underlying factors contributing to your tension and dizziness, you may find significant relief. Always consult with your healthcare provider for personalized advice and treatment options.

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