针对经选择患者组全部患者的治疗推荐
放松训练、肌电图（EMG）生物反馈、[25]Nestoriuc Y, Rief W, Martin A. Meta-analysis of biofeedback for tension-type headache: efficacy, specificity, and treatment moderators. J Consult Clin Psychol. 2008 Jun;76(3):379-96.http://www.ncbi.nlm.nih.gov/pubmed/18540732?tool=bestpractice.com 认知行为疗法，和肌筋膜触发点聚焦按摩[26]Moraska AF, Stenerson L, Butryn N, et al. Myofascial trigger point-focused head and neck massage for recurrent tension-type headache: a randomized, placebo-controlled clinical trial. Clin J Pain. 2015 Feb;31(2):159-68.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4286457/http://www.ncbi.nlm.nih.gov/pubmed/25329141?tool=bestpractice.com 上述所有治疗已被证明可减缓紧张型头痛。音乐疗法在紧张型头痛中的治疗效果尚不明确。[27]Koenig J, Oelkers-Ax R, Kaess M, et al. Specific music therapy techniques in the treatment of primary headache disorders in adolescents: a randomized attention-placebo-controlled trial. J Pain. 2013 Oct;14(10):1196-207.http://www.ncbi.nlm.nih.gov/pubmed/23876282?tool=bestpractice.com 短暂正念疗法可能在慢性紧张型头痛中具有价值。[28]Cathcart S, Galatis N, Immink M, et al. Brief mindfulness-based therapy for chronic tension-type headache: a randomized controlled pilot study. Behav Cogn Psychother. 2014 Jan;42(1):1-15.http://www.ncbi.nlm.nih.gov/pubmed/23552390?tool=bestpractice.com 物理措施，[29]Torelli P, Jensen R, Olesen J. Physiotherapy for tension-type headache: a controlled study. Cephalalgia. 2004 Jan;24(1):29-36.http://www.ncbi.nlm.nih.gov/pubmed/14687010?tool=bestpractice.com 包括物理治疗，[30]Holroyd KA, Pensien DB. Client variables in the behavioral treatment of recurrent tension headache: a meta-analytic review. J Behav Med. 1986 Dec;9(6):515-36.http://www.ncbi.nlm.nih.gov/pubmed/3550097?tool=bestpractice.com[31]McCrory D, Penzien D, Hasselblad V, et al. Behavioral and physical treatments for tension-type and cervicogenic headache. (Report No. 2085.) Des Moines, IA: Foundation for Chiropractic Education and Research; 2001. 针刺疗法[32]Sun Y, Gan TJ. Acupuncture for the management of chronic headache: a systematic review. Anesth Analg. 2008 Dec;107(6):2038-47.http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0025701/http://www.ncbi.nlm.nih.gov/pubmed/19020156?tool=bestpractice.com[33]Linde K, Allais G, Brinkhaus B, et al. Acupuncture for the prevention of tension-type headache. Cochrane Database Syst Rev. 2016;(4):CD007587.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007587.pub2/fullhttp://www.ncbi.nlm.nih.gov/pubmed/27092807?tool=bestpractice.com 和脊柱推拿，[31]McCrory D, Penzien D, Hasselblad V, et al. Behavioral and physical treatments for tension-type and cervicogenic headache. (Report No. 2085.) Des Moines, IA: Foundation for Chiropractic Education and Research; 2001. 也可能有效，但是和催眠术一样，其有效性证据尚不充分。[34]Fernández-de-Las-Peñas C, Cleland JA, Palomeque-Del-Cerro L, et al. Development of a clinical prediction rule for identifying women with tension-type headache who are likely to achieve short-term success with joint mobilization and muscle trigger point therapy. Headache. 2011 Feb;51(2):246-61.http://www.ncbi.nlm.nih.gov/pubmed/21054361?tool=bestpractice.com
]应当在发作早期实施治疗，必须使用足够的剂量。