Chronic Tension Type Headache

Classifying Requirements

The International Headache Society (I.H.S.) classification system for chronic tension-type headache requires the following:

A. At least 15 headache days per month for 6 months fulfilling the criteria in B, C, and D
B. Lasting hours to days, or unremitting
C. At least two of the following:

  • Pressing/tightly (non-pulsating) quality
  • Patient able to maintain mild or moderate activity (i.e. not severe – incapacitating)
  • Bilateral location
  • Headache not aggravated by walking stairs, similar routine or physical activity

C. Both of the following:

  • Neither moderate or severe nausea or vomiting
  • Only one of following:
    • Photophobia (light is uncomfortable)
    • Phonophobia (noise is uncomfortable)
    • Nausea

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five star patient reviews dr loftus
Five star patient reviews

Arlene K.(Patient Since 2020)

Dr. Loftus is extremely smart and up to date on all the latest meds and treatments. He is very kind and compassionate. He will work with you until you find a solution. He is a fabulous Doctor.

Catherine D.(Patient Since 2012)

Dr Loftus and staff are friendly and helpful and creative in finding the right treatment. Dr Loftus did not stop exploring options until finding a good treatment for me. He focuses on finding solutions to minimize my pain and maximize the rest of my life! I tried other migraine, headache and pain specialists but I am so glad I came here, where I found solutions.

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Providing headache and hyperhidrosis care & wellness for over 25 years.

Dr. Brian Loftus, M.D.

Dr. Loftus is Board Certified in Headache Medicine as well as Neurology. In private practice since 1994, Dr. Loftus’ practice has gotten busier and he has decided to concentrate his practice in areas that he can make a particular difference compared to other neurologist. Therefore, Dr. Loftus has chosen to focus his neurology practice on headaches & head painheadaches during pregnancy, and hyperhidrosis. In the spring of 2006, Dr. Loftus relocated his practice from the Texas Medical Center to Bellaire, just 5 miles west. He has been named a Texas Monthly “Super Doctor” and an H Texas magazine “Top Doctor” multiple times.