I have been having tension type headaches for 3 years now (which are sometimes worse on the right side of my head). It`s like a pressure around my head, almost like wearing a tight band all day long. They last all day, from the instant I wake up to when I go to sleep, it's the intensity that varies. Every time I get tired, the headaches get worse. Constant and/or loud noises seem to worsen it. My scalp is very sensitive and painful to the touch. I have right shoulder blade muscle pain. It's always tense and hurts when I do physical activities, no matter the intensity. I have bumps (possibly muscle knots?) on the right side of my neck (following my spine). My jaw is also tense most of the time, and I`ve noticed that I clench my jaw a lot. I also get these painful tingling sensations (pins and needles) across my body (arms, chest, back, neck, head) whenever I get hot (heat, stress, exercise).I get tired easily, after only a few hours awake. My hands and feet are almost always cold. I've passed a scan and an MRI and all are negative. I consult a chiropracticien on a weekly basis, but it only eases my pain, it doesn`t solve the problem. I have found no exact condition matching all of the above symptoms. I am a 22 years old male.
Thanks in advance!
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replied February 20th, 2015
Welcome to e health forum.

It does seem that your pain could be related to stress, anxiety or other functional causes. Common causes can include Migraine or Tension headache.

Migraine and Tension headache are conditions associated with a heightened sensitivity of nerve pathways in the brain resulting in overactive pain receptors.

The typical migraine headache is unilateral pain, pulsating in nature, varying in duration and is associated with other symptoms including nausea, vomiting, increased sensitivity to light and sound ; the symptoms are generally aggravated by routine activity.

Migraines may be caused by a physiological reduction of serotonin levels in the brain, which can be triggered by a variety of stimuli including:
1. Fluctuations in estrogen levels during periods,
2. Certain foods (including alcohol, especially beer and red wine; aged cheeses; chocolate; aspartame; overuse of caffeine; monosodium glutamate ; salty foods; and processed foods.
3. Stressful situations, Intense physical exertion, lack of sleep, Bad dietary practices (Like skipping meals or fasting)
4. Sensory stimuli. Bright lights, sun glare, loud sounds, unusual smells

A TENSION HEADACHE is a diffuse, mild to moderate pain felt as a tight band around your head caused as a result of heightened emotions, tension or stress, Depression and anxiety, Poor posture, Working in awkward positions or holding one position for a long time and Jaw clenching

Other possibility like Vascular causes of headache also needs to be ruled out.

It would be recommended that you consult with a Neurologist or a Pain specialist who can provide you proper treatment and advice.

I hope this helps.
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replied February 22nd, 2015
How about TMJ? Could it be the number one cause of it all?
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