Migraine vs Tension Headache: What's the Difference

Not every headache is a migraine — the pain pattern and accompanying symptoms are quite different between the two.

FeatureTension HeadacheMigraine
Pain locationBoth sides, band-like pressureUsually one-sided
Pain qualityDull, constant pressureThrobbing/pulsing
NauseaRareCommon
Light/sound sensitivityRareCommon
Impact on activityUsually manageableOften disabling

Tension headache

The most common type of headache — a dull, band-like pressure around the head, often linked to stress, poor posture, or eye strain, that usually responds well to rest and simple pain relief.

Migraine

A neurological condition with more intense, often one-sided throbbing pain, frequently accompanied by nausea, and sensitivity to light or sound. Some people experience a visual "aura" before the pain starts.

When to see a doctor

A headache described as "the worst of your life," sudden and severe, or accompanied by confusion, vision loss, or weakness on one side needs emergency evaluation — these aren't typical of either condition.

This comparison is for general awareness only and cannot replace a medical diagnosis. Many conditions share overlapping symptoms — a doctor can examine and test to tell them apart accurately.