What it is and is not
Pain is pressing rather than strongly pulsating, and the person can usually keep working. Pericranial tenderness is common but not required. Separating this from mild migraine is not always easy. If the same person has clear migraine attacks on other days, count those days as migraine.
Care
For infrequent attacks, explaining the benign nature, steady sleep, and limiting painkillers is often enough. Frequent or chronic patterns raise prevention and a review of painkiller use. Neck physiotherapy helps when neck pain is actually present. It is not a substitute for the diagnosis.
These pages are written for health professionals. They do not replace a history, examination, or clinical judgment. Treatment is decided for each patient individually.