The tightness in the head is considered to be a tension headache, which is also known as muscle contraction headache, and is a more common type of headache than. There are two main treatment methods: one is physical therapy: physical therapy includes relaxation training, acupuncture, local physical therapy, and if physical therapy is not effective, medication can be considered. One is medication: medication is based on non-steroidal anti-inflammatory drugs, such as acetaminophen and ibuprofen. For chronic tension headache, preventive treatment can be taken by applying tricyclic antidepressants, like amitriptyline; or selective pentraxin reuptake inhibitors, such as sertraline or fluoxetine; some muscarinic agents, like eperisone or baclofen, can also be used.