What feature is not typical for tension headaches in children?

Tension headaches in children typically present with characteristics such as a sensation of tightness or pressure, often described as feeling like a band around the head, which aligns with the common description of these headaches. They can indeed cause tenderness in the neck muscles, as muscle tension contributes to the overall headache experience. Furthermore, these headaches frequently occur during stressful events, reflecting the link between emotional stress and muscle tension.

In contrast, the nature of tension headaches means that they generally do not worsen with physical activity. Unlike migraines, which may be exacerbated by physical exertion, tension headaches typically remain stable or even improve with light activity. This differentiating factor is essential in the assessment and understanding of headache types in children, emphasizing the importance of recognizing the symptoms that can guide proper management and treatment.