At two headache centers, one for children and adolescents and the othe
r for adults, we investigated patients aged 5-80 years with episodic o
r chronic tension-type headache to evaluate the relation between age a
nd headache characteristics as well as analgesics intake. We found an
increasing headache frequency and duration, an increasing variability
of the headache location, and an increasing frequency of nausea with i
ncreasing age. All other headache features did not depend on age. Addi
tionally, our study revealed a marked increase of analgesics use in ad
ults compared to children and adolescents. In conclusion, children, ad
olescents, and adults referred for tension-type headache show minor di
fferences in some headache features, but a marked change of analgesics
intake. The different headache symptoms may be causally related to ag
e, but an influence of medication or other factors must also be consid
ered.