What symptom is NOT typically associated with tension-type headaches?

Phonophobia, or sensitivity to sound, is not typically associated with tension-type headaches. Tension-type headaches are characterized by a dull, aching pain that often feels like a tight band around the head, typically bilateral and non-pulsatile. While some individuals may experience mild sensitivity to light or sound, it is not a defining symptom of tension-type headaches.

In contrast, the other symptoms listed—bilateral pressing pain, nausea, and non-pulsatile headache—are more commonly linked to these types of headaches. Although nausea can occur with tension-type headaches, it is generally not as prevalent or intense as it may be with migraine headaches. Understanding these distinctions is important when diagnosing the type of headache a patient may be experiencing.