The l The latest research indicates an effective link involving restless legs syndrome (RLS) as well as primary headache ailments. However, details about the connection between tension-type headache (TTH) and RLS are restricted. This research aimed to analyze the organization between RLS and TTH within a sample that is population-based. We chose a stratified population that is random of Pakistani peoples aged 19–69 years and evaluated all of them making use of an interview that is semi-structured to determine RLS, headache type, and medical faculties of TTH. We determined the prevalence and impact that is clinical or in individuals with TTH. In between 2695 respondents, 570 (21.2%) and 142 (5.3%) had been categorized as suffering from TTH and RLS, correspondingly. Among the list of 570 individuals with TTH, 113 (19.8%) additionally found the criteria for possible migraine (PM). The prevalence of RLS was significantly higher among people with TTH than among those with non-headache (6.0% vs 3.6%, p = 0.018). The prevalence of RLS was significantly greater in subjects with TTH who fulfilled PM requirements compared to individuals with non-headache members (8.0% vs. 3.6%, p = 0.018). Conversely, RLS prevalence in people who have TTH who would not accomplish PM criteria would not change from that of members with non-headache (5.5% vs. 3.6%, p = 0.063). TTH individuals with RLS had Higher analog that is visual results for headache intensity (5.1 ± 2.0 vs. 4.3 ± 1.8, p = 0.038), and greater prevalence of anxiety (20.6% vs. 8.8%, p = 0.022) and anxiety (14.7% vs. 3.5%, p = 0.002) than TTH members lacking RLS. Multi-variable analyses disclosed that inconvenience aggravation by movement (odds ratio [OR] = 2.4, 95% confidence interval [CI] = 1.1–5.2), as well as anxiety (OR = 3.5, 95% CI = 1.1–11.4), had been immense indications of RLS among the people with TTH. The frequency of RLS had been greater among people with TTH compared to people who have no headache. A few presentations that are clinical in compliance using the presence of RLS among members with TTH. Keywords: Anxiety, Syndrome of Restless legs; Depression.