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Chronic Tension-Type Headache

Lifestyle Disorders
Devassy PaulGender: MaleAge: 49 years (Adult) Chronicity: 4 years

Presenting Complaints & History

  • Dull, aching band-like pain around entire head
  • Neck muscle tightness and shoulder stiffness
  • Headache worsening in the afternoon under work stress
  • Sleep disturbances and irritability

Clinical Assessment

A 49-year-old chartered accountant from Triprayar presenting with daily tension headaches. Triggered by prolonged computer work, mental exertion, and neck strain. Took over-the-counter painkillers daily, leading to chronic gastric acidity.

Diagnostic Investigations: Cervical spine X-ray showing mild muscle spasm; normal reflexes.

Homeopathic Therapeutics & Management

Gelsemium was selected for muscle tightness, heaviness of eyelids, and dull headache originating from neck strain, while Bryonia resolved pain worsened by motion.

Selected Constitutional Remedies: Gelsemium Sempervirens and Bryonia Alba

Lifestyle & Nutritional Support

Perform neck stretches every 45 minutes; adjust computer monitor height; limit caffeine intake.

Clinical Outcome

Follow-up Period: 9 months
  • Headache intensity reduced by 50% within 2 weeks
  • Acidity resolved after stopping OTC painkillers in Month 1
  • Neck stiffness and daily headaches completely cured by Month 4
  • Stable health and active computer work without headaches at 9 months
Medically reviewed by Dr. Navaneeth K. Unni
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