2.3 Chronic tension-type headache

A forklift operator reports that his headaches, present most days for the last four months, felt slightly different one evening and worried him enough to seek review. He counts headache days at around 15 per month on average. That episode, like the others, settled into a tight, vice-like tightness rather than a throbbing beat, and lingered for several hours before gradually fading. He confirmed that everyday exertion, such as walking around or carrying shopping, has never made the pain noticeably worse. There was no vomiting, no nausea, and he denied any unusual reaction to bright lights or to ambient noise.