Introduction
Tension-Type headache is the most common type of primary headache account for nearly 90% of all headaches, affecting aboutone-fifth of the world population. It is also referred as stress headache and psycho-myogenic headache.
The words “tension” and “type” indicate that some kind of psychological or muscular tension may play a causative role. The pain may radiate from lower back of the head, neck and eyes, characterized by constant pressure as if squeezing of head typically affecting both sides of head from moderate to severe pain.
Various precipitating factors are stress, sleep deprivation, bad posture, irregular diet habits, eye strain, muscle tension around head and neck. TTH is often reported to start at some time during the day and to increase slowly.
Then the headache remains throughout the day, and is often unaltered during widely varying activities Vataja Shirashoola is correlated to Tension-type Head ache. Acharyas explained Nidana of Vataja Shirashoola such as Prajagara, Veganigraha, Upavasa, Bhashpa, Shoka, Bhaya, Trasa.[1]
Lakshanas as Teevra Nishih (pain increases during night time), Nisthudhyate Bhrusham Shankhau Ghata Sambhidhyate (intense pain in both the temples, splitting sensation in the nape), Bhrumadhya Lalaatam Cha Tapateevativedanam (excessive heat and pain in forehead and between eyebrows).[2]
Chikitsa of Vataja Shirashoola includes therapies like Snehana, Swedana, Nasya, Upanaha,[3] Payopana along with Ghrita and Taila.[4]
TTH May occur acutely under emotional distress or intense worry. So Satwavajaya Chikitsa plays an important role.
It includes components like Manojnana (education about his strength), Manoprasadana (Relaxation techniques, Pranayama, Harshana (engaging in pleasureful activities), Ashwasana (Assurance), Manonigraha (controlling mind), Dhairya (motivational approach and feedback approach), Pratidvandwa Chikitsa (Self-suggestion with positive affirmations).[5] Integrating Ayurveda with Yoga further enhances emotional resilience,
modulating the autonomic nervous system and addressing comorbidities to improve overall quality of life.
Case Report
The subject of this report is 35 year old female, One year back due to family conflicts, her father-in-law scolded with abusing words which disturbed her and used to get irritated and angry whenever she meets him and she will start fighting with husband and children.
Patient was passionate about job but she was not able to join work due to family commitment. Gradually she developed episodic severe headache both on temporal region continuous throughout the day.
Associated with disturbed sleep, excessive worry, irregular appetite, whole body ache, loss of interest in day-to-day activities, crying spells and anger issues, pimples on face, sour belching since 1 year, pain increased acutely under emotional distress or intense worry. Headache was not associated with nausea & vomiting.
She was evaluated at a local hospital and treated with Analgesic but there was recurrence of symptoms. Her Laboratory findings, MRI Brain was normal. Hematological and biochemical blood parameters were within normal limit. No past history of HTN /IHD/ DM / Trauma. No significant family history for the disease was found.
General Examination
Weight - 75 Kg
Height - 5.4 feet
BP - 120/80 mm of hg
Pulse - 74/min
No Pallor, Icterus, Cyanosis, Clubbing & Edema.
Systemic Examination
Gastro intestinal system - Soft, no tenderness and organomegaly.
Respiratory system - Symmetrical chest, no added sound
Cardio vascular examination - s1, s2 was normal, no murmur
CNS - Conscious, Oriented to time, place and person.
No tenderness at ethmoidal and frontal sinuses.
Visual acuity - Normal
©