
Q Is it possible to cure tension headaches completely, or do I have to manage them for life?
A Many cases of episodic tension headache recover to near-complete resolution after the cause is corrected. For chronic cases, a realistic goal is a 70% or greater reduction in attack frequency and intensity and a return to daily life without painkillers, rather than complete disappearance.
Detailed Answer
Episodic tension headache (14 or fewer days per month) can achieve long-term relief with cervical structural correction and lifestyle changes alone. Chronic tension headache (15 or more days per month) takes a longer treatment period, but with active treatment there are many cases that return to the episodic form. When medication-overuse headache (MOH) is also present, the process of stopping painkillers is key, and this period is the hardest and requires professional support.
Setting Realistic Goals at Dongjedang
At Dongjedang, at the start of treatment we set concrete, realistic goals (a 50 to 70% reduction in frequency, escape from MOH, improved sleep, etc.) based on the patient's headache diary. Once the cervical structure is corrected and Qi stagnation with blood stasis is resolved, the number of days spent without painkillers gradually increases. If active treatment is started in one's 20s or 30s, there is a strong chance of reclaiming daily life without long-term chronicity.
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