Hello! Thank you for asking on HCM! I read your question carefully and understand your concern. You should know that tension type headache is mainly caused by daily physical and emotional stress. A wrong position of the neck contributes in aggravating this type of headache. What types of blood lab tests have you performed? Did they include inflammation tests (PCR, sedimentation rate)? These tests are important to exclude possible temporal arteritis (which could be relate to the throbbing headache). I recommend performing a lot of physical activity and recreational sports (walking, gym, tennis, etc). Yoga and meditation would be very helpful in this situation. I would also advise to correct your standing position, and perform physical exercise to help you reinforce your back muscles, which help maintain a correct body position during the day. If your headaches continue, even after making these changes, i recommend discussing with your neurologist the possibility of starting an antidepressant, which help relieve anxiety and tension type headache. Hope to have been helpful! Greetings! Dr. Aida Quka