A 29 year old female with no past medical history presents t…
A 29 year old female with no past medical history presents to your office for a headache. She indicates that she has had a headache almost every day for the past several months. It comes and goes but can last for several hours and sometimes all day. It starts in her neck and shoulders and feels like a tightening pressure on both sides of her head. She denies fevers, chills. She denies nausea, vomiting, photophobia. She reports starting a new job about 6 months ago. She also notes her grandmother passed away 6 weeks ago. She denies alcohol and smoking. She has been taking extra strength tylenol but nothing else because she is allergic to aspirin and nsaids. What is the best treatment for her headaches?