What type of pain has a gradual onset, sensations of tightness around the neck and shoulders, and a steady ache on both sides of the head?

A) Lower back pain
B) Migraine headache
C) Cluster headache
D) Tension headache

The symptoms described in the question point towards tension headache, which is characterized by a gradual onset, tightness around the neck and shoulders, and a steady ache on both sides of the head. Lower back pain is not related to the symptoms described, while migraine headache and cluster headache are usually associated with more severe and localized pain, and have different accompanying symptoms.