Ask an expert
Question

18 Jan 2006

Constant Headaches
Good day.

I have never gone through a day without a headache.
I'm wondering if big breasts could worsen it?
I've had a discectomy about 6 years ago and with recent xrays of my neck, the GP said that my neck is "too straight". Apparently there should be a slight curve.
Recently I discovered that the headache kind of "pushes up" (in lack of a better explanation) when I laugh or have an orgasm etc.
Answer 628 views
Expert
Headache expert
Headache expert

01 Jan 0001

Dear BFOU,

Firstly, it is unlikely that big breasts would play a major role in the headache process. When the GP told you your neck was “too straight”, it indicates that you have abnormal muscle tension in your neck, which changes the neck’s curvature. When the muscle tension is treated, the curvature usually returns to normal, unless there has been structural damage (which they would have told you about if there was).

The “pushing up” sensation indicates that some of the arteries of the head (usually the arteries in the scalp) are abnormally sensitive to the raise in blood pressure that occurs with laughing, coughing, and with orgasm.

Just because you have had the headache for so long doesn’t mean that it can’t be treated successfully.

To get to the root of the problem, you need what is called a “multidisciplinary assessment”. There are so many different structures in the head and neck, all of which can be involved in the headache process, that no single specialist can have all the knowledge necessary to make a comprehensive assessment and diagnosis. For instance, a neurologist will examine the brain and nervous system, a physiotherapist will look at the muscles, a dentist will examine the teeth etc. For this reason, the “multidisciplinary assessment” combines and integrates the expertise of different specialists who would normally treat headache patients in isolation, into a single more comprehensive body of knowledge. This enables the different members of the team to provide a co-ordinated treatment plan, so that all the contributing factors are addressed.

This information has been supplied and checked by the multidisciplinary team of specialists at The Headache Clinic, in association with The International Headache Society and the South African Institute of Headache and Migraine Science. For consultation with these specialists, call The Headache Clinic (Cape Town, Durban, Johannesburg) on 0861 678 911.
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
Voting Booth
Have you entered our Health of the Nation survey?
Please select an option Oops! Something went wrong, please try again later.
Results
Yes
33% - 9378 votes
No
67% - 19423 votes
Vote