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25 Jul 2010

I got this odd horrible feeling behind my right eye
I got this odd horrible feeling behind my right eye. One night I was trying to fall a sleep and it felt like someone was scraping the back of my eye with a nail. The strangest thing is that when it eases i feel numb on the right side of my neck with an itchy feeling in my jaw. It almost feels as if someone is taking a string and pulling my bottom eye muscle down, I have been to an eye docotor and neurologist and nothing wrong. They will not give me an mri. Please has anyone had these symptoms. its killing me. The neurologist ruled out cluster headache and just said i have to suffer with the pain. Something is wrong. Please help. Where can I get proper tests done. I live in Natal.
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Headache expert
Headache expert

01 Jan 0001

Dear John,

If your eye doctor and neurologist say there is nothing wrong, what they actually mean is that they can’t find any eye or neurological problem. This doesn’t mean that there is nothing wrong – it just means that whatever is wrong is just not in their field of expertise. If there is no neurological problem, then it is probably correct not to have an MRI. To get to the root of the problem, you need what is called a “multidisciplinary assessment”, which should include a neurological examination to rule out any serious underlying condition. 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 assessment must include a thorough examination of the head and neck muscles to determine the presence of abnormal tension, and of the external carotid vasculature to determine whether there is an arterial element to the pain.

Headache sufferers often have a poor Quality of Life due to the constant pain and associated symptoms. For a free assessment of how your headaches are affecting your Quality of Life, click on

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.
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