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10 Aug 2010

Bloodpressure and megrain
I 40 years female (2 children) - have been getting hormonal headaches for a few years app 4 - always around menstruation time. - I would classify them as Megrain tipe of headaches - no medication - otc ever worked and tramal just made me nauseus
the only thing that helped was manupilation, traction etc by a phisiotherapist. My head would usualy be effected only one side
and would always feel like it is at the piont of bursting open my teeth like wanting to pop out of the jaw and eye going to explode - untill the physio - then the pain seems to drain away - but this has been getting worse over time - (I always seem to think i can never get worse than this time) Not tru - the last time ended me krawling on hands an knees to toilet to vomit over stimulated in hearing light etc and then ended up with a bloodpressure of
170/120 - was injected Voltaren and clopomon. I usualy suffer from low bloodpressure. Why the blood pressure problem is this part of megrain. When should I go to hospital - what bloodpressure is dangerous enough to go to emergency unit.
My bloodpressure is now back to normal - low.
Answer 903 views
Headache expert
Headache expert

01 Jan 0001

Dear Bloody Mary,

Although high blood pressure can influence migraine, the two conditions are different and must be dealt with separately. The high blood pressure is the more potentially damaging, so it must be your priority. Blood pressure can go up transiently during any traumatic episode – the important thing is that it is not high normally, so now is the time to go to the hospital and have your blood pressure cheched and treated.

Once your blood pressure is under control, then the headache can be dealt with. 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.
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.