Ask an expert
Question

11 Jul 2005

burning headache in centre of forehead
I have been suffering from headaches for some time now. The Doctor I went to said they are caused by stress. Normally tension headaches at the temples and back of the head.The other night I however, got the most severe headache I've ever had with this very bad burning sensation in the centre of my forehead. The severity of the pain actually caused me to cry - which has never happened before. What could be the cause of this?
Answer 626 views
Expert
Headache expert
Headache expert

01 Jan 0001

Dear Bonnie,

Unfortunately the site of the pain doesn’t give us much information as to the cause. Sometimes, however, muscle tension headaches develop into what we call “transformed headache”, in which structures other than the muscles, such as the nerves, arteries, and skin become involved. At this stage the pain may become much worse, as has happened in your case. This is more likely if the pain is of a burning nature.

The first thing that has to be done when there is a change in the nature of the headache is to have a proper medical assessment, which should include a neurological examination. The reason for this is to make absolutely certain that there is not some underlying medical condition that has caused the headaches to change. Although this is uncommon, it is essential to exclude this possibility before doing anything else.

If nothing serious is found at the medical examination, then the next part of the investigation is carried out. To get to the root of the problem, you need what is called a “multidisciplinary” approach. There are so many different structures in the head and neck are, 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 this reason, the combined the expertise of different specialists who would normally treat headache patients in isolation, are co-ordinated into a single more comprehensive body of knowledge. This enables a more comprehensive treatment plan, in which 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 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.