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03 Feb 2009

I have been suffering from headaches since I was a teenager. As a result I developed a painkiller addiction. The headaches are so severe that it feels like I' m dying. The pain is unbearable. I get neaseas and dizzy at the same time. There is never a day that I do not have a headache. I go to bed with one, wake up with one and during the day I have one. Some more painful than others. I still take painkillers but not that often. I do not have a medical aid therefore dont go to the doctor as much I' m suppose to.

I have been on anti depressants when I was young but stopped after a while and am back on them again. Currently using Nuzak. I dont know what might be the course of my headaches. Some days are worst than others. The pain is unbearable. I sometimes think that I wont survive the following day, most times I wish I had not survived. The pain is just too much!
Answer 412 views
Headache expert
headache expert

01 Jan 0001

Dear Zeeba,

The only way to get to the root of the problem is to have 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 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.
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