Ask an expert

05 Jul

Pressure headache
I've been suffering from what I understand to be a pressure headache for approx 2 years now. When I cough, blow my nose or exert myself, I get an intense throbbing pain at the upper middle of my skull. I visited an ENT as I thought it was sinus but my MRI was clear for sinus.
Headache expert

23 Aug

My apologies for not answering sooner - the Health24 website was faulty.

There is only one way to approach the problem - it is essential to get a proper diagnosis by experts of what is causing the headaches. To get to the root of the problem, it is necessary to undergo an in-depth diagnosis to determine exactly where the pain is coming from. 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 knowledge of different specialists who would normally treat headache patients in isolation, into a single more comprehensive body of knowledge. This enables 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 muscle tension, and of the external carotid vasculature to determine whether there is an arterial element to the pain. 

To contact The Headache Clinic for an accurate diagnosis and effective treatment call 011 484 0933, or e-mail to

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.
30% - 9699 votes
70% - 23149 votes